Homestead_Burriswan� xc io ism
NesaiME By S�ate BwrE ol TaK Cammis5ioners
To & FileG in Dupliwte
CLAIM FOfl HOMESTEAD PROPEHTY TAX CREDIT FOR YEAR 19�
SEE BACK FOR FILING INSTRUCTIONS
e�(We) /�-�-a� � Q- f �"""°""yN certify that on the 1st day of
arch, 19�2, I, (We) occu ed as our rincipal place of r idence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned / '/
❑ are buying under contract . O D(p " Q ��'7D
❑ have a beneficial interest in the taxpayer -,- L
Property Description in �-�-�� County �`L`"`�-"� Township
Taxing District (City, Town, Townshi : � ���
Parcel Number or legal description shown on tax statement:
Q�F . illuJ ��`f $- i—i o � a if )
If buying on contract: Owners
Contract recorded in Recorders Office - Record No
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying �eal property:
ment is true, correct and complete.
�__
Sueet AEareu
County Township
�
Ciry. Stare and Zip CoCe
ual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR -QSSESSOR'S USE ONLY -
t
True Cash
Value
Land not exceeding 1(one�) acr�e immetliat�G.Y�
surrounding residenU� improve(�ents � €� �#
Other Lantl �� � ��
Total Land � ,,,� c 1�j�
.,u�d 2 • -
Residential Improvements Dwelling
� �r ���ti��,�yGarage
�/i' Total
ji �UDITOR
Other Improvements
T�Improvements - Line (6) plus (7) equals (8)
I by certify the nbove is true. correct. and complete.
Signawre ol assessor
(t) 900
(2) 900
(3) / 800
(4) a/8G�
(5) —
(6) �/ b'Go
��� i So
(g� a 2 O 'fo
Assessed Homestead
Valuation Valuation
.. ', ����������
- • ' ����������
��������� ����������
����%///�� �i���/�%
� -_ ' • – ��.
;� .. ��jjj�j��
�'� - jjj���jjj
•
Date
— a9—�
ACTION BY AUDITOR -
Date: tl � ?' �� 7�
t
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
3395
SL�iEf00.M!!M�0./��NI
irr-nwararoad:su
6�dinduaL. and inarrinl mupla arc IimitN io nnc hnmcveaJ vandaN dMunioa As ihe receip� 01' �his dcduriion beconm.
morc bcnencial. thrrc is morc incentn< than e�er (or home.vtrxl frauJ. I lomei'rcad Bawl causn hifhrr ta� bills for all: ihercfwe.
Hl.1 I3-t3-?0(!9 rtqvirts U�payrn r.ho receire Ihe hanestead <�anda�J Jnfunion m.erify dwi thry am elitide to recei.c �he
benefii anf to p(w�idr xkii�ional identiiyine in(umxroiun Mcr.'vrr to allw' eounn� gmemmrnt to betrcr munimr humese:rJ
filin��.'Ihic infmmatinn vill M1r lqv cmli�irnti�l anA �n only M acce+.eJ Fy awM�iiN rnunry� officiai..'1 hr Ury+annrcm of
Local Gmartvnem Pinance will u�c ihis infmmation tu treatc twls �hat �vill h:lp aam�� otScials diminvc homatcaA fnud.
.,' ,. ,
Taapa��er Namr Propertr Addretis
Burris, John J / Carolyn
_ a IR9
John J / Carotyn Burris
8.2-8az'�8�—
PrincetonlN 47670-8829
���u���n����u�ui���in�n���n�in�i����n��ui��ui���u�
JoNa
�%
�c Addrt�ss (numbcr und �traY, eity, smic, and ZIP cade)
/700 � srfl� %��Q �
Sccurily Numbcr (las 5 digiis) Urivtt's Lic nx/Siale ID Number Qut 5 digiu)
���.o�y,�
State Parcel Number
26-12-09300-000.240.027
Y
I'rintt�lon 1��76j0 �
�� V i � (a
/
Le�al Description
006-00240-00 PT NW 9 2 10 2 AC
�u�ls
Same ns prapcm adMa;
Other (pieue specify in Part 4
� M�aai<
Addrcss (Number and e�trccl cii}', sutc, nnd ZIP cale)
/%DO � Si 19� I �C ��
tturiry Number Qaz[ 5 digi�s) Dmcrs LicrnsUStatc ID Numbcr (lazt 5 digits) O�hcr (plcasc
., �
���Q�s
� $:�me as p�apeny address
Pan a
undersigned certifies, under penalty o( pequp•, that the aboae and (oregoing informatiun is We and wrrzc� and that he or she is elieible to
re the homestead siandard deduclion on lhis property. Bach undersicned alio underslands lhat, by claiming additional homestead deductions
rfully, he or she may be li�e for back taxes ;u�d substantial financial penal�ies. _
�—/6 --/�
'�-yL� � o
(�