Homestead_Butts (3)WRM HC 10 19i9
PrzscriOM 6�, S;ate Boara ol Taz Cammissioneu
CLAIM FOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 19 g z-
SEE BACK FOR FILING INSTRUCTIONS
To Be File9 fn Duplicah
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b, (We) �°'�`''-'��'� ��-'�-R-�" W ����- �• certify that on the 1st day of
�arch, 79�, I, (We) occupied as our principal place of residence the following described real property for
hich a Homesteail Property Tax Credit is hereby being claimed:
I, (We) ❑ owned D O6 ' OD�//�%
O are buying under contract 7
❑ have a beneficial interest in the taxpayer �
� Property Description in �-�-�--a--gri County _ ���� Township
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name �'� �""o1e °`"ef�
or legal description shown on tax statement:
C�.t- til � �/� � � - � - � � � a.�. .
Contract recorded in Recorders Office - Record No. Page
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 real property:
I hereby certity the above statement is true, correct and complete.
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Signamre
� SU¢¢� ACdR55
County Township
ana zip Goae
Individual 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 ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land
Residential Improvements
Other Improvements
Dwelling
Garage
Total
Total Improvements - Line (6) plus (7) equals (8)
I:by certify the above is true. correct, and complete.
Q �2 �u/� �cC,o!
Signawre ol nssessor
Approved:
---- - -- -----
True Cash
Value
(�) So0
(2) 7 9 °
(3> / a 9 0
�a� Zoozo
(5) —
�s> a o o zo
(7) 37 f�o
�g� a j'7 7 0
Assessed Homesiead
Valuation Valuation
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U Da:e
- ACTION BY AUDITOR -
Date:
�
I
Gibson County Auditor
101 N Main
PRINCETON IN 47670
1988
Sl�\lE F(1R\I `I!MIP� / W+1
wwNUxwxu:s�n
fnJiriduaL anJ marriN coupk. are IimitcJ to oce homtsteaJ �andaN JNuctinn. As �hr rmtipt ol �his dcdunion beconrcc
merc beneficiaL �herc i> morr imm�['ne th:m e�er (or M1ome.traJ fnud Ilomc�eaJ fnud causes hi�M tac bills for all; thercfore.
HEA 13Ml-]0119 rcquim uapa�crs v.�ho �ttrirc ihe hanesicaJ slandarJ JNuction in rerify �lut tM1cy arc ditiMc to recri�c �he
benefi� ani ro pnn'ide akliiional iJrntifyinn infwm�uan nenssan� �o allw' counn' gmrmment �o Y.trer muni�or IwmesieW
filinf�. This inlarmmim will M le�M conliJenlial anA nn nnly M. accrc�e.1 br wiMrivnl rounh' nlTicia6. Thr Ikpartmem nf
I.ocal Gmcmmcm Finmrc< ��ill u�c �his infonna6un tu creatt 4vls Ihat aill h:lp cumrv official> dimmat< hum<st<aJ irauJ.
' � � ' �
Tazoaver Name Prupem• Address
Butts, Gerald W/ Roberta E
Gerald W/ Roberta E Buris
3029 W 200 S
Princeton IN 47670.8164
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(numher end snm. cny, sutc,-and ZIN codcj ��– -- ---
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Addres> (t.umbrr and rrttl ciiy, smle, and Zll' cuJe)
_ �. n _ i� �% -
in�Numbn�last 5 digi�s)
State Parcel Number
26-11-22-100-000248-027
J
ID Nmnbcr Uu� 5 digiu) � Othcr
R4 13ox ? 70
Prinreton fN i7670
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Leeal Description
006-0024&00 PT NW 22 2 11 6 AC
D-17
Samc y p�perr: add�--
a below)
� Same ai pmpeny addresi
4 bclox �
undersigned certifies, under penalty of pzqury. [hat the abo�•e xnd foregoing informatiun is we and coirzct and that he or she is elieible to
�e the homestead standard deduction on this propeny. Each undersigned al>o undersiands thai, by claiming additional homestead deductions
,�fully, he or she may be liable for back taxes and substannal financial penalties.
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