HomeMy WebLinkAboutHomestead_CardinalFORM MC 10 1979
Preuribe0 By Sta�e BwrO of Tae Commissioners
To & FileG in Duplirate
CLAIM FOA HOMESTEAD PROPERTY TAX CREDIT FOfl YEAR 19�
SEE BACK FOR FILING INSTRUCTIONS
�JWe) �• ' certify that on the 1st day of
arch, 19� I, (We) occ ed as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) C3'owned oO/_ �OOa�A
❑ are buying under contract «� 6
❑ have a beneficial interest in the taxpayer !1
Property Description in ,���-d-s�^-� Cnounty `*T�� Township
Taxing District (City, Town, Township): �-Y'0.�cv ��.
Parcel Number � or legal description shown on tax statement:
1�E 5 G.1 '��f 3 L-�-// 3. `� �/i:
If buying O!1 contract: Owners name ��� simo�e owner�
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: County Township
�' hereby certify the above statement is irue, correct and complete.
Cc ���'c�C.C.u_� J� /j /1 �/ i�.cc.GexJ �NV�4�,� 5�7(0%
'Signawre Street AEG ess � Giry. State anE Zip CoCe
' 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 -
Lantl not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land � � � � �
Total Land
Residential Improvements p ;� :i979
JUN � Dwelling
� �/�/�Garage
�� AUDITOR Total
Other Improvemenis
Trt ' Improvements - Line (6) plus (7) equals (8)
I�oy certify the above is true, correct, and complete.
f�ssessOr
True Cash
Value
(i) 500
(2) 3�Fo
(3) S'S��
(4) (c 80 0
(5) /9 0 0
(6) 870 0
(7) � /
�e> /° 8 7 0
Assessed
Valuation
,._o
�0� �
S�
5- a-s-79
Dare
Homestead
Valuation
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Date: �1/,/ /�
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
2108
Paul E / Jeanette Cardinal
1035 W 400 S
Princeton IN 4767Q9341
SI�R FORM!!N�R:! NMI
MASU�.FR H10.4 :S�A
InJfviduals and nu.TieJ couplcc arc Iimi�cJ w ore homcueaJ yandinl Jcvlutiina As the rctript of ihis dNuttion Mcomcs
mort beneficial. therc i. morc incrnmr Ihan rc<r (or homomad GduJ. Ilomesesl frzud causes higher tac 6ills (ur all: therc(ore.
HEA Gt-i-7009 rcquim uxpa�crs �ho reccire Ihc hancs�ced >tandard deAuaion iu reriiy dut �hey arc clicide to mcenc ihc
brnefit ani ro prm'idr a�Wiiimul identiiyinc iniurmanon necc+arc m allw' counp� ga'rmmrnt ro Y.�rcr mmitor homesre.�d
filin��. lhis inlnrmatinn will M Aep1 crn�idenlial anA can nnly h: aren�ed M1r aWMrisd cnunn� offiviula.'fhe Uepanmem n(
Lucal Gmrmmrnt Fivm�e uill uw this inturmadon W crca;c uvls ihat �vill help cqmtt olficials dimiwtc hem�<stcad haud.
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Taxparer Neme
Cardinal, Paut E/Jeanette Trust
S[ate Parcel Number
2G11-36-300-000.288-027
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R I Ro� 92
� 47�
Leeal Description
006-00288-00 PT S W 36 2 11 3.47 AC
D-17
1 1
Oaner 1 First Middle L.azt
�A u �n wAZO C� Az0 /NAL
�:g :dC�(num`.asdsL'e,.w::iry.-smm:a�dZlncr�r)' — ' ___ --_.(_I.gvmeuc�mpemuddre;_'_ �'__ _ _' _ __
/03S l,J oo S PR NcC �✓ ZNO iA.v�u G O—
Social Security Number �last 5 digits) Driver's Liceme/Sum ID Nmnber (lasl 5 dmiLS) Oiher (plesse specify in Pan 4 below)
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s�u� e�rz� m�aai� �
J EA�/ETTH �OCF C'A�eo�niAL.
Mailinc .4ddress (I�umber and rirttl cil)', sWlc. and ZIP cak) � S;une:ti pmpeny addrese
/o W oo s l� �Nc�r�ni �N���N� v 6 0- 43
Saial Stturity Number Ilazr 5 digi�c) Drivcrs Liccnx/Starc ID Nwnbcr Qa;t 5 dicits) O�hcr (plcuc spccify in Part 4 bclow)
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Each undersit,med certifies, undzr penalty of perjury, that the above and foregoing infurtnation is true and correct and that he or she is elieible to
receive the homestead standard deduction on this propeny. Fach undersi¢ned al>o understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial pensslties.
Signtuut Da1_ 1'clephmc
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