HomeMy WebLinkAboutHomestead_CattFOPM HC 10 19i9
PreSCriDeO By Slaie BWrG ol ia: Commissioners
io Be FiIM in OuO���a�e
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�`�
SEE BACK FOR FILING INSTRUCTIONS
((�S(We) �- `�- �� �/- eli�� certify that on the 1st day of
��arch, 19�, I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) Q'owned DD/ �DD3F,q
O are buying under contract ��J v �
❑ have a beneficial interest in the taxpayer
Property Description in � ' nCounty _ TLl�-1�sc., Township
Taxing District (City, Town, Township): Y"Cc ��. �L�.cx,o.
Parcel Number or legal description shown on tax statement:
/��' S��z NW'�Y /6 -�-/o /. o'78K/.
If buying on contract Owners name ��� simo�e
Contract recorded in Recorders Office - Record
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:
hereby certify the above statement is true, correct and complete.
Street
County Township
G�ry. S�ate'ana Zip CoGe
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
nn the residence. or has a beneficial interest in the taxoaver.
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- FOR ASSESSOR'S USE ONLY -
r UP! 1 19I9
Land �nY� xcee ng 1 one) acre immediately
surro n9 ide improv ments
Gad(
Other La
Total Land A���rOR
Residential Improvements
Other Improvements
Dwelling
Garage
7�
True Cash Assessed Homestead
Value Valuation Valuation
(1) /oo0 33c
(2) �
(3) /o yo
(4) � /�o
(5) —
Total (6) °2°�k°
(�)
�T �-� Improvements - Line (6) plus (7) equals (8) (8) �o/Xo
by certify the above is true. correct. and complete.
Signamre oi
- ACTION BY AUDITOR -
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Date
�ateii�� l-9 ? i
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� st.r[ma.i.�v..�tiis.r.i mr.�suunwt�-sin
Gibson County Auditor
101 N Main
PRINCETON IN 47670
3529
Catt Joe Blfreva G Trust
1906 E SR 64
PrincetonlN 47670
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InJn�iJuals and �`urrieJ couplcc are limi�ed �o oce homr�tead sand�N dedu.�ion. As Ue rereip� of �his Jedunfon 6nromes
morc beneficial, there is more incentnc than rcer for M1omn'rcad fnud. Ilome.+�esJ (raud cau_�a higM Iac 6ills for all: ihrrtfae.
HEA I i�41-?IX19 requifes u��u�crs w�ho reeei.e thc haneseeaJ standard JeJunion m.erify ihat they �e eli=iNe w meene the
benefit anJ ro pnn'idr aklitional identiirin_ inWrmmiun r�eces'vn� ro allw� counrr go.rmmrn� ro b:tmr munitor Iwmrse:xl
�ilim�,�.'llii� inl'ormmion will M Ary4 emlideminl and can nnly Fc avttcud hy aulhorizN rouny' o�Ticiuli. TM1e Depannrem n(
Lceal Gmcmmem Finamc will u.c this iniortna;ion [u <rwtc tt+ois �hat will help rountr ufficials diminarc IwmestoA Imud.
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Taspaver Namr Prooert�• Address
Catt, Joe B/Treva G Trust
R2 Rur ?01
Princeton IN 37670
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State Parcel Number
26-12-16-100-000.309-027
V
Leeal Description
006-0030&00 PT S NW 16 2 10 1.041 AC
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Owna I First M1fiddle Lut
T� v A G�� CA-tf-
ig Address (�wnber and strcet, city. smre, and ZIP code) - - u$umc ns piopeny oddres; —�' ---- -'
$ocial $ccurit} Number (last 5 digits) Uriver's Licnue/Sute IU Number (la.l 5 digils) Other (pl�se specify in Pan 4 p�low)
Middlc Lut
Mailin� Address (Number and �trttl cil}', sta�e, and "LIP code) � S:vne:u propeny addmss
Social Stturiry Numbcr �latt 5 digi�s) Dm�crs Licensc/Statc ID Nwnbcr (last 5 digi�s) Other (plcau spcciN in Pan s bclow)
Snx 1
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Each undersigned certifies, under penalry of pequry•, that the above and foregoing infortnatiun is trve and correct and that he or she is elieible to
receive the homestead standard deduction on �his propeny. Bach undersienzd al;o under,taads that, by claiming additional homestead deductions
unlawfully, he or she may be liable (or back taxes and substantial financial penal[ies.
Owncr I Signaturc Datc Tclephonc
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Spou;c Sig�uturc ��c Tclephonc
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