HomeMy WebLinkAboutHomestead_Cundiff (4)weM xc �o �e�s
heuri0ed By State BoarE of Tax Commissioners.
To & FileE in Wplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19��
SEE BACK FOR FILING INSTRUCTIONS
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,(We)� ��--� ��-�' � � certify that on the 1st day of
nnarch, 19�i, I, (We) occupied as our principal place of resi'den e the following described real property for
which a Homestead Property Tax Cretlit is hereby being claimed:
I, (We) Q'owned �
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in�–�N County ��� Township
Taxing District (City, Town, Township): �
Parcel Number
If buying Ofl contract: Owners name ��� simv�e owner�
or legal description shown on tax statement:
�.� ' '. : �
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:
,�hereby certify the above statement is true, correct and complete.
County Township
' 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 -
True Cash Assessed
Value Valuation
Land not exceeding t(o� a� im�'edia� �
surrounding residential i prov ent�,s (�)' .�asa /o?o
Other Land
Total Land
JUN1�197g
Residential Improvements �
�i' ,
Other Improvements
/��/��� I I i n g
�age
AUDITORotal
Tr1,��:mprovements - Line (6) plus (7) equals (8) .
I�ny certiTy the above is true. correct. and complete.
ASS¢SSOt
App
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(4) � 34 �Fo
(5) —
(6) I.��f-�Fo
(7) —
(8) 13 �l-�l-o
- ACTION BY AUDITOR -
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Date:
Homestead
Valuation
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
3542
Individua� and �`urriN rouple are limiied �o onc homc�caJ �andaN J,�lunion. A� the rmtipt ol'thi� dWuc�ion bcconms
mure beneficial, there is morc incentne thm ecer Wr homo'tead fraud. Ilome��eaJ frauA cauxs higher �a� bills tur all: thercforr.
HEA 1343-1OW rcqu'un ta�pa�rn who rceeire ihe haneveaJ smndard Jeduaion a vcrify �hat tM1c� are cliciNc io mcei.e �he
bmefit ani to pia'ide aJ�iitiunal idrn�iiyim_ fn(wnuuon nem'vry to allw� euunty gv.rmmmt �o betmr muniror homrse:xl
filintia_'Ihis infornu�inn will M l,qw cnnlidential anA r,m nnly h� acce.ceJ h�� amhnriiM counly otTi[iuls. TM1e Ikpanmem n(
Lucal Gwm�mem Fiv�rce ��ill u+c this iniorma[ion w crca:c 4ole thm will h:lp avnnry af5cialx dimi��c homc>rcml fiaud.
� � � � � �
Taxnaver lame Prooem� Address
Cundiff, William A
William A Cundiff
560 Meadowlark DR
Princeton IN 47670.8841
I�I��II���I�II��I���III���I��i�l��l��l��l���ll�ll��ll���l�l��l
�60 Aleadowlark UR
Princemn IN 47670
State Parcei NumAer Leeal Description
2612-16101-000.393-027 005-00393-00 LYNN nnrwOR 73
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rn.,,« i r�m ntiam� , �i
.ig Address (numbcr end strcct ciy, statc. and ZIP codc) � . -. _ . — � _. — — — , �me us pmpc , eduiQ _. _ - ___ —_. _
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$ocial $ecurily Yumba (last 5 dieils) Dmer's Licrnse/Slste ID Numbcr (last 5 digiL) Othe� (pleau sptcify in Pan < belaw�)
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Middic Last
Mailine Addres (�umber and a'tree4 city, sute, and ZIP cu�k) ��� � p�p��y �d�*+
Social5ccuriry Number (lazc 5 digi�s) Drivcrs Liccnsc/Statc ID Numbcr Qazt 5 dicits) O�hcr (plcvc spccify in Pazt 4 6clow�)
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Fach undersiLmed certifies, under penalty of perjury•, that the aboae and foregoing infortnation is we and correct and that he or she is elieible to
receive the homestead siandard deduction on this property. Each undersigned al;o undersiands tha� by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxas and substantial financial penalties.
Oun<r 1 $ignaWre . Date Telephone
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Spouse Si�ature lhte Telephone
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