HomeMy WebLinkAboutHomestead_Davis (30)�a rt�q
aa a CLAIM FOR HOMESFEAD PROPERTY TAX ��- YEAR
i' ,:
CREDIT/STANDARD DEDUCTION '
�:,;� State Form Sa73 (R2 / 5-92)
,.�. � MAY 1 01993
INSTRUCTIONS: See reverse side lor lilrng instructions.
� . CERTIFI ATION S TEM T�. � - ,S
0
I �We) � certify ihat on the ist day of March. 19_
e) occupied as o r principal place of residence the following described ieal property for which a Homestead Property 7ax Credii is hereby daimed:
� 1(We) owned ❑ Are buying under coniract
❑ Have a beneticial interest in ihe entiry that is liable for the propeny taxes on ihe property and that owns the pmperty or is buying under a contract.
. � CONTRACT RECORDED � `
If brying on contraci. Fee Simple owner's name _ .
Recortler's oflice where contract is remrded Record number Page
DESCRIPTION
TownsNp
rown, townshrp)
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Parcel number Legal tio
oo�-oo� ��°oe a�/ �- io ,����, .
It any portion ol the residential simcwre or the Iand not exceedinq one (7) acre that immetliatety surtountls that strucNre is used to produce income, descnbe the use antl portion
of t�e propeny utilized to produce inwme.
ASSESSOR USE ONLY , TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE � VALUE
Land not exceeding 1(one) acre immediately �
surrounding resideniial improvemenis. (�)
Otherland (p�
Tota1 land (line 7 plus line Z� (3�
Dwelling (4) -
Residential improvements
Garage (5)
Other impravements (6)
Total improvements (line 4 through line � (�)
7otal value (line 3 p6s line 7� (g)
I hereby certi}y the above is true, torreCi, and Signature ot Asseswr � Date signed
complete.
Verirying a - Signamre of A dit r Date signed
�
� STANDARD DEDUCTION ALLOWANCE �
79_Pay79_
Lesser ot 1/2 Homestead
Valuation or 52,000 S
Signature of Auditor Dare signed
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IR:ASUP.tRlOAMISIA
GibsonCountyAuditor � � � � � � � • 1 � � � ' ' � '
101 N. Main Strezt .
Prineeton, IN 47670 Indicidual.� anJ mirrinl coupin ue IimitN to one honR�ir�J >ianSud d�rylue�iun.:\s tte m'eipt oi :hi� JrJueiim� 6ecomeo
morc bcncliciel. �h�n is morc mcrnt�n �h:m crcr I'or hoina� nd (r�ud. Hrnno�cad fmud causcs Sighcr m� bill; for cIC clnrcfan.
����� HLA i;�4 ?01W rcyvir.�s nao�><n w'.lJ ftTtl�t :Ilf homericaJ 1�00tL1P.I �[tIV<tlUll l0 �2fl�y IE]� IIKy 0IC <LgIhIC [0 fttitl�C IIIC
bcnclii amt �u pnn'idc aidnfonat idrnnfring ir.fimuuun m:c.>an' io alk�u' aamr em'emmem to Lwy�T mmnor homc�cad
filir.p.'ILi inl'omutim will be {.�q� confidauial znd can onk br a-tt..rJ M' au�nxizeJ cnunq� n0icial.. The Depanmer,t of
Local (ioccrrnem Plnancc will me �hi. in(om�aiion �n cr �tc umis ;hai x911 hcln auunn ol5cial. cllmfn�tc homcscad InuJ.
SEP 25 2012 "'' ' '' � '
TaxpaverName LocationAddress
C � ��°� Davis, Karla J - .
GIBSON COUNTY AUDITOR 777 W 225 N
PRINCETON IN 47670
199
Karla J Davis
171 N 225 N
PRINCETON IN 47670
II�I �I I IW
State Parcel Number Leqal Description
26-05-40-211-000.797-027 PT LOC 211 1 10 .877 AC
�I� II II
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
�rla I
(manbcr end stact, city, stam, and "LIP codc)
Nwnbcr(lueidi:i6) Dri�rr'sLicense5u[e1D,�'umbcr(Ias:S
�
� sa� �s o�xnr naazss
specify ir. Pan 4 belowJ
mdersiened cerli6es. under penalty of perjury, that the abo�•e and foregoing informa�ion is true nnd cortect and that he or she is eligible to
e lhe homeslcad standard deduction on this property. Each undersiened also unders�ands lhat, by clziming additional homestcad deductions
fully, he or she may be liable for back taaces and substamial financial penalties.
I Sig�ture� �� , Date / � Tclephoac
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�i�ure
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