HomeMy WebLinkAboutHomestead_Davis (26)�,,�,, - .
a�/' °� CLAIM FOR HOMESTEAD PROPERTY TAX
„�',� CREDIT/STANDARD DEDUCTION '
,�'� � State Form Sa73 (R2 / 5-92)
�.�. . .
INSTRUCTIONS: See reverse side toi liling instructions. �
I (We) _L--/T�-�7 i"�• . ��7�� �(' .
�j occupied as our rincipal�place of residence ihe following described real property for which a H
t� I(We) owned ❑ Are buying under contract -. , ..
❑ Have a beneficial interest in the entity that is liable for ihe property taxes on the property and that
FORM
HC70
YEAR
i'7si day of M h, 79_
�Credit � he y claimed:
.i'"..�i�SOR
�i"s'tuying under a contraci.
- � ,� CONTRACTRECORDED - -
If buying on contracL Fee Simple owner's name � , � . .. � . -
Recortler's oHice where rnntraa is recortletl Record number Page
� PROPERTY DESCRIPTION
County . ' / Townshi � � Taxirg dis[rici (d�' own. rownship) ^�
�S D�✓ ���{. l/� �D�� /S r
Parcel number legal description
DO � _oo .
It any ponion of ihe resitlen.ial strucmre or the land not ezceeding one (7) acre that immediatey surrounds that swdure is used ro produce income, descnbe ihe use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Counry Township Counry Township
n��by certify the above statements are irue, correct and complete. Si9namre o� daiman�
4
�tlress (number andstreet ciry. slate. ZIPCOOe) '
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTtAL
.VALUE VALUE VALUE VALUE -
Land not exceeding 1(one) acre immediatety
surrounding resideniial improvements. (�) �
Otherland (p)
Totai land (line 7 plus line Z� (3�
Owelling� (4)
Residential improvements
Garage (5) I
Oiher improvements (6)
Total improvements (line 4 through line � (7)
To�al value (line 3 p�s line � (g)
I hereby certify the above is true, correct, and Sgnawre oi Assessor Date signed
complete.
Veritying action - Sgnature ol Auditor Date signed
�I
19_Pay19_
>ser of 1l2 Homestead
Zalu�or 52,000
3
ALLOWANCE
Sgnature o� Autlitor y
// �
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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1
SlAlEifllt\1!JWIR:/Ylll
T4laSL'tIAf01[4:51�
InJiriJuals aud m�rticJ toupk. arc limiitd �o ore homcucad �andaN d:dunion. As the reccipt of �his deduninn becomes
morc beneficiaL �hrrc i. morc incenmx dun ecer (or home>temi frauJ. I Iomo�eaJ fmuJ causei higher tac bills iur all: Iherefore.
HEA G4-t-2IX19 requims ucpapen ..ho receire thc hanesteaJ standard JNuc�ion �o .<rity tlui ihcy a¢ cliciWe w raeene �he
ben<fii ami w pnn'idr a�kliUOiul iJrntiiyifrc intormmm� necnarv m allw' cwnn� gmemmem to Ntrcr munimr humeseal
lin�,�. Ihis inl'nmu�inn will h f.ryw conlidr.mnl and r.m nnly 6e ercr�.nl hr authoriinf ronnp� ofT¢ial..'I�he Ikpanmem nf
al Gm'<rmm<nt Fieu�rce ��ill ux this m(ormation ro crea[e rools Jut o'ill h:In eounn' uBxials diminam honiasteaJ fiauJ.
PeE�
COUN �'�� p�'(pF
1846 �6� PV
Larry M / Eva N��avis
2sso w so s
PrincetonlN 47670-8128
�i�ii��iu�i�����ni���i���n�nn��n�i��n�ii���i��n�n����
T�spa��er Name
Davis, Larry M/ Eva Marie
State Parcel NumAer
26-11-15-100-000.569-027
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Propert�� Address
aveo w so s
Rincc�on IN 47670
Le�al Description
006-00569-00 PT E NW 15 2 11 5.01 AC
D-17
1
Owner I First hiiddle Lazt
� A/Zk r �''►E�v �ti �A u i S
icAddms(numbcrand>VCCt,cit,v,-stsm,—eridZlPcodc)- — - - - -- --' ' —�Samc:.;prapcm�sdt,nsc - � --- -----
� 9� O �i, S o -s, �Q/,,. c eTo ,�. ,/ti `� 7 C 7 0
SOCial
Middlc . Last
E�� Mfl/c/,E ri��lS'
Mailinc Address (NUmber and stree4 ciiy. 5mle, nnd ZIP cuJe) jQ Ssme:u pmpeny adJras
�a
� �O W. Sd S, �klivGc%o.� /iv �/7C7U
Saciai Stturin� �umbcr (lact 5 digi�s) Drivcrs Licca<c/S�a[c ID Nwnbcr (1as� 5 digits) Other (plcasc spccify in Part 4 bclow�)
,. . �
Each undersigned certifies, under penalry of perjup�, that the above and foregoing inFonnatiun is wz and cortect and that he or she is elieible to
receive the homestead slandard deduction on this property. Fach undersi¢ned al>o understands 1hat, by claimine additional homestead deductions
unlawfully, he or she may be liable for back taces and substantial financial penaltfes.
O..nn 1 Si�matmc Detc 7'
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