HomeMy WebLinkAboutHomestead_DeverweM Hc io ism
RescriOeE By S�are BoarE ol Tm Cammissioners
To & Filed in DuDlicale
� CLAIM FOA HOMESTEAD PROPERTY TAX CREDIT FOA YEAR 192�
SEE BACK FOR FILING INSTRUCTIONS
�L �We) �.�+-Q/ �� %Y!��-�• �-�-� 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) 8' owned � O � .OD/�s�
❑ are buying under contract `�
❑ have a beneficial interest in the taxpayer �/�
Property Description in � C,nounty `fI'4..�.o--/c�i-� Township
Taxing District (City, Town, Township): `�'�Cl�o-- �.
Parcel Number or legal description shown on tax statement:
� . ,u E '�y- � s- 3 -, 6 , �.�
If buying Ofl contract: Owners name ��� slmoie ownerl
Contract recorded in Recorders Office - Record ,No. Page
If any portion oi 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:
t
i hereby certify the above statement is true, correct and complete.
� 6—z9— 7.;� - -
County Township
antl
' 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 -
Land not exceetling 1 (one�re�mm�tel� �
surrounding residential imp vements
other �and ��N 2 9 1979_
Total Land /� �, �„—
Residential Improvements � � .. �.{��
. . �� ���`
At��Qe
y
Total
Other Improvements
To} ' Improvemenis - Line (6) plus (7) equals (8)
I�ry certify the above is true. correct. and complete.
59namre
True Cash Assessed Homestead
Value Valuation Valuation
(�1 SOO /�/o
(2) —
(3) SOo
(4) /�n S `i0
cs� � � o
�s� / 6 9 S o
�7� So
�8� / �o 0 0
- ACTION BY AUDITOR -
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$1 °°,Sb�o
3-.30 -'
Date
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Approved:—_ � �j ..�c. _QfaAl/1 � Date: � -- � �9?%
v -
�� Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
4014
tTiit ifMM!l.'M 11L' / YMI
IRfASUFfAfORN:}IA
R iNA\CE M V I.1-E=J.1
6�dividuaL and ma:riN coupks are limited to nrc hnmrsteaJ �andaN deAu.�ion. A� �hc rttript ot this dalunion bttomes
murc benrfi<ial. thrre u morc i�rcrnm'e than r�<r (or hamo-�eacl fmud Ilomnxad $aud caus6 higher ta� bills Iw all: therefae.
HEA 13+i-'_IHW requim u�pa.en xho «cei.c ihe Iximeneed standard Jnluction to .erify dut ihey am digiMe io meci.e ih.
benefi� anJ ro pmeide :xklilional iJentifrinc inWmianun nem'vry to allw� counrc gmrmmmi ro bmer muniror homese:rJ
tilinp;..'lliis inlomuiion will M Aa7x conliJrnii:d and can nnk M acm�eJ M1y awhoriid rnunt�� ntiKiaL..'ITr Ik�wnmm� of
Local Gm'cmment Fim�rce will u+c �hfs iniortnation tu v<a:e twls �Iwt will h;!p counn' afTxial. diminarc tuncncaJ Raud.
.•' ,' ,"
Taxna��er Nnme Prooerh' AJdress
Dever, Thomas R/ Martha S yQ. � U��S
P O Box i1R
� I'rincemn f� 47670
Thomas R/Martha S Dever
P O Box 448 State Parcel Number Lesal Descriplian
-- --Pnnceton�W�47670-0448� — ---- - - -- �
I�I��II���I�II��I���III���II����I��I�I��II��I��I��II��f�I��I�I 2s-i2i9-200-000.452-027 os000a52-ooPTNE 19210 .75AC
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u
I _ / �i ��as
ig Address (numbcr and strcec, ciry, sum,
�tial $
wu;e Firs[
�� �� �
ailine Address (NUmbcr and s�ree4 cily, smle, und "LIP cuJe)
5
�ever
Snmc as pmpeM sddr�ss � . . . '_ '
'.(y in Part 4 bciox')
�� ve r
� Sume ai propem addrtas
Othcr (plcasc specify in Pan � bclow�)
undersigned certifizs, under penalty of pepuq�, that the aboee and foregoing infonnation is we and corrzct and that he or she is eliyible to
,e the homes�ead siandard deduction on �his property. Fach undersiened al;o unders�ands that, by claiming additional homestead deductions
rfully, he or she may be liable (or back taxes and substanrial financial penalties.
I Signature Dam Tclephonc /
/�1 .�� r, �)t /m _.,,