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Restrihe0 By S�ate BoarE ol TaM Commii5ioners
CLAIM fOR HOMESTEAD PROPERTY TAX CAEDIT FOR YEAR 19�2
To & FileE in Wplicate
SEE BACK FOR FILING INSTRUCTIONS ,
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�(We) E f certify that on the 1st day of
���arch, 19�2, I, (We) occupied principal ace of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) C�'owned
❑ are buying under contract C�P�b- Gb�ob
❑ have a beneficial inter�e/st ,in the taxpayer
Property Description in �–L'd�,..+ County �Q��.p Township
Taxing Oistrict (City, Town, Township): �
Parcel Number
If buying on contract: Owners name
� _
or legal description shown on tax statement:
PE NW�iv 3/-Z /o ! <%
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 i�dividual owns or is buying real property: County Township
�hereby certify the above statement is true, correct and complete.
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficia� interest in the taxpayer.
FOR ASSESSOR'S USE ONIY -
Land not exceeding 1(one) acre immediately
surrounding residential ���� E D
Other Land
Total Land
Residential Improvements •���N � i9�9 Dwelling -
�/� rage
v� ,
AUDITOR tal
Other Improvements
TN-' Improvements - Line (6) plus (7) equals (8)
I�by certify the above is true. correct. and complete
Signa:ure
True Cash
Value
(�) so 0
(2) — �
(3) Sa a
(a) /.Sf�o
(5) .Z o 0
�s� / 6 o a a
(�)
(g) /(volo
Assessed
Valuation
/70
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Date
Homestead
Valuation
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- ACTION BY AUDITOR -
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Date:
Gibson County Auditor
101 N Main
PRINCETON IN 47670
a1�rc � nan� .�w �x_ i N..�
nrwsu�u roav s�n
L�dividuaL anJ mirriN coupkti are Iimi�M �o om homeycad sa�MaN dnluaion. As �he rccdp� of ihii dedunion bccrnu:
merc beneficiai, there is morc incrntux dun ner for homesteaJ fnud. Nama'teaJ frdud causes hi�her tn ��II> (or all; Iherefore.
HE.\ 134J-AN19 requim uipa.en who nccirc �he hanes�ceJ standard JeJunion �o rerify �ha� iAcy are eligihlc io mcei.c iM1e
i
benefii aml io pnn�idr aklitio�ul identiirirc_� Infurmatwn necrsvrv to allw' vounry ga'rmrt�eN m beem: mmitor Iwnxs�e:d
lilin�.�.'ILic in(nm�tinn will M Aery crnfi�?cminl anA on nnl�� t+e accez.nl 6y nutMrvN ern�m�� nfTrciali�. T6e Dq+anmm�t of
1_ucal Gwrrmem Fieum�e xill u.c ehis intoemation w<rcam ¢ols tha� will heln �wnn� offirial. dimintm homestexl fiaud.
aiaa
Donald E / Doris Douglas
303 W 350 S
PrincetonlN 47670-9203
I�I��II���I�II��I���III���I�I����I�IiI�����ll�ll�����ll�l�l��l
T��paver Name
Douglas, Donald E / Doris
R�uoc
Princcton M
State Parcel Number Le�al Descripfion
26-12-31-100-000.500-027 OOCroo5� PT NW 31 2 70 1 AC
D-17
V
�ner I First �
�DONA�.D �-
�g Addrcv (numbcr wd �vect, ciry�, starc. and ZIP codc) — — - - - ' ' - - "
� 0.3 W ��4� �(�G r_7f� .�y��`t,
col Security Number (last 5 dieiu) Driver's Licensc/Slatc ID Nmnber t 5 dia�b) Other
.
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S �-a�c �
undersigned certifies, under prnalry of �qup�. [hat the above and foregoing infortnatiun is true and correct and that he or
•e the homestead standard deduction on ihis propeny. Each undersiened al;o unders�ands that, by claiming additional hoR
�fully, he or she may be liable (or 6ack taxcs and substantial financial penalties.
�
�ligible to
deductions