Homestead_Ermling�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
1997
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InJiciduals and inarriN coupk� arc limiied w one home�eaJ �andaN Uedu.�ion. As the rcceipi oi �hi> dNunan bttomes
morc beneficial, thcre u morr fncentnx th�n r�er for honxauad fraud. Home�teael (ewd ca� higher Ia� bflLs tix all; thrrefae.
HEA 1i�41-](M!9 requim uxpa�cn r.ho rttrivc iM1e hnnesteaJ s�andard �tAuclion m vcrity �Iw� tAcy am cli�iMc w rttci�e IM1e
benefii ani tu pnr�iJe adJilional idemiiyin� inWrtnanun ncm-vrc to allw� counn' ecnrmment �o Murr muni�or hunxse:xl
filit�p�. Ihix infnmulion will br Ary4 mnfidrnlial and nn nnly h: areecuvl hy aullroriznl caunly nOkials. Thr Ikrynnuni nf
Local Gm�emmcm Pitiirce ��ill uae ehis inio�mation w cream twls that will heln munn� uHxials diminaie humcsrcaJ frauJ.
Michael W Ermling
1531 S 100 W
PrincetonlN 47670-9352
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Taxpacer Name
Ermling, Michael W
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State Parcel Number
26-11-24-100-000.199-027
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Princeton I\ i7670
006-00199-W PT N W 34 2 11 7.776 AC
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I First hliddle
M ICNAE � �n/AYN� ERM�.I NG
; Add`¢s (numbcr and itrcct, ciry, smtc, andZlP codcj -' '— -- --" - � Samc �; propcm' addu: -
3 f S• 10O W•,��NCETON , IN 471070-�35a,
Iccurit} Numbcr (last 5 digits) Uriver's Licenst/S�ate IU Nmnber (lul 5 digiL) Othcr (pleise specify in Pan 4 below)
CsERA�DlNE
Middle
ERMuNG
aili�n Address (Number and strce4 ���}'. siak.:uid "LIP cak) � S�vne as pmpeny addrei
1531 S� �DOv�'•,�PRIKCE70N, iN 4�c��o-935a
xial Sccurity Numbcr �las[ 5 digiu) Drivcrs Liccnsc/Statc ID Numbcr (1as� 5 digi[s) Othcr (plcace spccify in Pan 4 bclow�)
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undersigned certifies, under penalry of perjuq�, that the abo�•e and foregoing infortnation is we and wlrect and that he or
e the homes�ead standard deduction on this propeny. Each undersigned also understands that, by claiming additional hom
fully, he or she may be liable for back taxes and substantial financial penahies.
1 $ignamrc � Ua�c TcicDhonc
n � �
��� . � (
is elieible to
ad deductions
a�[ R�R
'� °{ CLAIM FOR HOMESTEAD PROPERTY TAX
ir�`;= CREDIT/STANDARD DEDUCTION
.�.,��� State Form 5a73 �R2 / 5-92)
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INSTRUCTIONS: See reverse side for tiling instructions.
FORM YEAR
H�,o 3
������.
• ��r o-, -. . -
I(We) � certify thai on the 7st day of March, J�
) occupied as our principal place of residence ihe following described rea� pmperty which a Homestead Prope_ . rty Tax.C�i',t(I�kek�laimed:
/d_�..,SJ �R
� I(We) owned ❑ Are buying under conlract . �N�� � A�JD
❑ Have a beneficial interesi in the entiry that is liable for the property taxes on the property and that owns the property or is buying under a contract.
. �. . " CONTRACTRECORDED �
li buying on contratt, Fee Simple owner's name . �
Recorder's oNice where contract is recortletl Recortl number Page
Caunty
I number
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portion o
pmperty
Township
Legal description
PROPERTY DESCRIPTION
, . Tazinq disvict (dty. rown, fownship) �-
stmaure or the land not exceetling one (1) arse that immediatety surrounds that structure is
ree income.
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to produce income, desriibe the use antl portion
PROPERTY OWNED BY CLAIMANT IN OTNER COUNiIES
County Township Counry Township
.by certify the above statemenis are true, correci and complete. Signamre ot ciaimam .�
✓
Adtlress (numberandstreet, ciry, stale, ZlPCOde)
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ASSESSOR USE ONLY TRUE TAX ASSESSED� HOMESTEAD NON-RESIDENTIAL
� VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvements. (�) �
Otherland (Z) I
Total land (line 7 plus line Z� (3)
Dwelling (4)
Residentia� improvements �
Garage (5)
Other improvemenis (6)
Totaf improvements (line 4 through lina � (7)
Total value (line 3 p�s line 7� (g)
I hereby certify ihe above is ime, correci. and Signawre ot Assessor Dare signed
complete.
Veritying action - Signature of Autlitor Date signed
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