Homestead_Fritzu
Gibson County Auditor
101 N Main
PRINCETON IN 47670
David W Fritz
2453 E SR 64
PRINCETON IN 47670
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IndiriduaL. and ma,-riN couples are limitrd m nre home�eaJ �a�N d�lunion. As thz receipt oi this dcduction htonxs
mere brnencial. �herc u mort incrntne than r�<r tor homr.�eaJ fqud. Hommeal fnml causs hiehrr ta� bills tw all: thereiore.
N61 I: L1-7IX19 rtquires la>pa)en who rraeirc Ihe IwmesttaJ sianda�d JeAuaion m mri(y iM ihey are eliciNe w�ecene �hc
benefi� �N ro pm�'idc :Wdiiiorol identin'im_ informatwn �xcesvn� to allw' counn' gmemmrnt ro Mner monitw Iwmese:A
tiling.. This inlarmaiinn will he Acryu ctuitldeminl anA can onh' F� attesstJ 6y autMriuJ rounry o(ficiuls.'Ifir lkpanmem of
Local Govemmem Fivnm ��ill ua �his inionna;ion w arwtt u�ls �ha� �cill h:ln ��Y ofTxials <liininarc IwmeueaA fiaud.
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Ou�ncr I First
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.�e Aadress �number wd s�reet, cirv, stare, antl GIP cwie�
Address (Number and stree� ciiy, =ia�c, a� ZIP cafr)
Sccurin� Numbcr Qaa 5
Taipaver Name
Pancake, Frank E
State Parcel Number
2Fr12-16-400-001.816-027
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Prupern' AddreSs
— a R '26
F'rinceton IN i7670
Leeal Description
006-01816-00 PT SE 16 2 70 1.40 AC
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Sumr us plupcm uii.uu.;
O�hcr (pinse speciF� in I'art a
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� 5;3me ns propeny addrtss
ID Numbcr Oast 5 dieitil � Othcr IPlca,e spcci5� in Pan =
undersigned cenifies, under penalty of perjury, that the above and fore�oing infortnation is we and correct and that he or she is elieiblz to
re the homestead standard deduciion on this property. Each undersiened also understands thzt, by claimine additional homestead deductions
rfully. he or s-he may be liable for back taees and substantial financial penal[ies.
I Signawrt _ h Dsm Tdephonc
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