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CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT fOR YEAR 198�
SEE BACK FOR FILING INSTRUCTIONS
To Be Filed in Duplicate
V
���P / �.-� �ii .� g ti i� N� o� v i 11.17s�n.s certify that on the 1st day of
I, (We) occupied as our principal place of residence the following described real property for
ad Property Tax Credit is hereby being claimed: '- ''
I, (We) � owned
❑ are buying under contract . . .
❑ have a beneficial interest in/ the•taxpayer
Property Description_ in �f�b s�h
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name �`� 5inip1e °""ef�
ty _ �7�v /�/� Township
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or legal description shown on tax statement
_ �� ,�,� /�'8 /- /a 9�A�
Contract recorded in Recorders Office - Record No. Page
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 individual owns or is buying real property:
i
�hereby certify the above statement is true, correct and complete.
C� !J /� _ „ •
Counry
Township
`?!§namre � — �� Sveet naaress f ' - . Ciry- S�are ana Ziv �e -
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
-_� �y� �� -;. on the residence, or has .a beneficial interest in the taxpayer.
�� �'"-=fl � �� • - FOR ASSESSOR'S USE ONLY -
�VQ'% t � i`��38
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Land ndtl�R�e�d± '11 or e) acre immediately
surrounding residential improvements
Other Land
Total Land
Residential Improvemenis
True Cash
Value
(1) .
(2)
^ (3)
Dwelling �4�
Garage �5�
Total �6>
Other Improvements
T�Improvements - Line (6) plus (7) equals (8) -
I����eby certify the above is true. correci. and•complete.
SgNture ol Asseswr
(�)
I$)
- ACTION BY AUDITOR -
Assessed
Valuation
Da�e
Homestead
Valuation
Approved: ���_���� Date: �/ /.h =S�
:
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
894
sn�c m�u ��s.�tii.w�
InJividuaL� auJ ma:riN coupks are limimd �o orc home�tcaJ �tandaN J.Mucuoa As the rttrip� ol ihis ddundm beconus
morc beneficial, therc is morc incrncue than e�rr (or honmteaJ frdud Ilomn.eaJ fqW causes hi�her ta� bills ior all: Nerefne.
HEA 13i-!-]OW requim uipa�en x�ho reteivc Ihe hancslead >landard JNuction m verilv ihe� �hev are cliciMe to recei�r Ihc
brnefil aN iu pnaidr aJJitional idemiiyin� inWrmirun nem-vn� ro allw' cwnty go.'rmmrnt [o Nner�momtor Iwmrne:d
filirqti. This inlnrrtutim will Ar AqY conf:denlinl and on only lx� aret��eJ br aWhorizN munh� ofTciuh.�ITe Ikryunmrn� of
Lonl Gm<rmnem Fimncc will u.c Ihis intormation ro cream 4vls tlu� n'ill hdn counn' officials ciimmne Iam<xrcad fiaud.
Michael Thomas / Susan R Gibbons
338 W 225 N
Princeton IN 47670-8536
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Gibbons, Michael Thomas / Susan R
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State Parcel Number / Lesal Descrioiian
26-OS-40-188-001.700-027 / 006-On00-oo PT LOC 1aa 1 10 2 AC
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ner� tim r
M � cha�l `l`�harnes
ig Address (numbeTm�d sdcet, <iry, statc,-and ZIP codc)— -
3 � �rJ Sn/
;ial $ecuriry' Numbcr (las� 5 digits) Driver's Licenx/Slate ID Nmnber (lasi 5 disib) Other i
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Address (Number anJ streei, ciiy, staie, vnd ZIP coJe)
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��66a„s� !
Sam: a: p ��m: odd.-�s
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fy in Pan 3 bclow) �
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Same :u propeny address
�7� 70 ,
�.fy in Part 4 bclow�l �
undersit,,med certi6es, under penalty of perjup�, that the above and foregoing infortnation is we and co�rect and that he or sNe is elieible to
�e lhe homestead slandard deduction on this propeny. Each undersiened al>o underslands that, by claimine additional homes�tead deductions
�ully, he or she may be liable for back tatics and substantial financial penalties, j
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