Homestead_Gibson (5)�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
IndividuaL� anJ ma;�iN roupla arc limi�cd �o onc hnmcs�caJ aandaN dnlu.�inn. Ax ihe receip� ot ihi> JMuctinn bcconrc.
mere bcneficial, therc is morc incrntnr dun e�er (or homesrc:rJ fqW. Ilort�.ve;Nl 8aud cause� higher iaa bilCs tor all: thrrcfare. _
HEA 13i-4-3IX19 requiln uxpa�en �ho rarirc Ihc hanes�md tlanda�d dcJuction io reri(y tiv� they arc c1i�iMc lo rttenc Ihc
benefii aM ro prtr�iJe addiGo�ul idenuiring iniwma�ion nece.vrv �o allw� cuuntc em'emmeni �o bener muniror honxsmaJ '
filinpq.'ILis in(nmution �ill M Aryv ern6dmtial amt cin nnly h• attr�uvl br amhoriied tnnnl�' n((iciuln. The Ikpannmm of
Local Govcmmem Fiw�rcc �cill u.e this in(onnaeion m ar<am [wls iha� x'ill hclp counp� oflxial. climinm� Iwme9caJ (raud.
. � � � � �
Taspaver Neme Propertc AJdresz
Gibson, Terry Jon / Anita K
2093 - - — - - - --
Terry Jon / Anita K Gibson
2338 W 400 S
Princelon IN 47670-9370
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undersitmed certifies, under penalry o( pepury•, that the above and foregoing infortnation is we and cotrec[ and that he or sHe is elieible to
�e the homeslead standard deduction on this propeny. Each undersier,ed al;o understands that, by claiming additional homestead deductions
rfiJly, he or she may be liable for back taKes and substaniial financial penalties. j
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��"� � CLAIM FOR HOMESTEAD PROPERTY TAX
i,��i; CREDIT/STANDARD DEDUCTION
�.,� • Stare Form Sd73 (R2 / 5-92)
%bi.
INSTRUCT/ONS: See reverse side lor7iling instructions.
STATEMENT
FORM
HC10
�
I(We r"t" MMJ�— � _ �1,6'Y� certify-that on the 7si day of March. 79_
''e)� pied our � cipal place of residence the following described realproperty for which a�HOmestead Property Tax Credit is hereby claimed:
I(We) owned ❑ Are buying under contrac[
Have a beneficial interest in the entity that is liable for ihe property taxes on ihe property and ihat owns the property or is rin�ur�er a o i ag
CONTRACTRECORDED .
If buyirg on contrap. Fee Simple owner's name � • .. - � - �
Recorder's oifice where contract is recordetl Record nu AU DI �
County•. � Township �
Parcel number _ Legal description
- �-�
If any portion ot the resitlential stmcture or the land not exceeding one (7) aue that
ot the pmpeny utilized to produce income.
Counry
Township
cenify the above statemenis are true, correci and complete.
number arM streeG ary, state, ZIP code)
le�'� �n�c I�iDA %�r�nc
ASSESSOR USE ONLY
Land not exceeding t(one) acre immediately
surrounding residential improvemenis.
Other land
7otal land (line 7 plus line Z�
Dwelling
Residentiai improvements
Garage
Other improvemenis
Total improvements (line 4 through line �
Total value (line 3 p�s line 7�
I hereby cenify ihe above is irue. correct, and
complete.
Ventying action - Sgnature o� Autlitor
19_Pay79_
Lesser of 7/2 Homestead
Valuation or 52.000
BY
J y l I,�J 3:5��-// 3G�
sunounds ihat siruaure is used ro produce income, tlescribe Ne use antl portion
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COUNTIES
�l �L�70
TRUETAX � ASSESSED I HOMESTEAD
VALUE VALUE VAIUE
(�)
(2)
(3)
(4)
(5)
(6)
(�)
le)
SignaWre of Assessor
DEDUCTION ALLOWANCE
S
NON-RESIDENTIAL
VAWE
Date signed
Date signed
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