HomeMy WebLinkAboutHomestead_GriffinGibson County Auditor
101 N Main
PRINCETON IN 47670
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1405
Louise A Griffin
389SOIdSR65
PRINCETON IN 47670
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IndiriJuaL+ anJ marriN coupks are IimiiN io one hnmtueaJ �andaN Jc�lunion. As �he rereipi ol ihii daluciion hecomea
morc brneficiaL �herc is morc i(rcrntne Ilun rwr (or homra�ead frauJ. Ilomc��ead framl causs hi�her taa Lills (or aIC eheafae.
HEA 13�S-71N19 requim �aapasen x�ho receive ihe hanestead s�andard dnfuction �o .�eri(y ihat tM1ey am clieiNc io rec.i.c the
brnefit ani tu pn„'iJe a�kliiional iJrnuirinc mtwmation Mcr'vn� io alluv.� counro grnemmrnt ro bener moniror hamesreaJ
filin�,�.'Ihi. inlnrmaiion will M Ai7x mnlidemial and nn only M. aceesseJ by amlarizrJ counir olTciali 7M1e Ikpannrm o(
1_ucal Gm�emmem Fivnce aill u.e this informaeion m creac uxiLe thai will heln mumm �ff 'ala dimimi� M�m�a�ad nauJ.
Taapa��er Name
Griffin, louise A
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Prooem� Ad�iress
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Iir 3 f3ox 312-d J -
PrincctonlN��7670 (1�/
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State Parcel Number Lesal Descrintion
26-11-09-300-003.SSFr027 ���� M C ROBERTS OLD
J OWENSVILLE RD 17
D-17 �
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Mailin� Addre�s (t�umber and 9rce4 riq', slaie, anJ LIP cuJe) � Same u pmpem add�. �
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Social Stturiry Numbtt (lazc 5 dieits) Drivcrs LiccnsdSiatc ID Nwnbcr (lazt 5 digi6) Oihcr (plcasc spcciF in Part: bclow) �
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Each undersiened certifies, undzr penalty of perjuq�, that the abu�•e and foregoing information is we and correct and that he or shc is elieible to
receive the homes�ead standard deduction on this property. Each undzrsiened also undemands thx�, by claimine additional homestead deductions
unlawfully, he or she may be liable for back taYes and substantial financial penalties. I
O..nerl Si:nsnse Date Tdcphon: I /
d � o �� eD ��
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11 � �' �
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cE� "'� g CLAIM FOR HOMESTEAD PROPERTY TAX
ir�� CREDIT/STANDARD DEDUCTION
�.`'� State Form Sa73 (R2 / 5-92)
�au
INSTRUCTIONS: See reverse side !or 7iling instructions.
FORM YEAR
HC70 � .
I(We) - certify� thaS�`on tl� 7�i da�9�M � 79
��) occu ed as our principal place of residence ihe following descnbed re p y for which a Homesiead Prope,rt�ny Tax Credit is her� Gaimed:
V I(We) owned ❑ Are buying under coniract � %1�R 2� IyyO
❑ Have a beneficial interes� in ihe entiry ihat is liable for the property taxes on the property and ihat owns ihe,property or is buyiqg�under a contrect.
If buyirg on con;ract, Fee Simple ownefs name
Recorders oHice where contract is recorded
CONTRACTRECORDED
PROPEHTY
Record number
Cou ry �/{'�/�� Township Tanin district ry, wn,7 ship) "
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Parcel nu / I/�� / egal description � /
F� V� v� K/'�
It any portion of the residential strucWre or the land not exceeding one ( � aae ihat immediately surtountls that structure is used ro produce income, <
of Ne property utilized to produce intome.
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Page
and ponion
-� PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES �' ` �
� Couniy Township Counry Township
�eby cenify the above statements are true, correct and complete. Sig re of imam a
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Address mberantlstreeG ary stafe, ZlPmde) �
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. ASSESSOR USE ONLY TRUETAX ASSESSED HOMESTEAD - NON-RESIDENTIAL
VALUE VALUE. VALUE VALUE
Land not exceeding 7(one) acre immediately
surrounding residential improvemenis. (�) �
Otherland (2) -
iotal land (line 7 plus line 2� -(3)
Dwelling (4) �
Residential improvements .
Garage (5�
Oiher improvements (6) �
Total improvements (line 4 through line � (7)
. Total value (line 3 pbs line 7� (g)
I hereby certify lhe above is [rue, Corrett, and Signature ot Assessor Date sgned
complete. �
Verilyinq action - Signature of Auditor Date signetl
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STANDARD
79_Pay19_
Lesser of 1/2 Homestead
�Valua}ip(�r 52.000
S
. I Date sigQep \ ? y
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