Homestead_Halwes• • . , i : J � Jn , !e•
P¢sc�iGeO By Slate BoarO ol iaa Cammissioners
CLAIM fOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�.�--f--
SEE BACK FOR FILING INSTRUCTIONS
_. .. '��':�•. . :� � f � � /1
w" ' certify that on the 7st day of
�.�arch, 19�, (We) occupied as our principal place of residence the following described real property for
which a Homeste d Property Tax Credit is hereby being claimed: /
006 0o ds� o,o�j
I, (We) owned
❑ are buying under co ract
❑ have a beneficial int e t,in the laxpayer
Property Description in oun �__� Township
Taxing District (City, Town, Township):
Parcel Number � or legal description shown on tax statement:
- ,�- �� �'l� � 3-a-I1 , �'��� ,
If buying on coniract: Owners name �'� ""'o�e o.�e�r
• Contract recorded in Recorders Otfice - Record
e
If any portion of the residential structure or ihe land, not exceeding one (1) acre that immedialely surrounds_that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other couniies in which individual owns or is buying real property:
�=reby certify the above statement is true, correct and complete.
�
County
Township
Gry. Siat�, ann lip
' Individual either=own's�o'r=i'r_6uying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
�� h�A�� i �: �y;9
- ' � - FOR ASSESSOR'S USE ONLY -
�� �Q �R ��S True Cash Assessed Homestead
� Value Valuation Valualion
Land not exceeding 1(one) acre immedialely
surrounding residential improvements
Other Land
Total Land
Resitlential Improvemenls - Dwelling
(�)
(�l
(3)
(4)
Garage �5�
Total �6�
Other Improvements
Tot�!provements - Line (6) plus (7) equals (8)
I hare�y certify the above is true, correct. and complete.
Sigmtwe of Asuuor
Appro
1�)
18)
Uen.
UB�C:_—'�_ D C i�( '.
� Gibson County Audilor
101 N Main
PRINCETON IN 47670
�
1775
al�tE I�IRN �)'M10.1 Hnl
IAfASUF[A f00.M :}�A
InJiciJual. and ma:�iN coupkz are limiied �o orc hnmeucad uand:nl dttlu.�ion. As �hc recctip� of �his deduninn becomcn
murc beneficial, thrre is more imm�tnx than t�er (or M1ome.rcacl (nud IlomesteaJ fiauJ causes hi�hcr tai blls fur all; Iherefore.
HEA Ii3i-?Ol!9 requim m�p�)en who rtccirc Ihc IwmestcuJ slandarJ dNuc�ion m verily Iha� thcy are cliciMe to rtx�ciac Ihc
benefit anJ to p�a�id� adfition�l idemiirm= infwnutwn necr.'vey w allw� counn� cu�rmment �o Mrtzr mmitrn lu�mese:d
filin�-. This inlnmution will M Aery mnlidemiai anA �n only 1+� arcecuxi hy authomrJ couny' n�icialz "Ihe Depannrcm n(
Lucal Guvemmrn� Piwnce ��ill u.e this infoema[ion W create hvls tlui �vill h:lp camtv officials diminale FnmeshaJ GauJ.
, , ' , , , .
Tasoaver Name Prnpert�� Address
Halwes, Larry Wayne / Barbara Sue
Larry Wayne / Barbara Sue Halwes
1248 W 150 S
PrincetonlN 47670-9307
�i�n��ni�i��n�ni���ni�i�nn��i��in�ni����i��n�i��i���
i� `
State Parcel Number
26-11-13300-000.640-02 7
" ._— __ �___ __
cr I Pirst
� R �e �2� 1,�.9 y,v e
'ig Addr¢s (m:mbcr m�d imct, ciry, scatc, and ZIP calc)-
�o? �/ y� ( So 5 l�ria� �e�-o�
��
B��G��� I ��`e
e Addrrss (Number and slrttl cin', slate, nnd ZIP cak)
iay� � �So 5 �,ei,oee��J
Saurity Num6cr (laa 5 digits) Drivds LiccnsdSta[c ID Numbcr (la;t 5 digii
�—
RI k3oxSl �
Prince�on IN 47670 �
Lesal Descrip�ion
006-00640-00 PT S W 13 2 11 .928 AC
D-i
MiUdle /� � W � e �
4J J
,
- �Somc u prorir: aidrev . .
�r�c��A,J�f �/76?0 —g3o?
hcr (please specify in Part 4 bcbw)
�,4 L�.; � �
� Same •ss pmpeny addvs
��� %a �vA �{?6 ?a � q 3 a 7
Othcr (plcase spcciF in Pan» bclow�)
undersisned crrtifies, under penalry of pequry•, that the abo��e and foregoing infortnation is we and comct and that he or she is elieible to
:e the homeslead standard deduction on this property. Each undersiened also unders�ands that, by claiming additional homestead deductions
✓fully, he or she may be liable for back taxes and substantial financial penahies.
�
��a �V_y� /,�,o
�cnSZra.�.a. J� . �-�o., I �l����ao i o
(