Homestead_HarySGTE FORH S15E9 (V3l&10)
APPRP'E➢B\' STATE BW 0.O
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� '` �bson County Auditor � � � � � � � � � �
�� 1 N. Main Street �- �„a���d�� ,�a married muplcs are limi[ed m one homcttead standald deduaion. As the receipt of Ihis deductlon becomes
-- PtIOCEtOO, IN 47670 mure brneficial, iherc is rtrorc incrnti.�e Utan erer Cor homatcad (mud. Homatead frzud cauus highei uz bills for ell; thc¢Core,
�� HEA 1344-20(19 requ'vcs uxpayrrs aiw receive �he homestead srandazd deducuon w�crify chac c6cy are eligible to reccn�c [he
benefi� and a praidc additioiul idcntif}�ing informnlion necessary,�o allox� county ga�anmrni tc. bencr monicor homesccad
T �" filings. 7ttis infortnation will be kept confidencial and can onty be acc�ssed by auUrorizcd county�otiicials. 7'hc Dcparunrnt of
� �$.1.«.� � I,ocal Gm�emmrnt Pinantt will use this informazion to crtate tools that will help counrv officiais :limiriate homestead fraud.
APR 1 S 2011
— C.J.n�
GIBSON COUNTY AUD TOR
. . ., 424 . . � .
Joseph R/ Cathy L Hary
2052 SW White Church Rd
Pnnceton W 47670-9322 '
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Taxpaver Name Location Ad�dress
� Hary, Joseph R/ Cathy L - '
' � 2052 SW WHITE CHURCH RD
PRINCETON IN 47670
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I II�I�III��III �I� �I �III �I�II �III �I�II�II��II�II�ll�lpll�ll III II �I �II�II�I�I� IIIIIII
,State Parcel Number ° ° Legal D;�scription �_
26-11-14-100-002.881-027/PTNW14211 1.463AC D-1
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This form MUST be returned to County Auditor's office. ;
Please do NOT send,this form back with your tax payment to the coun•ty treasurer.
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undersigned certifies, under penalty of perjury, that the above and foregoing infortnation is we and correcl and that h�. or she is eligible to
�e the homestead standard deducrion on this property. Each undersigned also undecstands that, by claiming additional �iomestead deducrions
�fully, he or she may be liable for back taices and substantial financial penal[ies.
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p:_�cl�, i , l, (;ie) eccupie3 as ou� �nc'�oz1 olace ` resider.ce tlie -follc,aing descsi}pd real
iJ_'b1,-`=i.y 1�0- �•iP.iC!i d 1�✓r"ii�?Si°,� !�LU}'° �'v l�l7C �T2C11� 19 °TP_li}' �J°.117C, CZdllIT�: � .
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� i�aye a�zn:icial �z�_ 5` �; tt�e w.�ayer
t�`�"i.\' p?SC�'lav-01?%iIi = lU �1�Ui:ll:�li
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f cSCn'y _]��+�,._�' � I � � 0 1 des¢i t-ion sixr�m on tax st-at�mJit:
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-Co�c.ract r�orr�.� in P�m�ver's Office - P�cnrd ib. Page
I` a;iy �rtion oi the resid�-�tial st��ctvre or tt�e land, noE e�e�ling one (1) acse t}i�t
�ii�::.y�dL°_I}+ SLLLi-0171715 �?d� S�'-liCi.Ur°_ '-S llSE:j t0 J7L-OC3UC°_ ll1CQ1Y°_� CI°SCLlt.`P_ i�l°_ US°_ cllT� cortia� Ui
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?�•1� o��e� cow:c_es i7! 'viPiCh ir.n.i:�dual a��rs or is bvling real pmp�sty: County '1t7:.�islu�
;l,oh�, ��-�,;'• ='h� a�rov2 staten��t is t.�-,�e, mrreVt �Yi co�i�lete.
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*ir:ciividc•�l eit}r_r a•+�s or is ka�;�u�g uner a contract ttti�t provicls he is tn pap tlie
� D1Ti�=LV tax:s on tl'_ resid�ice, or has a ben�ficial itttsest ili t}i� t�•E:a�er.
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