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Homestead_HeerdinkGibson County Auditor 101 N Main PRINCETON IN 47670 . 3366 vrmx[n InJiviJuals anJ ma:riN couplan are limimd �o orc homeAC�J �andaN JzAunion. As �he rttripi oi �his dMuainn beconrcs merc benencial. therc i> more incrnenr dun ecer (or homn�e�l Gdud. I lome��ead fra�ui causa hi�hrr tan bils �or all: therefore. HEA I7ii-20119 rtquvn uipa.en uho recctire the haneveaJ standard Jnlunion m.rrify that ehe� am cli iMc b rttene IFc brnefit ani ro p�a'ide a�Witiunal identiirin_ inform��iun Mc<ssan �o allw' counn� em'emmrnt ro bertrr �rmiror homrseal �ilin��. -Iliis inl'nmuiion will M Aryv crntidemial anA r.m nnly h: ectt++eA h� awhnrizeA rmmp� ollicials.Il'M1r Ihryianmrni o( I.ocal Gmcrmnrn� FinaM'c will u.c chis iniormarion �u crcam avis thm �.�ill hcin �rv official., climi�u��d homur<aJ (nud. Taxn•rrer Name Heerdink, Donald L/ Kandance K � Donald L/ Kandance K Heerdink 470 Spore Dr PrincetonlN 47670-8969 �i�ii��ni��n�in��ii��ii�i�i�iii��ii��i��ii��i��in�� FAddress (number and ;ttece, ciry, smtc, y7o ��oG,�� . � .�. undersicned certifies, under penalty of pequq�, that the abo�•z and foreeoing information is we and cortect and tha[ he or :e the homeslead standard deduction on this propeny. Each undersi¢ned also undersiands that, by claiming addilionai hom ,•fully, he or she may be liable for back taKes and substantial financial penalties. I $ibmansc Date Telephmc � i� - i� ��- ) J92103.172AC is elieible to ad deductions CLAIh1 FOR Ha��STEAD PROPERTY TAX CRmIT FOR YEA�R ]9_ SEE HACK FORyFILING th° foll.owinq described real r; �y ior wiiich a Hoir�stead �so�erty Tax �siit is hereby being claimede - � p� Z, (W=) � c�wna3 �0�0 -��a�� are buyinG urrler oontract . � have a beneficial interest in th_ ta�roayer . ,¢//� Proo�sty De�.:riotion. in �/�So�/ �imty I' fI %/KA 2boms?iip . �� Taxina Disrsict (City, Twm, Zbcanship) : Dy��oi ;;�,-.�r or legal descrintion sho�.n on tax statec�nt: �T. C<J �% /�1 cJ�s� 9-�- i a a.. iiS �- � T_' bu_�ina om m�tract: O.ar.�rs n3n� i=e= siur�le owr-i�r) Cer.`ra� r�ord�-1 :n P��zder's O°�ice - F��d Pi�. Page I' any mr`ion of the resi.dential structure or tne land, noc e�c�a3ir.g or� (1) a�z tnat '- irm�.iacelv surro�scis that stru�.�-tuze is used cn oroduce incarr�, eescribe t� use a� mr`�iQn of v1_ DTO_D°S�Y li�1�.122C� tA DTDdUC.'E lIL^07f� ,-.. Fny o��ser c�Lmties in w�icn individu3l owns or is bwing real pronerty: Coim� Zbsans':zio I'r.ereiry certify tn_ abo�� statere.nt is true,. wrrect and con�le /�= =�i�_ ' - �, f ,(-1�i�.1� �d ��'..i9c� ��e .�� /! � �.�� .n � y7� �'� � i �y.o S�eet A�ress Cdy, Srate a� Z o G 'Individual either owns or is buying �°r a mntract that nrovid� iL is tn pay :he oroperty.tax�� on th= resid_nce, or nas a benefieial interest in the tak�yer. - FOR ASSESSC82`S USE OP:LY - Lar3 not ex�in4 1(on_) acr° i�diately -` slsxoiu3ing residential irc�roverents Otr�-r Iand ��i � P�sid�:tial Iimrovements S'77o �,.,,c�9a's ��G o .�.Gl,,,1 /9�'6� � 1 p�,1:� I�x�van>nts Dw-elling Garaae Totat Tc •. Siro�vvements - Lins (6) plus (7) eauals (6) m� Cash Val� (1) .Sao i2) � � a cs� � 9 0 (�') (7) (8) '-� arrl mr�nle'te. � Z��reny c_rtiiy the atove is tru_, correct, i ?sssscr - ACi I�td BY AUDITn2 - Assssed Vzluation /� o �D O a3o � � �� I � � %b�/////%/G'" %� :. . Lar.e • - - ' �� ////� �� %OG� �*,.e,-ov�: �>� ��.r .r}�- %Y�,.��s — Date: �� S /99/ � - v