Homestead_Howes Arnie L,tia�� CLAIM FOR HOMESTEAD PROPERTY TAX
ir '� CREDIT/STANDARD DEDUCTION
,�` SWte Form Sa73 (R2/ 5-92)
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INSTRUCTIONS: See reverse side lor liling inshucfions.
� �:(`�EHTIFICATION STATEAAENT; . . � .. . - •: . .
certiry-that on the 1 st da f�March. 19
d\ibed real p rty for which a Homestea['yProperty`az �r here da' ed:
,�C'�„-^1�'-✓�
J �� GIBSOI: C�OIit�TY AUDITOR
operty taxes on the property and that owns the property or is buying under a contract.
�CONTRACT�RECORDED `� t.,.. �-r. , - . . , `� _ :-,�'z:,..:
Record number Page
.-� _
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i : q�*
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T 1' � 1�
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I (We) �1VK�i.2] �_ ' •
�e) occupied as our pri cin pal ce of residence
I (We) owned ❑ Are buyin
Have a beneficial interesi in ihe entity that is li�
It Duyug om m�trad, Fee Simple owner's name
Recorder's oHice where contraa is recordetl
Counry 7own5Y
Parcel nu/mber Legai d
� l� � � � �
If any portion of Ihe residenUal swtture or ihe land n
oi Ne�operty utilizeE to protluce inmme. �
PROPEHTY DESCRIPTION ' � . `
T�i(R�,distnq (ciry,lpwn. rownship)
one (7) aae lhat immediately surrounds [hai struc[ure is used to produce income, describe the use arid portion
-�� ASSESSOR USE ONLY ` - �UE TAX ASSESSED HOMESTEAD - NON-RESIDENTIAL'.
- . VALUE VALUE� VALUE � .- VALUE _ .
Land noi ezceeding 1(one) acre immediately �
surrounding residential improvements. (�) � _ � �
Otherland (2) ���
Total land (line 1 plus line 2� (3)
Dwelling (a) � _ . � �
Residential improvemenis _ _ -
Garage (5) � � �
Other improvements (6) �
Total improvements (line 4 through line � (7)
Total value (line 3 pbs line 7� (g)
I hereby Gertify the above is true, correct, and Signamre oi Assessor Da;e syned
complete.
Veritying aaion - Signature ot Auditor - Date sgned
.. -l.
Gibson County Auditor
101 N Main .
PRINCETON IN 47670
�
InJi.�iJua� anJ rtu:riN couples arc IimiiN to nrc homc9ead .tandaN J:Junion. As ihe rttript of this'deduainn baconres
morc benencial, tlrcr< is morc ixrntnx dun rc<r (or homesteacl fraud Ilomrr.ead fraud causrs hieM tac bills tor all: thercfae.
HEA 1333-?fN79 requim ianpa.en �ho r.cci.�e ihc hanesteaJ >tandud Jniunion iu .erily tlu� ihry are eliciNe io mcei.e thc
benefit aN io pra'idr aWitio�ul identiiyin2 infiurtiatwn ��e.vn ro allw' count)' _L`o:rmmenl ro bttrer�moniror homrseaJ
rrm�. rn�s infarmuinn will br AryY canlidenli�l and can onlr h� arec:ceJ by aWlrori�nl cmm� ofGei�ls.'Ihe I?epannrenl nf
Local Guvarmnem Piwm'e wili u*e thfs intortna�ion W areau twis Ou� will heln ���i' u(ficia� diminale Iwmcemad lraud.
779 /
Amie L/ Kelley J Howes
3066 E Carithers Rd
Princeton IN 47670.8624
�i�u��iii�i��n�ui���in�n�n��ini���i�i��i��ni��ni�
I lirstl
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; Addrtss (number ond s¢cc[, ciry, smtc, andZlY codej '
30�� � �.-;
iccurih Numbn (last 5 dicin) Ikivas Licc2�clStatc
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�GIIeY I
Addrtss (Number and <e4 dry', state, and "LII' caie)
/ Howes, Arni L/ Kelley J
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�°� �` ���,
\ � Stat arcel M1umbe�
2 27-400.003.970�
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Middle
L
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nnne
liinreton L�'
006-03970-00 PT SE 27 1 10 20.00 AC
C-1 I
�y.� �ve 5 I
Samc u. p(upcn' a: dres; ' ''I. _'
(please specify in Pan 4 bcbw)
� i� ("1 c5
� Same us pmperty addm.ti
Social
. . �
Fach undersitmed czni6es, under penalty of pequry, [hat the above and foregoin�_ infurtnation is wt and coirect and that he or she is zlieible ro
receive the homestead standard deduction on ihis property. Bach undersicned also undersiands that, by claiming additional home>tead deductions
unlau-fully, he or she may be liable for back taxes and substantial financial penal[ies. I
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