Homestead_Jenkinsr�eSpupCO tl( SIJIf Upa�O o� Id. (:Un np>O�us
CLAIM FOR HOMESTEAD PROPERTY_ TAX CREDIT FOR YEAR 19�
SEE BACK FOR FILING INSTRUCTIONS
I,.�ve) � � certify that on the 1st day of
M�, 19 I, (We) occupi s ur ncipal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We)�O owned D � l9 — Q b`j 9d
❑ are buying under contract
❑ have a beneficial inter t in the taxpayer
Property Description in �1 �+� !�� County �� Township
Taxing District (City, Town, Township):
Parcel Number . or legal description shown on tax statement:
� - � � � /�F +�t--. S E ���f - 3 `�
If buying on contract: Owners name �1eP
Contrac[ recorded in Recorders Oifice - Record No. � Page � o�
I( any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
sVucture is used to produce income, describe the use and portion o� the properfy utilized to produce income
Any other counties in which individual owns or is buying real property:
I hereby certity the above statement is true, correct and comolete.
County Township
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on lhe residence, or has a beneficial interest in the iaxpayer.
�����- FOR ASSESSOR'S USE ONLY -
��_r
APR 2 5 1989
and not.���,�, (�g�,���e immediately
urrounding resi �jj��p"t�'v'ements
ither Land
otal Land
lesidential Improvements
Dwelling
Garage
Total
ither Improvements
btal �ovements - Line (6) plus (7) equals (8)
here;, ertify ihe above is true, correct. and complete.
"gmture ot ASSP550�
True Cash
Value
(�1
(2)
(3)
(4)
(5)
(6)
1�1
�
- ACTION BY AUDITOR -
Assessed
Valuation
�
Homestead
Valuation
D�i�r.: ��a�J �----
. Gibson County Auditor
101 N Main
PRINCETON IN 47670
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InJiviJual� anJ marricJ rouplo a�c IimiiM io one home�cad uandaN �L.�luninn. As ihe �eccipi nf thi:� JNuninn M1ccome�
mure brneficial, iherc is morc incrncnx tlun r�er for homesteaJ (nuJ. Ilome>rcyl frdud causes highrr ta� hills (or all: therc(ae.
HEA I ii-i-21Nq reqdun uaparm x�ho �acivc ihe hanesieaJ standard �iluction w.crifv tlw� thry art cliciNe m rcecnr thc
benent anf to pmride akliiimul iJemifyinc infurm��wn neces'vry to allow counh' gv:emment to bene� muniror humeseaJ
filin�.'Ihis infmma�ion will M Ac7v cwliucNiai anA tnn onlr ht arce>wxd Fy autMriiN rounh' nf(¢i.ih '!M1e IkTannmm of
Local Gu�cmmcm FimM'< ��ill u+c this infortnacion [o crcam twls �ha� aill h:ln counn- ut7Kial. climinim Inrmcs�caJ irauJ.
Joe / Peggy Jenkins �
3095 E jafE'Tawn Rd ���� �'z-
PnncetonlN 47670-8620
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Taxpaver Namr
Jenkins, Joe / Peggy
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Prinremn IN A7670
State Parcei NumAer Le�al Des
z�os-sa-aoa000.sso-oz� 006�00996-00 PT
2.0087 AC C-1
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SE 34 1 10
�o� � �� � �E�vk�n�s �
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rcv (number m�d strcct, cny, smrc. and ZIY eotic) _ ' . _ ... _ _ _' _ . _ Sume m'pmpeny uLl��:. _'— �. .. - . ._
�OcJ.i � �i¢�7�Ov.�u % D � T�INC�TON. �K �'7�7�
.
u;e First
P F_G-!� -S .
line Address (Number d aYree4 nry', sule, und'GIP cutk)
�ogs � TflyTpv� �v �7 �� nr�
ial Stturiry Numbcr (lasc 5 digia) DmcYs Liceace/Statc ID Numbar past 5 digiu)
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� s�,� � P���� �aa�
Ochcr (plosc spcci(y in Pazt 4 bclow)
undersigned certi6es, under penalry of perjury�, that the above and furegoing information is Wz and correct and that he or sh'e is elieible to
�e the homes�ead standard deduclion on this property. Each undersigned al>o undemands thai, by claiming addilional homeslead deductions
�fvlly, he or she may be liable for back taues :u�d tubstantial financial penal[ies.
1 Sicnanuc Ue�c 1'cicphonc
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