Homestead_Jines. �- �
flilElflR.\I!!!MIIL'/�MI I T�AS��RWAM�i-IA
Gibson County Auditor
101 N Main
PRINCETON IN 47670
• � � � � �
APR 1 2 2010
� � Q ��
— GIBSON COUNTY AUDITOF
2219
Gary W/Laurie Jines
1328 E TAFTOWN RD
Princeton IN 47670-8609
�i�u����i����n�ni���ui�n�u��u��ni�i�nu�i��n�ni����
Indiriduak anJ marriN coupl� arc limi�td �o onc hnim�esJ �tnfMaN ANunion. As ihc receipt of thi�. Jeduction beconres
murc benefinal, therc i. morc fncenmc Ihan rc<r for hume:teaJ fraud Ilomei:ead frauA causc� higher tac liills (or all: rhere:orr.
HEA 13sF-?OW requim uapa.en xho reccire ihe hanestcad standard Jnluctian a.erilj tlu� thry are elieiMe w recene tM1.
benefii am1 io pnn�iJe uJJitional iJemiiyine informauun nei'rs'vn� io alluw rounp� gwrmmrni to bever muniror humrsm�rJ
filin�-. IT�is inlnrmalinn w�ill M Aryv rnn�iJcniial and nn only M atcr�ud M1p amlwrved rounw olTicial � l'hr Ikpanmrn� n(
1_ucal Gwrmmrn� PimM'e ��ill me this intortnazion W crcau twis tha� �vill h::n ramn' uffieiaL. dfminmc home>tcad Baud.
Taspaver Nnme
Sta[e Parcel Number
26-12-OS-400-0/00.996-027
✓
I First
��1-,e / /��f,vC
g'ALd:s(r.cr.nbc:.nd;Cx..ciry•.smtc:nnd�Zl^coC:)_----_- _ '
a� �. %ff�7b�viU �I�.
Sccurity Number (last 5 dieiLS) Dmds LittnxlSlate ID Kmnbcr Qaz� 5 digib)
�
�--l� �/�/�
lailine Address (NUmbcr and sv<el ciq�, siatr. and "LIP caie)
/3�� �: '�����.� �.�
ocial Stturin� Numbcr (laa 5 dieirs) Dmers LiccnsdStatc ID Niunbcr pa,-� 5 digits
OOFr0099G00 PT SE
C-i
....� _T.1J ES
.-- _ � _- me � prmp�m ndd!e<: -
J a� � S
�u pmpeny addrca�
in Pan : bclow�)
I 5 2 t 0 720 AC
Each undersicned certifies, under penalry of perjury, that the ebove and foregoing infortnation is we and correct and that he or she is elieible to
receive the homes�ead standard deduction on this property. Each undersiened also undersmnds that, by claiming additional home^tead deductions
unlaa-fully, he or she may be liable for back taxes and substan�ial financial penalties. (
y/D-/�
��
� � ��� �
� �� ��-� �
warn xc ia is�s
Prescribed By State BoarO af Tax Commissioners
To & FileE in Duplitate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 7 9
SEE BACK FOR FILING INSTRUCTIONS
�(We) �� ��-�� �1. certify that on the 1st day of
arch, 19�, I, (We) occupied as ou principal place of residence the tollowing described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I; (We) ❑ owned / oQ�p _ Oo99lo
� ❑ ar/buying under contract
[1-have a beneficial interest in the taxpayer _
Prop Description in �-�-�--M
Taxing District (6iL�S�ecn, Township):
Parcel Number
If buying on contract: Owners
Township
or legal description shown on tax statement:
��. �E�/.1 �-z- ic I].�-o.9 )
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is, used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
certify the above statement is true, correct and complete.
AQQr255
County Township
Gi�y. Sta�e ana 2io CoCe
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land "
Residential Improve ts
�_
� :
� � y �
a° � �
JUV G i°79
Garage
Total
Other Improvements
T'r,�lmprovements-� ( ply����7,Z��
r��by certify the o 2 irue. corr ���� complete.
�1� �. . � �n_
Signafure o� ASSessOr
True Cash
Value
(�) Soo
�2� s- s �
(3) / c So
�a> Si�a
(5) `i g�
(6) ,S� S O
(�� i c
(g) `a C� 6 0
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
�.. _,� �t "� 'ij�l�''`������
� � � ��jjjjjjjj
����������� ����������
!„j
/j �II
/��i s�i� /�,���
�%�%�/%�i, i'�i%//
lr- - - - -
-- -
jjjjj/jjjj/
•' ., ����������
� - �-7 9
Date
Approved: . ����—� Date- �� `; i