Homestead_Jones°"" CLAIM FOR HOMESTEAD PROPERTY TAX
s. -� � � CREDIT/STANDARD DEDUCTION
Sute Form Sd73 (R8 f 7-07)
•� � Prescribed by ihe Departmeeri of Laal Govemment Finanoe
INSiRUCT10NS: See revarse side lor filing instrucfions.
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� M'e) � certity that on the 1 st day of March, Z(1_
1(We) occupied as our principal place of res nce the folbwing described real property for which a Homestead Property Tac Credit is hereby daimed:
i(We) owned ❑ Are buying under contrad
Have a benefiaal interest in ihe entity fhat is liable for the propeAy taxes on ihe property and Uat owns the property or is buying under a contrad.
If bvying on wnVaci, Fee Simple ownefa name
Recorders ofRce where conlraa is recortled
Counry Tavnship
Record number � Page
Parcel number l I descri0lim�� /�, / j Ihe pro in q�es'Wron: �
�c, ,! .P�1" C I- � o v�r ❑ Moaie riome Nc 5-,.,-n
If any pwtion of lhe residenlial sWCWra a the land not ex ing one (1 re �ha� immediately wirountls�ture is used b ptotluce income, OescriDe Ihe u5e and pwtion
of 1he propery uU6zetl In produce inmme.
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Land not exceedirg 1(orre) ave immediatey �� - � i'.��, ' -
surroundirg residential improvements. � -
omer �r,d �2� �;i��°
Tdal land (line 1 plus I"me 2) (3�
4,
Residen6alimprovementsaMnualty �����9 (4� - -'�"'�-?";;;Y�::�r�' �' �
Assessed Mobile I Manufadured Home � -.,i". , .•
��e �5) `� +�'��r z c a ��+
- ke.s Kr.�..
Other improvemenls (6) : - .° �' � j.'.� ��
TUaI improvemenls Qrne 4 through lirre 6) (7�
TUaI value (line 3 p!'s line � �g�
1 hereby certify Ihe above is We, corteG, arW SignaWre ofPSSessor Da�e signed (monm, day, yeer)
compiete.
veritying aaion - Sigriatura of Audila Date signed (mmN, day, yea�
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�� pay 20 _ qs.ppp /or 2007 pay 2008 42.000 for 2010 pay 2017
Lesser of 1R qq.000 tor 2008 pay 2009 41.000 for 2017 pay 2072
Homestead Valuaoon 8
a 43,000 for 20W pay 2010 40,000 payable after 2012 _ __
Signature ofPUditor Dale signed (month, day. yea�
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
537
ST.iTE fIM\I �!M IR'!+W I
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PoRNYI.� '^�
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fndividuals anJ m�rrieJ mupin are limi�ed �o one home�tead vandaN dNu.�ion. As �he recript of Ihis -iedunion brcomo
more beneficial, chrre is morc incentne than ecer for homo'teal frawl. Iiomesttad fmud causes hi�her tas bills for all: therefore.
HEA G7-i-?O(!9 requ'va u�pasers who reccirc Ihc hanes�caJ standard dnluction a.erify thn� �hey are eli;ide io rteerve tlre
benefit ant to prp�ide addiuoml identiiyinc ini�umation ncm-vn to allow' counn� gmrmmrnf ro benrr mmi�or Iwmesea0
filim�. This in(armalion will br Aryv confidenlial and can nnl}' h acreccnl by autMriuJ aouny' nf6cials.'@e fkpannmm of
I,ocal Govrmmem Finance will u.c this intoemacion to creau [wls �hai will heln counb� officials elimina�� h�xnnteaA fmud.
Cal M Jones
575 S White Church Rd
PRINCETON IN 47670.9500
�i�n��i������n�in���ui���ni�i�i��in��ui�ni�i�i�i��ui�
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T•rxpaver Name
Jones, Cal M
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State Parcel Number
26-11-15-101-001.893-027
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Propert�� Address
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Ra I3oz 113
Princeton IN 4'1670..11 /
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LeQal Descriotion
006-01893-00 SANDY f2IDGE EST SEC A
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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 county tr��asurer.
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ON'OR I First Aliddle l,u�
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•�c .Address (number and street city. stare, and ZIP cade) � Same as pmperty edd+as .
-�,s s . � �' C���. �. • �„ ' ^� �..�. , �*�� 7� -a s� c� ,
Social Sccuriry Numbc. (lasi 5 diciu) Ihivds Lice2.r/Suie ID Numbcr (la,� 5 di:iLj Oiher (plcuc specif in Pan 4 bebw)
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Spou;c First Middle , Last
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Mailine Address (Number and stree4 ciiy, siate, and "LIP caie) � Same u pmperty addios �..
Social Stturity Numbcr (laat 5 digi�s) Drivcr's Liccnsc/Sratc ID Numbcr (laz� 5 digi[s) Othcr (plcasc spccih� in Part d below) �
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Each undersigned certifies, under penalty of pequry, that the aboee and foregoing infortnation is we and cortect and that he or she�is elieible to
receive the homestead siandard deduction on this propeny. Each undersi¢ned ai>o understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties. I
OwnalSi�Wrc Date 7'clephone ^' � �''
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Spouse Si�namre py�� Tclephone �
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