Homestead_JulianE`�� "��°, CLAIM FOR HOMESTEAD PROPERTY TAX
z��'� CREDIT/STANDARD DEDUCTION
,�, �� State Fortn Sa73 (R2 / 5-92)
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INSTRUCTIONS: See �everse side lor /iling ins(ructions.
occupied as our pFulcipal place of residence'the following
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�.ti.l.l-�'v` certify that on �he 751 day ot March, 79_�
for which a Homestead Property Tax Credit ishereby Uaimed:
I(We) owned ❑ Are�buying under contract . ,
Have a beneficial interesi in the entity that is liable for the property taxes on the property and ihat owns the property or is buying under a coniract.
. . - CONTRACT RECORDED � . - -
If buying on contract, Fee Simple owner's name . . .. , � . _ . �
Recorder's office where ConVat� is recrorded Record number Page
Counry
PROPERTY DESCRIPTION
. Tazi� di5Vit1 (ciry, town, (ownship)
OQo- � I(0 19--06 �--�- --.-,�f- tJ E 1 C�� -�- I 0 ,`� � Q� •
If any portion ot the residential siructure or ihe land not exceeding one (7) acre that immediarety surmuntls that structure is used ro produce income, describe the use and pohion
of the properry utilized to produce income. _ ^ ` I,
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ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
land not exceeding 1(one) acre immediately
surrounding residential improvements. (�)
Otherland (p) .
Total land (line 7 plus line 2� . .�3)
Dwelling (4)
Residential improvements
Garage (g)
Other improvements (6)
Total improvements (line a through lina � (7)
Total value (line 3 p�s line � (g)
I hereby certify the above i5 lNe, correci, and Si9nanre of Assessor Dare siqnetl
^^mplete.
y"vg action - Signature oi Autlibr Date signed
STANDARD
19_Pay19_ I
Lesser of 7/2 Homesiead
Valuation or 52.000 S
ature of Audimr
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
3569
Larry R/ Rebecca J Julian
2401 E Top Hat Road
Princeton IN 47670-8848
alilEffM]t!).'MIM:/!�MI
1PtXURFAPo0.N.%1.�
InJiriJual> and marrieJ couplo am iimimd ia orc homcetcad aandaN dNuc�ion. As thr receipt ot �his dcduninn Mcrnxs
more beneficial, thrrc is morc incenma dun eccr (or homcsteacl fiaud. Iionx+xacl fmud causes higher tu bilis tor all: thrretaz.
HEA 6J-}-]IX!9 requim uxpa�m xho receive ihc hanestraJ standaN JeJuction ro.arify Ou� ihey am +IieiMe �o recei.e the
ben<fi� aN tu pnn'iJe eJAIIW�JI identiirine inium�anun nem-vey io allw� rounry gmemment ro b:mi munitor homese�l
lilm�;a. Thi. infmmation x'iIl M Aryv mnfdemial anA can nnly hc aatex¢A hy auilroriuJ rnunty oRcial:'fhe Ucpanment o(
Local Gmcrmncnt Pina�rcc eill u.c this iniomucion tu i�rcatt wols that will h:!n cvmn� ufficials dfmifetc humcstcaJ fiaud_
I�I��II���I�II��I���III���I��I�i��l��l��ll��l�ll������lll���ll
Taxparer Name
Julian, Larry R/ Rebecca J
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State Parcel Number
2612-16-200-001.619-027
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PIU1cMOn
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Mailin¢ .4ddress (Tumber and nree4 ciiy, s'inIte, und ZIP cale) (j� Same:u pmpeny addre�s
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Sacial Stturin• Numbtt (last 5 digits) DmcYS Licertsc/Statc ID Numbcr (last 5 digi[s) Othcr (plcuc 5{xci(y in Part � bclow') I
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Each undersiened cenifies, under penalry o( pzrjury�, that the abo��e and foregoing infortna[ion is we and cortect and that he or stie is elieible to
- receivz the-homzstead s�andard�deduaion�on�thisproperty. Each-undersi¢ned�also understandsahat, by daimine�additional homes:ead deductions
unlawfully, he or she may be liable for back taxes and substannal financial penalties. I
Own<r 1 $iEnaWrc Uste Telephone �
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