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Homestead_Kolb (2)CLAIf�i FOR HC���STEW Pf�OP�TY TAX C��IT FOR 'fFiaR 19� SEE Bf+CK FOR FILItdG 1P;57F2UCT10h�S 1''. ` �, ) � � " CEit..l� �lr]t OIl i�l? ISt (�c"l� � SL/ P'arch, 19 I, (t•]_) i�3 our princioal olace oi residence th_ follv.�ing dscrit°d real �roeerty ior wnich a .-t� PropAstY Tax �eclit is hPSeby b�sng clai�re3: �� ��i?� �Q.V�� � . � aze bu-�inc? urrier contract � have a b��eficial interest in the taxrx-�yer �/ Pro�rty L�scrip�ion. in U`/ Ta>:in4 District (City, Ta,�n, 'Ibwnship) : p0� -o►►a� Zb.:nsh Fzrcel il�icer or le�al descriotion s}�»-n bii tax st.ato�nt: ��,�.,� �� .�_ �� ,t�. A — — l_—� I= bu. ino on �ncract: C�aners nane (fe° sirr�le oo-ms) - - Co;��ract r�orci�d in Pe�rder's Oi=ice - F��cord Ib. Page Zf any- nor��.ion of the r°sidential s;ruc�ure or :h° 1an3, not °�°°'_3ing one (1) acre `hat irrr.edia�ely surrourls ti�t structure is us� to produce incane, d_scritr_ the use a� rr�rtien o; tJie proc�.sty utilized to produ� incorr� Fn:�' o�_r col:nties in �:hich indi��dual vn°ru or is bulring rA.al pro�.sty: Cb��✓ ?b.:-nshio T s`atein�t is tru°, �rrect arzi cor-�alete. 2y �.._,.,.�. :.a,:re�� *Iit'dividual °ith_r a•+-ns or is i+�ying tmer a cantract that provides he is `n pay :��_ p�ocnsty ta:�s on `.h° resid�nce, or has a�n_iicial interest in th_ ta.`:oaY°-L. - FOR ASSESS(?R�S USE 01•�LY - Lan3 not e�:���9 1(one) acre insrediately surrounling resida�tial iur�provarents OtheL Lar'.d Total Land Z P�sidenti�� ���at�� � APP, '7 1986 D.aelling Garaae Zbtal other 7�air'p'{�n° �ts ^ � •�' :� _: ;so 7� ' Im�rw�ieJits'"- Line (6) plus (7) Eai��ls (B) True Cash Valua (1) � 98.0 (2) (3) (4) (5) (6) � t�7 0 0 c�� (B) I hereQy� c�stify the at�v°_ is tru°, correct� asd ��lete. - ACTtOt; B'f 4UDiTn� - Ass_sssi Val� �icn GGo � �/�/ � �/ Bzt_ ;,:,�ro•:�: � Q � /.n „Y Date: y ,— ��° 3lar°s�_� Valuati� 6 Go �230 %/ /,�/��/ � ;'///;/�,! � Gibson County Auditor 101 N Main PRINCETON IN 47670 1875 Carole Kolb 645 S White Church Rd PRINCETON IN 47670-8121 lIAiEFORM!�W IR'/HMI �i �IRf: GI�FANIt4 i}IA PAF9(NBQI OY ili� �fIMiVEYI(F LMAI fi1H^cLWlNI {P'A CF. tt'61.I�t_�.1 Individuals anJ �n�rticJ touplcs arr IimiiN to ore home�caJ uandaN dNu.�inn. As thc rcceipi oi ihi: 'dNuninn becomes m�re beneficial, tMe is morc inccmme than ncr (or homcsteaJ (rauJ. Ilomarcal frdud causa hi�her tac bills iw all: �hem(ae. HEA 134-�-?009 rtquirts ta�Fu�en x'ho reccirc Ihc kunest:aJ sundard JNunion m vrrify Iha� �hey a�c elieidr �o rctci�c IM1c benefi� aN io pnn'iJr additimul fden[iiyin_ infurm��im Mce.ian' to alluv.' counp' Fenemmenl to N(¢r mmi�w homr9eal filinf�_ This inlarmaiinn will M{.tp mnliJeniial anA rrn nnl)' k�z aam>uJ by aulMritcJ roumy n0icials�'Ifie Ikpanmm� n( Loeal Gov<rmnem Fiiu�rce ��ill uae this infomu[ion m erea:c 4ols ihat �rill hcln counn• offrial+- diminArc 1Krcnc9cad traud. �i�ii��ui�i��n�in���iu�ii�ui���n�i�in��i�ii���i�ii�i�i� T�snarer Name Kolb, Carol E Life Est Etal ..��� State Parcel Number 2fs11-15101-001.129-027 V R4 �3or ��2 Prince�nn IN;7670 ' I;; Leeal Description 006-0112&00 SANDI' RIDGE EST SEC A 15 I 1' 1 Owner I First hfiddle • j�� Lazi -UYO IOI� ig Addresi �ntimDCr und sttecL ciry, sute, and ZIP'code)-- -- - -' -- - —� - - '-' —�-Snme m pmpm uldr.a, .�� ' . . i �ySS.��h� �e �uvcy, c�. /�Y; 7ac� �N riV <�76'70 $ocial Securily Number (last 5 die�LS) Uriver's Li<enx/Sute IU Number (lazl 5 di�its) Other (please specify in Pan 4 bclow) � II'�., ���-- Middlc ' Lnct i,'' Mailine Address (Number anJ svee4 ciq�, smte, unJ ZII' caie) � Same:u pmpeny addrew �,f'� �, Social Security Number (last 5 digi�s) Drivers Licertu/Sla[e ID Niunbcr (la;t 5 di�ies) Othtt (pieace s7MCiF in Pan = Rtiow�) �� $CC � Fach undersitmed certifies, under penalty o(pzqury, that the abo��e and foregoing infonnatiun.is we and cortect andthat he.or she';�is eligible�to— — recei.�e tAe homes�ead siandard deduction on this property. Each undersiened al>o understands that, by claiming additional homes{ead deductions unlawfully, he or she may be liable (or back taxes and su6stantial financial penalties. ' OwMr 1 $ignaUnc Uatc 'I'cicphonc ; \ / I� •1 1 �' 1 �i �I' � i'. I,°,