Homestead_KrietemeyerWflM HC 10 1919
PceurieeE By 9ate Boa�O ol ia. Cammissioners
To Be Piled in Wplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19� .
SEE BACK FOR FILING INSTRUCTIONS
�(We) �� 1-�-� �Q��- ��u�^�^-� -/C^•���*-_�� � certify that on the 1st day of
�vlarch, 19 7y I, (We) occupied as our prin pal place of residence t e following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) �'owned DQI� —O`l��
❑ are buying under contract
❑ have a beneficial interest in the taxpayer t7
Property Description in ,�.�a-aw County `r��d Township
Taxing District (City, Town, Township): �u�.� ��o
Parcel Number or legal description shown on tax statement:
�E 5 E'� � Gt sw'�� �9 -1 /a , PSM_
If buying on contract: Owners name �'� "'"we °""ef�
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (t) 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:
�hereby certify the above statement is true, correct and complete.
lr/,e� �"���� ,�,P /
County Township
ane zip Goae
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 improvem� �
Other Land � � �
Total Land
Residential ImprovemeRt�qv � � i��� Dwelling
Garage
� � ���U,_;"� Total
���
Other Improvements // AUDITOR
r
T�'-' Improvements - Line (6) plus (7) equals (8)
I�aby certify the above is irue. correct. and complete.
o� nssessor
True Cash
Value
(1) So 0
(2) —
(3) .SO o
(4) I �F_� o_�
cs�
(6) /�po
(�) —
(8) / �(oo 0
- ACTION BY AUDITOR -
Assessed
Valuation
/ 70
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Homesiead
Valuation
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Approved: 'e • d• l� Date: ���L%�— J
Gibson County Auditor
101 N Main
PRINCETON IN 47670
•
:
� . _ ..
j ixe�sur.�xwrtva�n
rrnzcuvm'r�m. �reirsi.�.:_a.�
Indi��iJuaL. and murinl cauplo a�e IimilM to one home�eaJ �andaN �L�u.tinn. As �he rereipt ol tlus dedunion become:
merc bemficial, tMe u morc fnrrntnx tlun ncr (or humd'rcaA fraud Home>�eaJ fratul <auxs higher taa bill> for all: the¢fae.
HEA 13ii-30(19 reqvim uxpa.en v.�ho r.-mive ihc hanestuJ <tandud �kvluction m.erity �hat tA<y are <lici6le m recene the
benefit anJ tu pnxidr ]1k1111UN1 idenuipne iniwmanun nett.san� ro allw� eounty gm'emment m benei moni�or homrsttaJ
filin�.�.'ILis infmmation will 6e Aryw cmlidrmial anA ran nnly lx- arm:,eJ hy amMnzeA rnunry� n(liciaL';. The Iky�annum� o(
I.ucal Gm<mmcm Pfnanc< ��ill ux this informacion w crcatc avis that �rill h;lp camn' uffirials aliminrc Iromcstcad huud.
_ Taxna��er Name
' Krietemeyer, William Ernest /
— Suzanne
4131 �
William Emest / Krietemeyer
R-t'�SX216 /i3�E 3�S State Parcel Number
Pnnceron IN 47670-9216
26-12-29-400-001.146-027
�i�n��n��i��n�ni����n�i�u�������i�����n�i��n��i����n� �
c Address (numbcr mid spexL eiN, St81C, efld �
� e J JVS
Stturity Numbrr (last 5 diciis) Driver's
�_ �� -
,5 v��y.✓� I (•v,a,r
Aailin_ Addras (Number and svice4 city, sm�e, und'LIP cexle) �
�l i �.� S
locial Stturiry Numbtt (lazi 5 dieics) DmxYs Liccn<c/Sta�c ID Niur
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I
�st � [3oz�2�6
i
I'rinceton IR 37670
Le�al Descrintion
006-01146-00 PT SEi& PT SW 29 2 10
85 AC D-10
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Middle
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--'—� Jame as pmpcm ndurcss-- —�
01her (plcase specifv in Pan 4 below) (
Middle
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� $ame u pmpeny • drtai �
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Otha (plcsc spccify in Patt 4 bclow)
undersigned certifies, undzr penalty o( peryury�. [hat the abo��e and foregoing infortnation is true and cortect and that he or she is elieible to
;e ihe homeslead standard deduction on this property. Each undersiened al;o undersiands that, by claiming additional homestead deductions
rfully, he or she may be liable (or back taxes and substantial financial penalties. '
I SignaWrc � DaL- 'I'dcphtmc !
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