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Homestead_Loesch�,, a�h .. .. .. . , . . CLAIiri FOR HO�tiESTEA� PAOPEATY TAX CAEOIT FOR YEAR 19�Q.— � , . SEE 'BACK FOR FIUNG INSTRUCTIONS • certily .that on lhe 1sl day ol 9�, I, (LNe) orgupi as our priricipal place of residence the following described real property lor Homestead Property Tax Credit is. hereby being claimed: I (We) � owned • .. . /�/,, ' .,,�yn,�h� ❑ are buying under contraci - OVW��'" ' ❑ nave a. beneficial int rest in the taxpayer . Froperry. Description in `'� � County Township Tzxing District (City, Town, Township): ` ��- ' ?arcelNumber' �� or Iegai description shown on ta s tem nt:opG_da0 _ -- - - - _ D , / .Z-// �. . �� ':lu'/a h(,J % / = �2 - / i ,2. 3i _ _ _ li buying on contract: Owners Ilame �1Pe simple ow���� ` -. • Conlract� recorded in Recorders Office - Record No Page �; li any portion ol the residential structure or the land, not exceeding one (t) acre tha.t immediately surrounds lhat structure is used to produce income, describe ihe use and portion of the property ulilized to produce income Any other counties in which individual owns or is buying real properly: • I,.��r .by certi{y the sta' eni is rue, correct and complete C�' � � Ci�\ / iC/ :: � COUntY TOwnShip %/�Gr� . . _ .3 �t'.r .L . _%J �e ' $ireel AtlEress ' � � Cily. S�aie an0 Zip Cotic �f 7� 70 ' Ind���r�u either ovms or is buying under a contract that provides he is lo pay lhe property taxes o� tpe residence, or has a bene(icial inlerest in the taxpayer. ' - FOR ASSESSOR'S USE ONLY - - i• . . �� nd not exceeding:_�si!(one) acre im � rrounding residential improven�� 23 159p ier Land /�� tal Land `"`�;$' y��,,� AUDITOR �" s sidential Improvemenis Dvaelling Garage Total her.��ovements ta. iprovemen(s - Line (6) plus p) equals (8) here::y certify (he above is true, correct, and complete. (�) (Z) (3) ��4� (5) (6) (�) � True Cash Value Assessed Vaivation cdlJ(C 01 ASSf3S0( . I):Vc � - ACTION F3Y AUDITOR - � �S'• . ��s^S. Honiestc�d Valualion �- �3- 90 � Gibson County Auditor 101 N Main PRINCETON IN 47670 1300 Richard J Loesch 1 �� W Pri eton IN 47670-8545 �i�ii��in tini���ui�ii�i �nr i I . .. alalEinR4•) W 11�'/ wll RlA5U4[R f00.4 �11A .VYAxE➢Bl'SLREMHRpM.wv�to'il9v �I6y(WOmUYi➢fDEMRiWNf(FL0.TLCA�'cLVN[TTfQ:,v4CE1CH.L2'i.l IndiciduaL anJ ina:riN wuplc. arc limiied w ore hamcsicaJ stamlaN dnlu.iitm. As �hc reccipt oi Ihis dcAunbn Mcomes merc bentncial, tMe fs more incencnx than ner for humrsteacl fraW. Hamnreacl fauJ ca�ses hi�hrr ta� bills fur all: there(ore. HtiA 1343-?fN?9 rcquim u�pa.ers v.ho reccire ihe hnnenmd standuJ �kvluc�ion m veril'v dw1 they are eligiNe io mcei�e Ihe beneni aN w p�w'ide mklitio�ul identiiymc infwm�tmn riecr.vn� to allw' crounrc grnrmmenl ro betrer�mwieor IwmcsrcaJ filin�,�.'ITis inlo�maiinn will M Ac�v mnlidcnlial anA ran nnly M acre<.cd hy amhnriinl cannr ofiicial.. i1Te IXrytnmcnl nf Loral Govermncm PivMC ��ill u�e this mio�matiun to crm�r twls that �eill h:In cow�b� uffaials dimf�um Iromcnhad fiaud. Taxparer Nrme LoescJ�, Richard J �� �ii�n�i�t�ii��i��in�i�i��� �� fg Addrcss �riumDer and svm, ciry, stacc, and [iP codcl —. . .3a� �l ��o � � � ue��� �" g Addttv (�umber and Nee4 dly, sutc, und'LIP cotk) �� � State Parcel Number 26-11-01-100-001.209-027 V Middle Itr 3 13or : I'rinceton I\ 006-01209-00 PT W D-1 C-1 �...O�eSc�L Sume n, p�op.:n}� uwd��; - , �. �i-�7�� fv in Pan 4 below) Loes� $ame u p'openy addrts.i undersigned cenifies, under penalty of pequry�, that the abo��e and foregoing infonnatiun is trve and corrzct and that he or re the homestead standard deduction on this propert}•. Each undersi¢ned al;o understands that, by claiming additional hov ✓fully, he or she may be liable for back taxes and substantial financial penalties. .�. ,.. ol (� 1 2 11 6.545 AC rlicfble to deductions