Homestead_Manswwn xc io is�s
Rescn�eA By Slate BwrO af Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 8'
�-(� (J�j'(�,D� SEE BACK FOR FILING INSTRUCTIONS
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To & FileE in Duplicate
��tWe) �`�, ��-�-�-�-- Q� certify that on the 1st day of
rch, 19��, I, (W occupied a�p�incipal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned OQip-Daoo y
� are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in �-•--�^-A-�^- County �� Township
Taxing District (Gi�y-7awn, Township): *�
Parcel Number or legal description shown on tax statement:
�z.� 5� �� l3-z-�� .s.�
If buying on contract: Owners name ��� simo�e
Contract recorded in Recorders Office - Record
If_any portion of the residential structure or the land, not exceeding one (1) 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:
certify the above statement is true, correct and complete
dL .� �._, �7 /l D #'i
County Township
Ci�y, State and 2ip
` Individual either owns or is buying under a contract ihat provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
� I J,� JJ +� True Cash Assessed
Value Valuation
Land not exceeding 1(one) acre i�rAe�di�t�ly�ggj
surrounding residential improveme . (�) ��o I 7 0
Other Land �� �,�j��p1tJ�-j�""" (2)
Total Land A�DITOR () �3� so o r� o
Residential Improvements
Dwelling
Garage
�4> S s s o
(5) —
Total (6) g S $ o
Other Improvements
TN-"lmprovements - Line (6) plus (7) equals (8)
I�oy certify the above is true. correct. and complete.
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Date
Approved: Date:
Homestead
Valuation
I'7o
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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surzrnta!�win:rw+�
N'41.1-2:-l.1
IndiriJuaL and invrinl coupla a�e Iimi�eJ �o ore homc�nJ �a�MaN Jnlunion. As thc rmtipt ol thu'dcductan Mconre�
marc beneficial, ihrre is morc incrnm�e th�n e�er for humniead fr�uJ. Ilomn'tea�l fnuJ causs hi�hrr tac 6i�is for all; therefwe.
H!A Uii-?IXM7 requves mxpapm x�ho receire IM1e hanestcaJ standard deduclion �n reritv Iful they are e1lgiMe to meeive ihr
brn<fit anJ tu pnr'idr mWitiu�ul idemii�im_ infiuma�mn ncY�ss�n' ro allw' eounn� gm�rmment to b;ver�muniror homes�e:d
filit�y'.'Ihis in(mmation xill be AqY mn���.JCMi01 anA Ct� O�ly ffa: dCCfS¢d b�' ONMi¢cd rnumy o(Tcia6.`'fM1r IRpannrcm of
I.ueal Gorcmmem Pinane< �cfll u�e this fnto�mazion W creatt �wls ihat mill h:lp cvuntv otTidals diminak Iwmestead (mud.
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Tasoaver Name Prnoert�� Address
Mans, Teresa A I
1794
Teresa A Mans
713 Mccarty Rd
PrincetonlN 47670-2858
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(numocr and ivas�.—ciry, nam. md Zf7 c�dkl -'
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nber flasi 5 diciu) Ihivds Liceti�e/Su¢ IU Numbcr (laz� S digits)
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Address (Numbcr nnd a-trce�, cii}t sia�e, and ZIP coJe)
Stturin• Numbcr
713 Alccam� RD
Princc�an 1\ {767i
State Parcel NumAer Leoal Descrintion
26-11-13-40Q002.004-027 W6-0200A-00 FT SE '13 2 7 7 .55 AC
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ID Nwnbcr (la,t 5 digils) � Uthcr (plcasc
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undersiened certifies, under penalry of perjury, that the abo��e and furegoing infonnation is true and correct and that he or sfie is eliRible to
�e the homesiead standard deduction on this property. Each undersigned al;o understands that, by claiming additional home.itead deductions
,�fully, he or she may be liable for back taxes and substantial firiancial penalties.
I SiymaMC Dstc 1'cicphon< • I
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