Homestead_McCoy (3)�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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InJfeiJuaL. anJ ma:riN ooupks are Iimi�N io orc home�eaJ �a`MaN Jwluninn. As ihc �eceipt ol' Ihis�dedunion beconxs
morc 6eneficial, there is more incentnx than e�er (ur M1omestead fr�mt Ilome9eaJ frauJ causes hi,•M �a� bill� lor all: therc:ae.
HEA 1333401W rtquim uapaccrs who receivc �hc hanes�caJ smndard dnluaion m vcrily �hat they mc cligiNe to.rceci.e �h<
benefii anJ ro pnn�idc aJJiiional idemityfne �nfurmauun riecrvary ro allw� countc gm'rrnmeni ro bever munimr hw�es�eaJ
filin�a. -Ihis infamuiinn will M Aryv canlidauial mA can nnly M� arcesavl M1p amMrizeJ mw�ir olTminiti.I'fhe IXranntem of
I�ral Gmcrmvrnt FivMe �ciil u.� �hic informaiinn ro crcam twls that will hcln couniv ofTatiaL. eliminmc Iam<s�eaJ fiaud.
Paul L McCoy Jr.
R3 Box 212
PRINCETON IN 47670-8534
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Ta�pa�•rr Name
McCoy, Paul L Jr/Mathew Michael
� State Parcel NumAer
26-05-30-300-001.403-027
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Princrton I\ d7670
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Leeal Description
006-01403-00 PT FRP,CT 30 1 10
PT LOC 186 1 10 1EI 19 AC C-1
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wnn+ xc io is�s
RescriDeO By 5[ate BoarO ot Taz Commissioners
To & FileE in Dupliwte
CLAIM FOR HOMESTEAD PHOPEHTY TAX CAEDIT FOR YEAR 19 � 9
SEE BACK FOR FILING INSTRUCTIONS
` ° �}'a�z . �` �.
�(We) certify that on the 1st day of
— �narch, 19�, I, (We) ccupied as our prin ' al place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial inter,�st in the taxpayer
Property Description
Taxing District (Gity-�evrr,rTownship): l 7"�tG
Parcel Number
If buying Ofl contract: Owners name ��� s�mo�e owner)
b�� -dl�(D3
nty ��" Township
or legal description shown on tax statement" ��_�_�o
l.�• �/✓�c.a.c�—,e-�1C. c�o�J . /�P / /S. i9�%
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:
�hereby certify the above statement is true, correct and complete.
County Township
` 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 improvements
Other Land �i � � �i �
Total Land � �.98
Residential Improvements � , Dwelling
• ,�f.�� � � i979
Garage
Q ��r�!i4,,, // — Total
( GQi(ltili
Other Improvements �% AUDITOR
'�T�Improvements - Line (6) plus (7) equals (8)
by certify the above is true. correct. and complete.
True Cash
Value
(�) Soo
�2� i a a c
(3� / 7 a.c
c4� 3 9 �o
�s> —
(s) �� 80
(7) � %C
�8� `/� So
Assessed
Valuation
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Homestead
Valuation
— /— 7
Da:e _
Date: �