Homestead_MeuserCLAIM FOR WOMESTEAD PROPERTY TAX FortM �
CREDfT/STANDARD DEDUC110N Hc�o
smm r� s�r3 � i soe�
P�e�med by Ihe Depmtrrart af La�l Goua'map Franm
INSTRUCTIONS: See reverse side !a /d'mg mstructions.
iM/e� y� / /(--e.c.l�a-�.L/ �erYmaap�6���fOF+�'a''z°—
� M�) P� as aa P+maPal PI� of residerice fo6oiwirg descnbed tPal p1operty for whid� a Hamesfead Propetty T�c C�edt is he�eDy daimed:
�I(We) owned ❑ Me buyu�g unda mntrad O'� ,Q
Have a benefiaa� mmrest m a�e entiry mat is �iaHe cor me property rmces m me property and mat owns tn�.�r �t��g Rwntract
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tl Gry'vlg an m�Vac1. Fee SirtplB o,MIBf811art�B
f�defs a1G� rhae �NNati �a r�ded Recad number Pege
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r w� d me ��a,�m,a n me �d na �ng one �� ) aoe nmi:nmea�y c,�a� na �,�me m uaed m w�+�e s�b. d�me me �e �d oaoo�
e prape�ly �til�d m v�e'vimne.
sc.-i�, -3 3-3a� - oo� �o9,oa 7
Counry
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Tawnship
I f�ereby certify tl�e above sla6ert�ts me true. cartecl ar�d cornple0e.
(nimber end �eeC oA: sa�, zlA ooee)
i. -. = ; : > � � � -�. . -: ,}S.' � ix'2 3'L � -�� TRUE TAX �i ASSESSED VALUE �FiOl�STFAD � � ` "^'rR XON�tESmB1T1AL 'a�1�'•� �
n
tY.,Y`'s� €'f,s.rr{.;.rr.AS C�RUSEWILY� .,:..��N�h�^., �, VAI.d/E� ' i aAT1�7'iOF7TV� G`1ad�iYALIIE'�} .A � S i� ra:�"VALUE ��`;-�
i, w� Yr ..��:k . . ih. .i'.}�.� � :'t€ n k,.�v:. � �.
Land rwQ exceedng 7(one) aae irmiediaffity '� �`���i�hr� �M'`��n 1'�';���' j r t:"�
aa�asdingreslaentia+impoven�ents. ��) �:i>.�'�s^� h�fi�.5f;:.��.;i�g}=n?:s.n.,�yi
;`; �a � N�k��.i
Otl�erland (2) !.: iZ:+it?JtS.�:�tl=`'
Tdal IaiM (Iare 1 pArs 1'ire � ig)
��t�3��yi�'oa:i+n �' S °�i:�L1H�� �;�.
Resdential "unp�rnre�.ienLt w Mra�alty ��� �4) �iyF„u ;� ���; ±%, 3t.,.�'.�'.rt.5'.�'��'.t .�.�.;F'�.�
Assessed Ald�de f Manu!aWied Home .unn t< t�i �,. p"t �-r�. �"t:
Ga 'e -? �4:j�� � y�.�> '
`� �5� ;'�;��»}`�`�i.._uu3�...s+?`+,!���.J�„:
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otl�er un err�ens e� '��` : f€�i �i4 ft.li
P�� ( ) .c ra;reS,..�� z.
Tdal'vnprovernerrts (1'ire � tlwtr� 6ne 6) i7�
-'fdal val� (!6re 3 pGs fine � �g)
I hereby certiy the above is true. mned. ard Si�mse Mnsaasaar Da1e signed .
mrt�plete. .
Vailying a�tion - S�aEna dNdMr Date agned
r. � " ..''� t: , S � i t. �. `�' ' . STAIiDARD DEDUCTION'ALLOYVAMCE a� ` .. �. .. J . .Pi �.�''' ,',!,�%'.:'r,eh M1 <<Ki •v��,F."�s �•.`•s
2p _ Pay 20 _
Lesser of 12 Hom�tead
Vduation or 53.5,000 S
Si�hue o� Plidilv �� �
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
4173
sur[ ma.u!�v+�x_ rrw�
iRFASL'RCR W0.V }IA
InJiviJuaL+ and in�criN coupla are limimd io orc Iromryr�J �a�MaN deducuon. As the raript oi Itus dNuctan bccomes
morc bcneficial, thrre is more incrntne than ecer (or homr>rcad frauJ. Ilomo-.eaJ fraud ca� higher la� 6ills ior all: thrrcfore.
HEA 13�73-?I%W requim uiFurtt. who rccei.c ihe haneseeaJ c��ndard deAuction iu .�eri(y Jui tM1cy are eliside m mcenc �hc
benefit ani tu p(a'idr aJUitional iJrntiiyinp in(wmatwn r�eces'vey to allou' voun,y gm'emmrn� �o Nti r mwi�or homorc:d
tilin��.'ILis inl'nrmation aill M Ary�1 mnfdemial anA can nnly It• arceaud hy amhnriml enunlr n(licials. Thr Ikpannmm o(
I.ucal Gm�<mmrnt Pfmntc will ux �his info�mation w crcam tculs that �rill hcin cwncy ufficial. climipmc M�mcsicad (nuJ.
John L Meuser
4158 S 175 E
PRINCETON IN 47670-9250
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; Address (numbcr arid ;[rcM, ciry. smtc, and ZIP codc) i--
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Addreu (Number anJ 5tree4 cily, stale, and ZIP cu�k)
Part 4
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,e-Syne a5 Pmpem addn5s
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1 AC.
undersi�med certifies, under penalty of perjury, that the abovr and foregoing informxtion is we and colrzct and that he or slie is zlieible to
�e lhe homeslead slandard deduction on this property. Each undersi¢ned alio understands that, by daiming additional home�tead deductior
rfully, he or she may be liable (or back taxes �utd substantial financial penelties.
I Signswre Ih�c/ / 'I'dcphonc ��/
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