Homestead_Murthyr�criixd. By State Board of Tax Cxnrttussioners
CLAIh1 FOR H01`�STEFlD PROPERTY TAX CRQ)IT FOR YEFlR 19_ �,� .o�
' SEE BACK FOR FILING INSIRUCTIONS .
I�;,z�e� �i)'�•.•!`�•.•�-, '��—�, f- r. oirs.�a.w_ certify that on the lst day of
h+�rch, 19 , I, (41e) ied as our princinal olace or resa.den� the folluaing described real
''--�rty for which a Homes p��perty�� Credit is hereby being claimed:
I; lwe)' ❑ �� QOiP"Q13�7 .
� are buyinR undet contract
� have a beneficial interest in the taxpayer . �`
Pronerty Description_ in Sz�.�.�•o .r� Coimty '`^� Townshio
,.
Taxing District (City, Twm, 7bwnsiv-p) :
p�zcA1 r��mber or legal descriotion shown on tax statemnt:
�. n/u�'�y 6- s-.o /. G YY y
I` buvina an Wntract: Owners r�azne (fee si.rcrole ownes)
Contract recorded in I�wn-ier's Office - Record No. Page
If any mrtion of the residential structure or the land, not e�eeding o� (1) acre that
im�3iately sunro�u3s that structiue is used tn praluce incane� describe tl� use and pnrtion of
tiie Droperty utilized to pmduce income
Pny other �unties in which individual owns or is buying real property: �im �mship
I h..sehy certify the above staterent is true, wrrect ani oong�lete.
*Indivi.dual either aans or is buying imer a o�ntract that provides he is to PaY the.
oroperty taxes on the residence, or has a beneficial interest in the taxP3yer•
- FQR ASSESSOR�S USE ONLY -
7ive Cash
Value
Land not exoeeding 1(on°) acre inm�di.ately 3$�oo
sisrourriing residential i�rovarents (1)
• - _ .
Total Lana
P�sidential 7imzovei�ts
Daelling
Garaae
(2) Sa
c3) 3 Sr'fl
(4) —
(5)
Assesse3
Valuation
.
:�
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���/���/��,
I�esteatl
Valuation
i�7o
�� c6> flsa,o a���o �.���d
o�,her Inmrrn,anents !�)
� /
� '. Inmiwanents - Line (6) plus (7) e�ruals (8) (8) / //
I hereby certify the above is true, correct, and oatmlete.
�
�" , ` ' ure of Assessor ��
_�:
- ACTION BY AUDITnR -
r'�oroved: DatQ:
�
;
� 1R:ASIIRlAfO0.NIi:A
Gibson CountyAuditor � � � � � � � • 1 ' ' 1 ' ' � �
107 N. Md10 $IlBet Indicidua6 and rtnrricil cnuN�+ �re Iimi�N ta onr hnnw<;�nd iuniLrd Jnluctiun. �b iY.e receipi of :hii dttluctiun havxne>
Princeton. IN 47670 mort bcncficiai. thcr. is morc ir.�rnti�c �han c�cr for Aome.und fmud. Hanc�ud f�aud cmo�cs niehcr r,i� tills (or clh �haciar_,
❑E:\ 1iJ4-IO(19 requir.s u�pa�en wio rer_ivr ;he home>�taJ �tanJarJ Jeductian m cerify [hm thcry• arc eligible �o recci�r 16e
Dcncli� and m prrn�iJc xidiiinvl idrn�if�im_ ir.lixmaiion m:csvn� io all.wr muntr emcmmcm �o ba�c� rtkmimr homcacaA
lilirv. �ILi> infamntim edll h l.ep cmfiJemiel and can onl}' br anr»ed br authorinKl cuunp' o(ticul�: The Deparumet of
F ILE � � � �
� Lixal Gu:crr.neni Finanec o�ill u.e �hi, fnlorma�ion m cr �ic ionls :h�i will hc10 eonnn� olfieul> climimt. Mmc>icad fnuJ.
. � � . � �
Taxpaver Name Lncation Adiress
APR 10 Z��Z
G'J.r " V
22��
GIBSON COUNTY AUDITOR
Padmini K Murthy
127 W O'Dell Dr
PrincetonlN 47670-8674
�I�I���I���"���III"II��'���I�I�I�'�I'�"I'���I'I��'�II"'�"'�I
MuAhy, Padmini K
II�I�IIIW�III ulllul ull II IIW�III ulu
State Parcel Number
26-12-06-100-001.387-027
127 W O'DELL DR
i
PRINCETON IN 47670
�II OI II �I IW II ull II�I �I� II II
i
Leqal Dfiscription
PTNW 6210
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the courr
1 Fintl
Pa��c„.t
t Addlecs (mnnbcr a�d slrccL city, stacc and'LIP codc)
j2� bde.fl yv��e
i
M��rK y
j� Same as pmpeny add.'ess
lLr
O�her (pleue spec.fy ir. Pan 3
Each undersiened cenifies. under penalty of pzrjury, that the above and foregoing infortnntion fs true nnd correct and thai he or
rcceivc Ihe homestead standard deduction on this property. Each undersiened also understands lhat, by claimine addi�ionul hon
unlaafully, he or she may be liable for back taxes and substantial financial penalties.
Ow'ncn� I Siermttve // / Date / / Telepho�
� -�;
is eligible m
ad deductions
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