Homestead_ParkerCLAIM FOR HOMESTEAD PROPERTY TAX
CREDR/STANDARD DEDUCTION
smc� r� ssn (R� i sas�
r�me ny a� oa�� a�omi cw�,n F�
INSTRUCTIONS: See rsverse side lw filing insbuctions.
Fo � a� ,�
H 70 �
JUN t 7 2007
��''�e) certify that o� the 7n���d�.1a _ 9f �c1
I(We) occupied a/ prindpal o residence tlie foDowing desaibed real property for which a H tead �L14?d�rs ereby d med
�,�p�vve) owrred ❑ Me buymg urMer mntrad
�Have a benefidal interest in ihe entity ihat is liade tor Ihe property tazes on Ihe property and that owns the property or is buying urMer a contracl
tt Wryg on cmtracl, Fee Sir�l¢ qwnefs rmma
Ra�de/s d6m whca WNeq is recadad
�^'s�'srt ���..-..�s'��y�'�.u.t'?�'S'?iE,_;-."`s.Y'`^�`�.T7�:`x�.lk�i'.
Camly Taw�cFrip
Pa� nm�
of the r�idential sfichne or the lard nol mcceedirg ore (1)
� w3ma m Pma,ce u,mme.
o� �-ll - as-3oo -oo I. l/� -oa �
Counry
� nereny certiry a�e anwe srammencs me m,e. carect ar,a �rtpleee.
PCtlrea (n�un6ar erd sbeeL �: 5afe. LP ootle)
Land not exceedirg t(one) acre imnedialey
surtound'ag residential improvertients.
Other land
7Uel land (I"nre t pluslme �
Resdential unpfvvements aMnually ���
Assessed Modle / Marptfachaed Flome
Garage
OU�er unprovernenCs
Tdal vnprovemerrts (!'are 4 through 6ne 6)
Tdal value (Itire 3 phs Gne �
I hereby certify the above is true. cortect, and
CunpkKB.
Vaityinp e�tian - Si�aEVe d Pu6tor
I�)
I2)
(3)
(4)
(5)
(6)
in
(8)
Sigrmtue of Asaessor
Is Uie
Recad number � Pega
��P)
'vi question:
� P�Pa�h ❑ Mobila Home (LC. 6f.1-7)
Lae ia used N prodice iim�re. desaibe tha us� and paCOn
��
signed
,�w ... .: ii_9'.av�'.2r � 'nalv� ' i "�� }� r�r. rA�.
.�' � , . � �k"� .�t�... . ,,..�..x�. �'�k �
.STANDARD'DmUCT10N�'ALLOWAMCE:L"�.:4ii�'�,a,sf%i.�"n;'�._:7 .. ,�.i''+».....e?�"<�.���?r:�.�aj�?,;;?
20_Pay20_
Lesser af 12 Hanestead �
Veluatim or E35,000 =
Si,pia4ae otn�dtor oafe signed
�
Gibson County Audilor
101 N Main
PRINCETON IN 47670
585
RlASU4FA PoR4T}IA
A��RP'EDbY
InJi��iduals and m�:ricd rnuplo are limited to oce homtaead �a�Manl dedu.7ion. As Ne recerpt of �his dedunion becomes
more beneficial, thrrc is rtqre incen "me than <ver (or home'mad fraud. Ilomea�esJ fmtW causa hi�her tm bills (or all: thertfae.
HEA G17-3009 requim uxpa.en v.ho receire ihe hanes�eaJ gandud �kvluniun to .eritj iha� iM1<y am eliciNe to rccei.e �he
benefit anJ to p�w�idr mkfi�iunal identiiyin_ iniomiatiun necessarv tu allw� caunre go�'emmrnt �o beUer moniror hamrnead
nlin��. Ihis in(omutinn w�ill 6e F.qw eonlidrniial and can only M: smxKd br awlroriad coumr o0icia�s. The Ikpannrcnt of
Local Gwcrmncm FiN�rcc will ux this informafion W cr�a:r uvls tha� aill hdp cwncy offidak dimiiuic homc9cml (mud.
Jerry R/ Pauline M Parker
3409 S 100 W 1
Princeton IN 47670-9342 �
�i��i���i��������ni���iu���ini��n�n�n�i���i�i���i
Taxpaver Neme
'1Jerry R / Pauline M
�
���� ��
\O
Prnpert�� Address
R.c I 13ox 95a
Princeton 14 -07670
!
�.State Parcel Number � Leeal Descri� tion
�2Cr11-2S300-001.116-027 / 005-o111s-oo PT SE 8 PT SW 25 211 1
(/ AC D-17
'.._ _�.—' ) .^s'�--" '_" � .. a . __-__—_'_ '_
This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county t:reasurer.
.��.1� r �/ �%�� L% rc
Addmss (number and s city, smte, and ZIP code) �
=�U�/0o �/ /�^�hc��
ecuriry Num �(last i die�LS) Ihivtt's Lice2�rlJUtc ID Nwnber (last 5 di�iL)
/� Y� GC �2. �^
(� 9vtue as propertr addrec;
�� y7�7�_
spccify.ip Part 4 bclow) �ri_-
/,
c Address (Numbcr and sutt4 airy'. s�aie, und "LIP code) � Same u pmpem udJtess
Security Numbcr (last 5 digits) Dm�crs Liccnse/Siatc ID Nwnber (lut 5 digits) O[her (pinsc speciN in Part: b.9ow�)
undersigned certifizs, under penalry of perjury, that the above and foregoing infortnation is trve and coirect and that he or she is elieible to
�e the homeslead standard deduclion on this property. Each undersiened also understands that, by claiming additional homestead deductions
fully, he or she may be I' or 6 ck taxes and subsiantial financial penalties.
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