HomeMy WebLinkAboutHomestead_Paul & Company•r�crib�d. S� S�te Bcarci o� 'lax cxzmission:rs
CLAI(�1 FOR HOi��STFA� PROP�tIY TAX CRZIIT FOR YEA�R 19_ �,�
, SEE BACK FOR FILING 1NSTRUCTIONS �
I, `-,�e) /�� �/ 1.�..�.a:�-�t- 1- '_' ) G✓`-.� /�1G...�t. certify ti�at on the lst day o£
r+�rch, 19 , I, (Ple) occlmie3 as our pri.ncioal ola _ f residen� tt� following desc:ri.bed real
"�are..--ty ior which a Homestead Property Tax �edit is h�eby being clei�red:
�,' (Wz) � aaneci
� are buyinct urrier wntract
� have a benesicial interest in the ta�mayer
Prooerty Description. in 6i �3�5o n/ ��tY
Taxina Dis`�rict (City, Twm, 'Itx�mship) :
bo�= o �sog
PR T D /C /y 'It7�r7f15]11D
D�=1 ih�er or legal des¢iotion si�o�m on tax statenent:
T�— I`-�Lc)�/� 2�f= �--ll �i• SS�
?= DL'V1S1� om m�_ract: Owr.ers �n� (`°° sicr�le own°s) �
Co.^.`ract record�l iz F�c�nier's O_`riro - R_._r-ord fb. Page
i= a�y mr*ion of the residential stn:cture or �__ land, not e�ee.iirxJ o� (1) a�e ts.at
i�-Tr�3iately sunro�3s ti�.at s�ructure is used tn ozvduce incar�� describe t]�w use azrl uortion oa
t;-�� ozooer�y utilized co nzoduce izrmre
Fr�}� oti:�r mimties in which individu3l owns or is buying real prooerty: Coim,. 2b..rshio
Z i:�_seny c�r`;ify the above statemnt is true, �rrect an3 arcr�lete.
� �
�' xSicma�ure Street Address Cii.y, Srate and Zip Code
*Individl:al. ei,�r owrs or is kuying im°r a o�ntract th�t provides he is to pay th_
prooA�y taxrs on �,h_ resid�ce, or nas a beneficial interest in t�e taxQayer.
- FOR AS�ESS(h'2`S USE Oh1LY -
Lan3 not ex�ing 1;on=) acre i�diately
s�roiuriing residential iirprovaren+s
oci��r I.and
To'-,al Land
P=si3ential Innrov�nents
i� - •
mzu= C2sh
Val�
(1) S o0
(2) 3 0 0
c3) 8�� o
(4) -
Assssed
Va1ua'tion
/70
/oo
a��
� ��
/ /
i-kn�_s �..�d
Valuac.ion
/ 70
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Total (6) O�0 20/�o Zoi S�o
_ � //�
C`.'r._r Im�rovane-nts (7)
Tc ' S,��vve�rerts - Lin= (6) plus (7) �ls (8) (B)
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3:^�sec� c=.sti"ry tn= above is true, correct, axz3 ocnrol_te.
Dat_
- ACiIOt� RY A!�9ITn� -
Dac2:
P�?�vw^ :
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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Paul & Company
1093 W 150 S
Princeton IN 47670-9304
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IndinJuaL. and �m:ried couple. arc limiud �o nrc homevcad �andard d,Nunfon. As the mceip� ol' Utis dcductan bccomc,
merc benefinal, thrrc is morc fncentne dun ecer !or M1omesrcacl fraW. IlomntesJ (reud causes hi�hrr �as bills tur all: thertfaz.
HEA 13+1-3009 rrquim ucpacers xho receirc the tamesteaJ smndirJ dnlunion �o .cril'v tMt �hey are el�iciNe to rccei�e the
benefi� aN to pmride adJiii�nul iJentiiyim_ infwmatiun �wre.vn� to aliw� counn� ga':mmenl to be�2r muniror homesrcsJ
lilin��. This in(mma�inn will M{.c�w mnlidrntinl and can nNy F� arrecsJ F. w�hnrrzN onunry� nRciul�. TM1e IXpannrcnt nf
luc�l Gmemmem Pimrn�e ��ill u.e �hfs intorma�ion tu crcatr ewls �ha� aill hclp iamrv ufficiaL. elimi�ie humcsicad hauJ.
• � � � • � —
Taxpacer Nrme Prnpertc Address
Paul & Company 109'� w j�s-p S,
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1'rince�an W -17670
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State Parcel Number
26-11-24-100-001.508-027
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Le�al Description
006-01508-00 PT NW 24 2 11 4.552 AC
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Ou'ner i Firsl Middi< � Lazt
(�1 �Na�D �� �AvL- '
ig Addrtss (number und�sttecL city. state, ena�'LIY codcl - ---- �' - ' - ' ' �-Sumc a� pmperry oritiros' � � � - -
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Q k/, jS� .� ,r e TS-� /�v ta�L 7 0 �
$ocial S rih' Number (laze i diei�s) Urivds Littnse/Statt ID Nmnber Qui 5 digiBj Other (ple�ce specify in Pan 4 below') �
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Spo�e Fim Middlc I Lan
r�i�R;� �- ,�f P�1 �1- �
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Mailine .Addrev (Number anJ 51ree4 ci1)', sWie, anJ ZII' cude) �$unm a5 pmperty mldtae
/ of3 /�/_ /s U S. �2�,✓cE� ��/ /n/ '�7 G7o=' �
Sociai Stturity Number (las[ 5 dieies) DmxYs Liccnse/SU[c ID Number (la;t 5 di�,�cs) Othcr (plcise mccify in Part 4 bclow•) �
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Each undersiened certifies, under penalty of perjury•, that the above and foregoing infortnation is we and cortect and that he or sl�e is elieible ro
receive the homesiead standard deduction on this pmperty. Each undersigned al,o understands that, by claiming additional home.itead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
O�.�ntt I Sfgnaturc Detc 7'clephcnc �
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