Homestead_PheralCLNM FOR HOMESTEAD PROPERTY TAX
CREDR/STANDARD DEDUCTION
Steta Form 5/73 (R6I403)
Prmmbed by iM Deparhmnt d Lxal Govxnrtbnt Finance
INSTRUCTIONS: See rererro sid� �tp►R5p itt6uctiy�s.
FORM Vr` YEAR
HC10
�
I (We) �..l�e� �o r . ��t�s.�,ai�farch. 20
I(We) occupied as our principal piace of sidence the f�escribed real property which a Homestead Prop�` a�c CreJd t is hereby daimed:
❑ I(We)owned ❑ Are 'ngundercontrad GIBSONCOUNTYAUDITOR
� Have a benefidal interest in the en6ty that is liable for the property taxes on Ihe property and ihat owns the property or is buying under a contract.
If buy'u�g om m�uact, Fee Simple ownefs name
RemNels olfice where mntraU is recorded
i��t-.���'fi.°�r�' �.�.`�:af.'1'�i�y; t�.
cou�ry ro.msnip
Legal
if any poAion of Ihe resitlentlal sWcWra w Ue land not
ol the properry utilized to produce inmme.
(7) aae Ihat
Remrd number � Page
district (ciry, mwn. fownshiP)
Is the property in question:
❑ Real propery ❑ Mobile Homo (/.G. 61.7-n
iunds Ihat sWGUre i5 usetl to prafuce intome, descnbe the use and porlion
�,�� : t��.`k".��`��-,i�'�erYs � .K-s� �s.... � . . � -- - -
x'''+��'ASSESSOR�USEONLY' "t �UETAX'�� �ASSESSED�VALUE. �HOIdESTEAD.i" � pNON=RESIDENTIAL �ss:
h�x;= . �a ��Y �'s1.�: .. �� �VAI:UE��K.�, :.,-..AT 100%,�T�.�s ��V..,.ALUE:� ��`�s �-,?s,.V/1LUE y� 3�
Land not exceeding i(one) acre immediatey ���i s`� ,��z",,�'���.'Y^�'�-a�
surrounding residenlial improvements. ( � , ,>. �,�,5'�� �+�,tf�k- �
' u..�`'.��a'�!b,....'�'..�n., w+'...-..1 _s'
Other land (2) ,`��nyX"�-'�� F� �
i3Y"_„m%'���- _. <
Tdal land (line 1 plus line 2) �3)
�,, .y�.::�,.,�.-r a s��Y =�
Dweiling (4) � � �""t�y. ��'; r,7r
�Residentlal Improvements or MnuaOy ��'��"��-'�'�'���
Asseeaed hbbib / ManuFactu�ed Flome Garage (5) !F a'drC �.�.�����'� �
� �� ��
Other im rovements �� , j�''""' ����y
P (8) r�''�%,�€-'sv�
»i� '
- i..e �aa'�; s
Tdal improvemenis (line 4 fhrough line 6) ���
TUaI value (line 3 phs line n (8)
I hereby certify the above is We, corred, and Signamre o(nssessor oate signed
complete.
Verilyifg action - SignaNre ofluiAiW r Date signed
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
�� � �.�
APR 8 ZUIU
— �il� ,t3�
Gt�ON COUNTY AUDITOR
iYFASURCR FU0.V �IA
IWiriduaB and ma:ricd coupks are limited �o orc homcucad eundaN dzduaiort As the rcttipt ol thu dcdunion beconm
morc beneficial, tlrcre i� morc incentnr than ecer (or homrsieacl fiaud Homa,ead faud <au.ce� higher tax bills (w all: the¢fore.
HEA 1��t?-?OQ9 rcquirzs u�pacers r.ho rcei.e �Lc hwnesteaJ sm�.ird JNucuon w.eri(y �het they ure elisiMe to rtrene tM1e
benefi� aN m p`w�iJe aYJiiiorul fJentimnc in(wmmion riecexvn� to allw' counp• gm'emmmi to bena mon¢or hortieueaf
filimcn. This in(ormaiion will l+e Aa�w cmfidemial anA nn nnly Iw arrecsed by awMrieN munty ofI'mial's. The Ikpannrem of
Local Gmemmem Fi�unee will usv this mio�*nation w arca[e rouls �hat �cill h:Ip arounrv ufficial> dimi�u�< home�YCad Fmud.
Tasp•rver Name
Pheral, Michael R/Angela L Boyken
R 3 13ox
rrincc�oo r
Michael R Pheral
R3 Box 194 A ' State Parcel NumAer Leeal Description
PRINCETON IN 47670-8518
26-OS-32-100-001.041-027 oos-olaa7-o0 PT NN� 321 10 1 AC
I�I��II���I�II��I���III���I��I��I�I����III��I��i�l�l���l��l�ll c-�
_- - - -- - - -- - --- h --
This form MUST be returned to County Auditor's office. i
Please do NOT send this form back with your tax payment to the county treasurer,
n
Address (number m�d svee�, ciry, stetc, and ZIP code)
�� �. �id PP+PY�
(Numbcr and svtt�, cip�, sl.ite, and ZIP code)
Middl<
�aq Dr1 t'�'1e.t"a-�I
.�Samc as propem edMs;
� r r�ci . Q . � �.�, c
ID Nmn er (lu� 5 digits) Oihcr (please specif in Pan 4 below)
M�am�
n ne ra �
�.�,� � P��,>� �aa�,
Drivtt'
.� � ��
undersiened certifizs, under penalty of pequry�, that the abo�•e and fore�oin� information is we and wrtect and that he or she is eligible to
•e the homestead standard deduclion on this property. Each undersigned also underslands that, by claiming additional homestead deductions
rfvlly, he or she may be liable for back taxes and substantial financial penalties. �
I siymauue th�c 1'elephonc
`�'�-i�,,l � �� 4-G �ro (