Homestead_Phillips�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
1396
John A Phillips
4746 W SR 64�
PRINCETON IN 47670
il.V E!(10.M �IKIR'/ Yrl
RfASUAfJt fURM �SIA
�11Y[1U11FD0Y 1lR OEPT0.TM�:`I�<F LU:AL f.(IVER.YMfAT iR'A\Cf I(' V I.I3:-AI
InJiriduaL. and ina,TiN coupks arc limi�ed �o nnc hnmtucaJ wandaN dcrluaian. As ihe �ttript ol'thi> dnfunion bccomc
morc bcneficial. thrrc is morc fncrncnr dun <�cr far M1omesrcal fr�uJ. Ilon�reacl fmud causrs higher Ia� 6il�C lor all: therefare.
H!A I:ii-?(i(19 requim uxpa�en .rho receire thc hanesteaJ nandard dnlunion m.erilv that they are cliciMc lo mcei�e the
brnefii am� tu pnxiJc akfi�ional idemitrin¢ infurmatwn nttes'vry ro allox' coun�� gmrmmenl �o bener monitor homesteaJ
fili��s. This infnmutinn xill M Aryv ton6Aenlial anJ �n nnly h� acm..eJ br aWMrimf tnwty nlTtiaL..'ITe Ikpannrcm M
I.ural Gwamment Fiv�rce ��ill u.e this intmma�ion N crwm 0.vls �hat �rill hcln camn� utTiciak elimi��: IxrmnicaJ iraud.
Trxnacer Name
Phiilips, John A
F23 13or 31
State Parcel NumAer �Le¢al Descrintion
26-11-OS-200-003.175-027 /D05-03175-00 PT SE N' 8 2 11 1.0o AC
!/ �-� �
Owncr 1 Pirst
Jo�� ��+���y
� — - .g Addrcsss (numbcr onC sUCtt. Firy, na�c. ar�d ZiP codcj ' � -- -- — — -
$ccurity Numbcr (last 5 diciLC) Ihivcr's Licauc/Siatc ID Nmnbcr (lau 5
.4ddrtss (Number and svtt4 ��}'. slate, xnJ ZII' wJc)
Stturiry Numbcr (lazt 5 di:its) � Drivcrs Liccrtu/SUtc ID Niunbcr
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jsn�o. � N.,,a ;y �,� -
� Sunx u pmpeny addrcss
4 bclow)
Each undersienetl certifies, under penalty o( pequp•, that the abo��z and foregoing infortnution is true and correct and that he or she is elieible to
.— - receive lhe�homesiead�standard deduclion �n this property. Each.undersigned al;o.underslands that,.by cl_aiming additional homestead deduction
unlawfully, he or she may be liable for back taxes nnd substantial financial penal�ies. (
er I Si4mewrc Uaic 'PCicphonc
SpoLL;e Si�ututt ��e Telcphonc / I
\ /
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION •
ti sa+e r� s4rs �a i sa� �
Prawnbed by the Depertrrient oF Laal Gwemrr�n Fuiance
INSTRUCTIONS: See ieverse side for filing instructions.
FORM Y�
C�o
��� �
�(V'�e) � "`v certity that on tlte�tst day of March, ZO_
I e ocw ed as our �
(W ) pi prinapal p of residence the folbwing described real property for which a Homestead Property Tai'�it s.ti eby dairt�ed:
�(We) owned ❑ Pre buying unda crntract GIBSOV COUN7Y A DI70R
ave a benefidal interest in the entity that is liable for ihe property faxes on the poperty and that owns the property or is buying under a contract
If Wy"eg on cmtraG. Fee Sirt�le uniera rmme
Recortlefs alfice rl�era
Towrrskp
Parp�
\.JC
Tamig
Is Uie
Recvd number I Page
Mobile Fbme (LC. 61.7-n
H arry portion ot ihe residerNal s6ucWre a tlre IaM imt erzccee0ing one (1) aQe tliat immedialely surrounds fhat sU�tura is usad tn Produce "v�me. desaibe the use and portion
aF ihe proGertY ulif�d In protluce u�mme.