Homestead_Reevesi ' ��
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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e��RISEDBYSpiEMNROM ✓C[awT�._nw
InJi.�iJua� anJ m�rtiN couple are limimd to onc home�teaJ �tanJaN ikdurtion. A> ih< rmtipi ni Ihi> 3nlunion become_
mure bcneficial, thrre is morc incencnc chan r�<r (or M1ume»eael (rdud Homn'r<aJ fiauJ causes hi�her �a� bi:ls (w all: thercfore.
HEA lii:-3009 requiln ucpa}ers.cho rccci.e ihe hanen.ad sundard JNunion �o verilj ihm they arc eliS�Me to meei.e the
brnefi� an1 ro p�w�iJe aNtitiunal idmtiirin_ intunnatwn necr.san� ro allw' oounq' garmmrnt m Nner muni�m homrsttad
lilin�,�. Ihfc in(omuiion will M Aryw cmtidemial and can nnly h accec.eA hy:�whnriiN rnuny n(Iivials.jThr Ikpanmrni nf
1_ucal Gwermmem Pi�uirce will u.c this fnioemation m crcatr nvls thm �vill heln c�xmm uff aLa elimiv%c hnmcstcad fiaud.
Dan L Reeves
P O Box 456
Princeton IN 47670-0456
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U.�ner 1 First
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O�hcr (pleue sptcif in Pan 4 below)
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spccify in Pan i bclow')
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Each undersigned certifies, under penalty of perjury, that ihe abo�•e and foreeoing infonnation is we and cortect and that he or she is elieible w
receive the homestead standard deduction on this property. Each undersi¢ned also undersiands that, by claiming additional homestead deductions
unlau�fidly, he or she may be liable for back taxes and substanrial financial penalties. !
�/rG/id I �
P.
�E R�, •
e� °. CLAIM FOR HOMESTEAD PROPERTY TAX
;��= CREDIT/STANDARD DEDUCTION
.�:,;�� �Slate Form Sa73 (R2 / SA2)
�au
INSTRUCTIONS: See reverse side 7or liling inslructions.
�CERTIFICATION STATEMENT
1� ��� �� �'�,
�ep 15 1993
I(We) j��,L[�/yj�)� ��_ wrtity that on the 7�F!'ajJbflM�fbh: t9�
�) occupied as our principal place of residence the following described real property for which a Homestead Property Tau Credit is hereby Gaimed:
�(We) owned ❑ Are buying under contract
❑ Have a beneficial interest in the eniity ihat is liable for the property taxes on ihe property and thai owns ihe property or is buying under a contract.
- - � CONTRACTRECORDED .
If buying on contract, Fee Simple owner's name � .
ReCOrder's ofliCe where Contrac� is recorded RerArtl number Page
PROPERTV DESCRIPTION -
Counry . Township • Taxing district (ciry, town, township) - ;
Parcel num6er Legal desaiption
- �1379-Oo �in
I( any portion of ihe resitlential stmcture or the land not exceetling one (t) acre th i mediatey surtounds that structure is used ro produce income, descnbe the use and ponion
of the propeny utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township Counry Township
�reby certify ihe above statemenis are irue, correci and complete. Signa� no� c,ia�iman2 �
W�
Atltlress (numberandstreet. ary, 5(ate, ZIPa�de) -
P.D- �o s6 l�CEi- n ��6��
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL �
VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediately �
surrounding residential improvemenis. (�)
Other land (2)
Total land (line 1 plus line � (3)
Dwelling (4)
Residential improvemenis
Garage (5)
Other impmvements (6)
Total improvements (line 4 through lina � (7)
Total value (line 3 p�s line 7� (g)
I hereby Certi(y ihe above is �rue, correct, and Siqnature of Assessor Date signed
complete.
Verityirg auion - Sgnature of Autliror Dare signetl
�
79_Pay79_
Lesser of 1/2 Homestead
Valuation or 52.000
S
SignaNre of Auditar ^ � � � I va�e�gnw � ` '
\J�.IY\ /V�SL_ �
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