Homestead_Robb (4)wRM xc io ie�s
Preuri0cd By State BoarC af Tax tommiuianers
CLAIM FOR HOMESTEAU PflOPERTY TAX CRE�IT FOR YEAH 19�� 9
SEE BACK FOR FILING INSTRUCTIONS
To Be FileO in DuDlicate
�(We) /v`�l{ i� :� �rr /%1J.4�,�8 � certify that on the 1st day of
March, 19�, I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) �owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description
Taxing District (City, Town, Township): ��7�
Parcel Number '
If buying Ofl contract: Owners name ��PB simvie owner�
bD�-D/�S�
/� ioK✓J- Township
or legal description shown on tax statement:
�r ,Jby� ,3��-,i s;�ssm ,op.���
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
NGn� E
Any other counties in which individual owns or is buying real property:
�hereby certify the above statement is true, correct and complete.
County Township
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONL
Land not exceeding 1(one) acre immediately
surrounding residential improvements
T�otal Land � � � � �
Residential Improvements �U�� � � �979
(/C . �'I /�
Other Improvements � ' AUDITOR
Dwelling
Garage
Total
Improvements - Line (6) plus (7) equals (8)
�C�rtify the abov,� is true. correct. and complete.
Approved
True Cash
Value
(i) /000
(2) 23m
(3) /2 � o
(4) /72/�
(5) �
(6) �'7 dt/ o /
�7� _�^ .,
($) ���� �
Assessed Homestead
Valuation Valuation
330
,1/5� -S�'
T�
J
�- 2�- 79
Oa:e
Date:
30
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�,
831
Mark / Leeana Robb
659 Poplar Dr
Princeton IN 47670
RATE f06f1 al W Iti! NMI
1}F.15ti[FRMR411A
Lb�1LG0�^cLV\RA'TiP:A\CEICLI.I:.J.1
IndividuaL. anJ mtriN <oupks are limi�ed �o ore homc�traJ �am1aN �4�lunion. As ihe rmtipt oI thu deduciinn hcones
mere beneficial. there i. morc incentnx tlun r�er far homo'texl fiauJ. Iiomeurad iraud causa hi�her tac 6ills tor all: thertfue.
HEA 13�t1-]009 requim m�pacen aho recei.e ihe hanestcaJ sundard �trluc�ion m veri(y iha� ihey art elitiNe io recei.e �h.
beneni an1 �o p�m�ide a�Wiiiunal idemifyine infortnauun neces'vn� tu allw� wunn� gm'ernmrn� to bertSr monitor homn�e.�xi
filin�v. Iltin in(ormalion x�ill M AeFV conlidenlial and c�n nnly FK acre>uA hy wiMrizeJ coumy o(ficin�. The Uepannrcn� nf
lucal Gwemmem Fi�um�< will ua this inlortna7on ro ar<ate [wls �hnt aill hcln iamrr offirials eliminne fx�mesmaJ fiaud_
I � firstl
l�lar
; Address (numbcr und succl, <iry,—smte, ar�d'LIY code)
'f % S. �U�LA/1 /aLtc r
i«vriry Number f�si i dfei�s) Driver's Liccn,¢/Sutt ID
Firstl
��-��C/1�
.4ddress (�umbcr and 9reet, cii}', sta�e, and "LIP cak)
��
Taxpa��er Namr
Robb, Mark / Leeana
999 Poplar DR
1'rincemn 1���7670
State Parcel NumAer Lesal Desc�
26-11-13-202-001.681-027 oos-olsal-0oPTN
� Middl< /��
,
; �-
. _ — ] �I �Snme a. prupetn' adJmss. ' ' ' _
c.
u pmpem add+os
C
3 2 11 72.3788 AC
undersiened certifies, under penalty of perjury, that the above and foregoing information is we and colrzct and that he or she is elieible to
�e the homestead standard deduction on this property. Fach undersi¢ned also underslands ihat, by claiming addilionai home>tead deductions
Jfully, he or she may be liable for back taxes and substantial financial penalties. �
I Sisneuue l}�u 7'clephone '
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