Homestead_Schafer (11)i
CLAIR9 FOR HO�AESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTIOId
Sl�e Fam 5473 (R7 / 5-06)
Praffibed by tl�e Dapertrnent of Lool Gorermvd Fr�ar�
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FORM �
HC1E
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i lwe) h r; S J 2 l� k r i � L: s c� «�ry a�� «� n� �� mY d M�r,, zo_
I(We) ocapied as aa pr'v�dpal placE of rrsidence the foBowirg descr�ed real popeAy fv whirh a Hamestead �m�QpQij`is hereby daimed:
,�• � (�1 � ❑ � �M�9 �g ��� 616SON COUNTY q�p��
Have a bercfidal mtare� m the entiry Mat is liade fw the poperty t�ces m the popaty and C�at owns Cie propeM1y a is buyug u a cantrad
rc buy"eg om m�tracl. Fee Sirt�le or,bfs rerre
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1�l:ll�aJCUr �r �� � "'ti:�: �
Rernd number Pege
ESCRIP.T70N�:.: .. � '.<r,:'. __
7mmq di�i�Y (r3y, tawn. towr�.dep)
Parcei nariba Legal d�riipUm I Is Ne prapmly in ques6on:
Sw ���ao �33-I �o i��vw�h ❑ �b��i.c.s�.�-n
rc a�n vo� a u,e ��ma a ma �d �a ��� ore �� �� r�.��a�y a,�o�,a. uw stim.a m ��a m P�oa,oa :,��. a�aa a� ��a �
aare ao�ny �mbma m �e� �,�.
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Caunry
- � a-- 50� -
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Ta�nahip
I he2by ceffify tlie 26ov6 sfa6ertwr� 2rB hUC� COrteCt e�M COrtpl¢tE.
(n�e�ter erd street �1: ��. Z1P�aq�
/2 � / �, , ,� I .- a 1� 1 `vP �/
County
. •. .• a � ,� iRUE.TAX ASSESSmVALUE HO'Q�STEAD' '. '�MON�RFSID6iML °L.�Z
..
- . , , . �.� ... . . � '. .
...::,, . . .,,0.SSESSOR USE ONLY. . � f _:.. : , : VALUE,, .. �AT 10D% OF TiV . y-VALUE ,.. s ' �' 4 nM'e „�;.:`VALIlE� , �,;.. a x:�'�'"',
LaWnote�ngt(one)aaeirm�ediately �') �^e'S�.f��'�:""�' f:�,�'r'y'•�}ss�.lpp�
SIOfWOIdRgfC5id2flft31iTp10VCTC1��5- .i!ilc.'..,�'.;:. �..•n.,m'�5.:.:i"��:�.'
OCler lafd �Z) . � !
i �r� .
Tdal land (lare 1 pku G�e � �g)
.,� , 'clt4.'?j5 � s ':�, i � L; �,:M
) -yt 4 ��i ._ 1 . Ti.l.
ResdentialunprvvementsarMrwaly ��� �4� ..:F„�`.Y„r,.r�?�,'. u� „z�^,:,t.t.°`t+�6��,:f
A55essed Moble / Afaraife�aed Home t ' . y �,; , � ,. ," .°,
�ii i?' �at�vt � 5 ;, 1i`T"�.'i� �
i' £ ryr14�...�.
��e �5� ..�'J...y. %'.�%°��.+�)ro�.�•:'...re.....r..
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Olher impovements (6) . • "
.v,: �.I�:
Tc� 'vnprovetnertts (�vre 4 tivou�r 6ne 6) �7�
TAaI value (I'nre 3 pds 6ne � �8)
I I�eby ¢Ktify fhe above is We. carefl. and Si9remae ofAss�ar Date sipied
complete.
�M"B � - �+e o1 Audnv • Date ag^ed
a n„a��
20 _ Pay 20 _
Lesset of 12 Hort�ad
va�aea,n.s3s,000
s
' — Sl O S�
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
0
786
�u�t mem �iv..�tir..n�
mrwsuAUwxw;su
InJiriduaL. and ina,-ried coupb are IimimJ io o�re hnmesteaJ aandaN Jeduninn. As Ne receipi ol' ihi:i dcduction becomes
more beneficial, thrrc is more inern[n�e dun aer fer honmm:rl fraud. Ilam vead Gaud caus� h�her u� Cilk (or all: Nere(ae.
HEA 13ti-3IX19 requim tai�u.en �'ho reecivc �he hanes�caJ s�andard �vfuaion m.erily tha� �hcy are eli_iMe �o mcene �he
brnefi� ani tu pnxide a�Witional iJemiiyinc iniormation �kcecvrr w allw' counrv gurrmmrnt ro bener moniror humesrraJ
tilin��_ Ifiis inlmmation will M Aep canlidemial anA can nnly R en'r+.eJ br wlhnriml cnunt�� nfficials: Thr Ucptnmem nf
Local Govcmment Ffnmrc< oill mc this infurmation w crcam 0.tils ihai will hcln awnn� uiTciale diminne Fn�mesleaJ fiaud.
Kris A Schafer• -
1351 Dunlap Dr
PRINCETON'IN 47670-8631
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uril}' Numbcr (last 5 digiLS)
Taspa�•rr Neme
Schafer. Kris A/Lisa A
R3 lioz 51 B
i
Prince�on IN 376
State Parcel Number Le�al Descrip�tion
26-OS-28300-004.312-027 oos-oa312-oo PT SW �261 101.ao3o AC
C-1 Pt NW NW 33 1 10 24.146 AC
sm[c.andZlP�cudcl—"- -- "' —" � —
C`�U�
/S�ate ID Numbcr (laci 5 di�iL�)
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Addrts> (Number and eYree�, �ii}'. »IC, and'LIP cak)
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Each undersigned certifies, under penalry of pequry, [hat the above and foregoing infortnatiun is we and cortect and that he or she is elieible to
receive the homestead standard deduction on this propeny. Each undersiened also understands that, by claimine additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties. �- I
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