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Homestead_Schafer (9).vc�i .r.. iv i�.� _ .. ...... ��._... �.. ....t. �........ �rescxibed, By State &�rd of Taic O�missioners .. ... ' _ . . . . . . - . . Y . " -� = CLAI�� FOR HONESTFAD PROPFRTY TAX CRQ)IT.FOR.YEAR 19 8.s.;,' -.. i. �S � ti � t _ -_ '.. SEE BACK FOR FILIN6 INSTRUCTIONS.�-�.._,� _ - - - ..:} .,:: --. : - I�"e) �c�,�-e.e_ . i�2�.��� aL��� �� certify that on the lst day of h, 19 &� I, ( e) occ�ied as our principal olace of residence'the following clescribed real � r y for which a Iiceriestead Property Tax GYedit is heseby.being claimed: .� �..:. _ i � (we ) [�-a.anai _ . _ . � , �: -. ' � � are buying under oontract . , c' ':,, s '�,' . 00 � ��-73 � , . .. � � have a .beneficial interest. in .the ta�aYer :. , ��.� __ ' > `r , . . _ ... • - ` � . . . . -C_. ..: Property Description in �.ti � N�ty '- f�a.fo--/z.,` Zb,anship . ,_. _.:,:�. . c.: ....., • :;.: Taxing District (City, Twm. nr.mship) : a�� _ . Parcel tiwnber or legal description shown on tax statsnent: • - �/i� /�/ LJ �Y ' � a - / b - ..� C� . . ,. . ... � : -.. , . . .. .. .. ,.,t:• .. � :..; .�:�, _ - �.�:. � .. ;v:: . �:...�5 . . .. . .. . _ .. � _. , _ . . ; . .. . .�:.s�j?,d=.'�i;.7''1: ; - .. If buyina on oontract: Owness name: (fee simple aaner) - - . .. _,::. : ; : ., �..� ::..:.: ..... . � Contract recorded in Remrder's Office -. Rec.rord No,.;� � Page If any portion of the residenti.al structure or the land, not e�eeding one (1) acre that im�.3iately surroiu3s that stn�cture is used ta praluce i�,. describe the use and partian of the pxopeity utilized to pxoduce i�ome . . - - . � - , . _ .... . :.. ,: : : ; •. - - -- � �-;: :: _�._ - - - Pr�y other coimties in which individual owns or is buying�x � - _ - ':i . �,� . � . � : ..�� '�-� � f` c • . . . . ' .. . " �. ,. e. . �. " i'� �, ���seby.certify the above staterent is true, oorrect an3 �;, :��;�:��% �;; - , . �''�: Co�� %�: 'IbwnShip - : i'; '- _ , ` _ *Signature �: .� *,::.: � :;�r-:Street Pddress � � t;r '� City�:State airi.Zip Code=. *Individual either owns or is buying imer a oontract'that�provides he�is to paY the``�:;-" �:- : Property. taxes.on the..residence, or: has a beneficial:. interest in, the.:.t�Yer.. :- "_- . . . .. _ 1 � _ . -: ' - F(1R ASSESSOR � S USE ONLY -� .. . . -_. . Tzue Cash;;;::<:,'.� Assessed . I�stead' � _ ` Value ' . � ��_ . Valuation . Valuation _. Lan3 not exoeeding 1 (one) acre inenediatel , g� y�A ::.; - - . --�7 _ : . --- __.......a: ;de..f;�l imnrr��ra�ontc Qil� ..'Y'�(l� . . ��J�O�O�, '- .��/O - � %� otr�es r.ana� . . T �^�` r;�o °l' � ca) 3' i, o Total Iand - � , �) (3) ' �'�o ` �. : - au�� .:: Residential:ItrQroverents `_ ` �'��+ Rvellinq (4)���/6 3L'o �_ �'�., � E. 4 k `i �aqe " (5) . .. .,_-,_, 1::��0.` � b� Total (6) `��d'Go /S`�Go ' /5`�Go � :r other I�rovanents ��t'� �' �� (7) ' . r 5 ^ � �� J ImProverents - Line plus (7) equals (8) (8) '..�G 3G o /��G o � • �eby certify the above is true. wrrectr and oa�lete. °':,' ;-;,,'_?,r° .�--_' � _- �-. .--_ " . 1 /� n /.� � • ' ._ �.. . :. - ACTION BY P.UDITOR - - ... ' Date , . . Date: :. . - - ' Gibson County Auditor 101 N. Main Slreet � Pnnceton, IN 47670 -. � � ILED s�w+IN�siq i � � IRFaSUPFIIiOCNTSIA Individuals and married wuplcs are limited to one homes[ead sizndacd dcduction. As che receipt of this deduction becomes more heneficial, Ihert is more incentive Uun c�2r for homtttcad (2ud. Homrncad fraud nuscs higheriux bills for all; the¢fore, HFA 1344-?009 requitts ta[paytrs who rccenr Ihc homcsMad sundazd dcduction to �erify thac they�are cligible to rtxci.c the ° bcncfit end to �mm�idc additionel idcntif.�ing information neccsury W allox� <omty ga2mmtct to�bcucr monimr homatead filings. 71us information will be tcpt wnfidemial and can onty be anesscd W awhorvrd counp� of�cials. Thc DcQartmrnc of 7.�+1 Grnxmment Finance will use �his infortnation m create rools [hat will hrin counn' officials elimilute Fromestead Raud. — AUG 2 4 2011 = G`�.r�� . � 32�IgSON�COUNTY AUDITOR Michael / Shannon G Schafer 905 Wiison AVE Pnnceton IN 476703135 �il�I�liPi�n�Pnn�I��IIr����I��h�III�iIIhi��luliP�l����l TaxpaverName � - LocationAd�lress Schafer, Michael / hannon G � 0 WILSON�AVE � PRINCETON II 47670 1 III�I�IIIWUIII 011ul ullulll IuUlll ulOII�F�I0Il0ll�lll �II�I� III��I�I ullull � Stete Parcel Number Leqal D¢scription 26-12-08-102-001.732-027 PT NW 8 210 3 AC � � � � , � . � This form MUST be returned to County Auditor's office. : �Please do NOT send this form. back with your tax payment to the count`.y treasurer. , Add`ess (numba �d svccL ciry,. stau, and ZIP codc) xiuity �(last 5 digiu) Drivrls Licenul5tatc ID r�bcr (last 5 digia) Fvst ' Address (l�umber and svce4 ciry; statc, and 7,IP code) � n �umber (last 5 ID Numbcr (last 5 -� Same as propem� eddress 1 . 4/ ' , - -���� Other (plcase �pecify in Part 4lielow jC sute t � MiddlC � � '.. �l� � ; � Samc as pmperty addrcss �— , „ ^+� � . . cr (pleau spcci(y �n Pan 4 low) _ �� � � -� -1=�1'".1—/=� - .. = .. . --� _�_-_.— undersigned certifies, under�penalty of perjury, that the above and foregoing infortnation is we and cortec[ and that he or she is eligible ro re the homes[ead standard deduction on this propen}•. Each undersigned also undeistands that, by claiming additional Flomestead deductions +fully, he or she may be li�e for bacY�ces and substanual financial penalties ^ � 1 $i�anae- � � Date