Homestead_SettleGibson County Auditor
101 N Main
PRINCETON IN 47670
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e Addresc (Number and svecS ciry', staie, and ZII' cale)
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StturiR� Numbtt �last 5 digiB) Drivcrs Licensd:
Su�
S�.�t-��-2
:u ploperty address
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O�M1cr �plcasc sFecif�� in Pan 4 bciow')
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1 2 71 16.00 AC
Each undersiened certifies, under penalty of perjury, that the above and foregoing infortnstion is we and correct and that he or she is elieible to
'-"" recei��e the homei�rad"s�andard�deduction on thispropeny.-Fach�undzrsigned also understandsthaL-by claimine addilional homest� ad�deduciions -—
unlawfully, he or s'he may be liable for back taxes and subs�antial financial penalties. !
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CLAIM FOR HOMESTEAD PROPERTY TAX � FORM Y� p
CREDIT/STANDARD DEDUCTION � Hc�o �7 DD
S smte Fa�m st7a (R7 � sOb1
Presvibed by the Dapartrtient of Loml Gwemmenl F'vianm
INSTRUCTIONS: See reversa side Por filing instrucfions.
�( �: ..'
�(V:x) owned Are buyuig urMer crntracl
riave a benMdal
rc buy"eg om m�traG, Fee Sirt�le awrefe reme
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that is liade (w the poperty �ces on Ne property and Cat ams the property or is buying under a contract
Legal desfiiptim
-oa�
�a�yvlJ /1-�-/I
Re�d number � Pepe
town, fwmship)
iha poperty in quasfion:
�pG . �Reel property ❑ Mohile
M erry pwfion of Ihe residerNal stnidure a Me IaM im4 ezceading ona (1) ava ihat'unmadatdy arrounds ihat 9nchrte ia used tn pmduca'vmome. tlernbe Na use an0 portion
ot tne piopery uti5md m p'oduce uwane.
�w�ry� .
Townptyi� ��
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I hereby oertify ihe above sfatements are trve. carred arM cortylete.
meet ch: smm.
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County
N i�71 7 U
��°t�.°�$ ��`.,iy'vaFa�. �s"'�Y�.r�y_.".&•ir°.,< �s"_oy,+;o ."�STANDARD'DEDl1C710N')1L•ICOWAHCE��„c� "G'�?i'v�r tit i��'e�.� + .�- 7+`�? •- ^.r'4-
�#..e1`{.�^'iF *n_ �.�t;il. n "T.�'.,"..>s. '?a��'�, :ar� a1''+�tc,'?+et�M.rl..r».H�$'�'Ti,-rt.�.
' 20 _ Pay 20 _
Lesser o( 72 Horne�aad
Valuatim or 535.000 E
Si�sIIUe af Nditv Date signetl