Homestead_SimmonsCLAIAA FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
SIffie Fann 5473 (R7 � s�ob)
Preavfied by Ihe Depertrlart of Lorel Gouertmerr Frwwe
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NC70
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Veifyu�p adbn - Si�au+e dh#EOr Date sig��ed
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20 _ Pay 20 _
Lesser of 12 HorteSead
V�uation w 535.000
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A��%w'EDBY��1TfIX\VI�ITNR�:�"fl.VV �IlfS[Wpmpl"iIQOElMiHEYIf�FL(RAIC{✓�FAYNP'ITA\'t'EICVI.I-:_�J.1
Gibson County Auditor
101NMain '�' • � � � I �•�• • ��
PRINCETON IN 47670 InJieidua� anJ rtur�int mupl� arc limi�nf io one homcweaJ sandartl d:dunion. As tht recttipt oi ihi: dNuninn 6ecomn
more bene5cial. �herc ix morc incenc"n'e th�n ecer (or homnttad frdud. flom vead faml cau.ses hi�her q� Fills (or all; Ihertfore.
.' HEA liii-2qN «qu'un uapagm vho rcccire Ihe hanes�ead <mndarJ hduaion io cerily tlul thcy am dieiMe Io mtci�c Ihc
brnefit ani ro pnr�ide aJAi�ional iJentifrinc inWrmutwn nmz-vrv to allpu� counn� �rn'rmmrnt ro beur; muniror homeste:xl
filinfh_'Ifiis inlBrmatinn will M lry4 rnnlidemial anA enn nnly h acresceJ hy aWhorizrJ rouny� n0iciaL•�'Ihr Ury+anmem nf
I.ocal Guvcmmem Piittnce ��ill we �his infurma�ion �o crcaic twls Ihat wi0 h:lp cvum' ufficials eliminite Ivmesmad FrauJ.
1862
Ivan H Simmons Jr.
630 Country Lane
PRINCETON IN 47670-8135
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Tazpacer Name
Simmons, Ivan H Jr
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630 COUN7'RY I.N
Princeton 1\ a767Q
State Parcel Number Leyal 1
26-11-15-100-004.159-027 B s-oatss-oo
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630 S COUNTRy LN
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eiling Address (Number anJ stree4 ciiy, sia�e, and ZIP coJe)
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SIMM�NS � f �,
.'�J-s,uuz m p�uperty eed`a., f
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specify in Part 4 bdow) 1
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�Samc as propeny ad�roa �
sncciF in Part � bclox�) �
undersitmed certifies, under penalty of perjury, that the abo��e and foregoing information is we and corrzct and that he or
�z the homesiead siandard deduction on this property. Each undersicned al;o understands that, by claiming additional hom
Jfully, he or she may be liable for back taxes and substantial financial penalties.
I Si�metmc
5 /3//O
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SUB DIV SUB LOT
elieible to
Ideductions