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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn Sd73 (R2 / S92)
INSTRUCTIONS: See reverse siUe for liling instrucfions.
_ FORM
HC70
YEAR
Counry
Tawnship
Legal descnption
-PROPER'TYDESCRIB'TiON� �
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11 any portion oi Ihe residential strucwre or the land not exceeding one (7) acre
of the property utilizetl to protluce income.
Ta<inq district (ciry. town, fawnship)
��. 3-�-/0 �7S �1�
immediatey surrounds Ihai structure is used ro produce irxome, describe the use and portion
ASSESSOR USE ONLY - TRUE TAX ASSESSED HOMESTEAD- � NON-RESIDENTIAL. ��,.
. - � VAWE VALUE VALUE . VALUE ��' ..
Land noi exceeding 7(one) acre immediately . : '
surrounding residential improvements (�) ` � �
Other land (p) ''�"R��..� ...'=
;°
Total land (line 1 plus line Z� (3�
Dwelling (4) . . . ' . �- �
Residential improvements ''
Garage (5) . . .
Oiher improvements (6) � , �
Total improvements Qine 4 through line � (7)
7otal value (line 3 p�s line � (g)
I hereby GeRify the above is IrUe, correct, and Sgnature of Asseswr Da;e sgned
complete.
�ying attion � Signature of Autliror Date sgned
- o �� - - STANDARD DEDUCTION ALLOWANCE" �' �'+ �.. �.. .`: .
79_Pay19_
Lesser of 1/2 Homesiead
Valuation or $2,000 S
Sgnature of Auditor Dare signed
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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2168
ITiRlfIRN �!!M�IM:/ YYI
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1Rf'ANICRPoRMYIA �
PIFY[AIBmpY ilI! �VMMEYffi LOI:UI CFY. eIIVNIX( iP:A�'fE IC61.1-1`-�.1
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h�diriJuals m�d ina:ricJ coupin are IuniteJ io onc hnmcs�eaJ uandaN Jnlunion. As �he reccipt MNis Aedunion bttonrc!
merc brneficial, thrre is morc incrntne ilun e�er (er homurcad fraud. Ilomdtead fraui ouses hi�hcr tac bills (ur all: Iherefae.
HEA 13�43-?fNl9 rcquirts uxpa.m n�ho recei.�e the homes�caJ smndarJ d-Aunion m verily that iher are eli�iNe �o rccene the
benent aml io prtxidr ykliiiortil iden:iirin_ informanon necr'vn� to allw' counq� crn'rmment �u W.rter �iimiror humesead
lilint.'.'ILis in(nrmalinn xill M Aryv conlidemial anA can nnly h� acrr:ceJ hr aNMri�cA ronnry' n(licinl�. The Ikpanmem of
Local Gmermnem PivMe xill u.e ehis infortnation tn crea:c muls �lut will hcin cmm�� uffriaL.� dimnuic Ixmia�eaJ kaud.
Donna G Sisson
3010 E 50 N
PRINCETON IN 47670-8915
�i�u��ni����u��n���in�n�i�i��nu��i�i��u�����nni����
(m:nb.-.r s.d strcc::it�, �mt., and ZIP ^.od:j
Kial Sccuriry Numbcr (last 5 digits) Driver's License/State IU Nmnbcr (lui 5 digits)
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Add`eas (�umber and strtt4 city, siaie. and LIP cuik)
Taspacrr Name Prnoert�• Address
Sisson, Donna G �
1
Ra i�ox 3n>
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I'rince�on fN 47670
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State Parcel tiumber Leeal Description
26-12-03-400-000.349-027 ���34&00 FT SW :iE 3 2 70 .75 AC
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Ssr_�e c: Fm�r!y ed �uCSs
Other (plmst spaify in Part 4 bclow)
� Same :ti pmperry addrrs>
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undetsigned certifies, under penalry of perjury�, that the abo��e and foregoing infonnation is we and correct and that he or she is
;e the homestead standard deduction on this property. Fach undersiened al;o understands that, by claiming additional home.lteac
,iully, he or she may be liable for back taces and substanrial financial penalties. �
ncr I Sienatmc
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�u;e Signamre
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to