Homestead_Smith (35)�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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IndiciduaLa anJ rturrid coupla are limi�ed �o rnc homeucaJ �anJaN Jzrlu.�ion. As �he rcceip� ol this ?edunion becm¢a
morc benefidal, �here is morc incrntnr tlun rcer (or homestexl frauJ. Ilomn.ead Baud caass hi�her �as bilk (or all: therefore.
HtiA 13i�-]tN19 requims unpaym xho ceceive IAc hanestead sundarJ dnluaion m v.rify thm ihey am cligiMe to recei�c thc
benefit an1 ro pip�idr a�klitio�ul idrntiiyfn_ mfomutron nem'vn� to alluw counp' eo�'rmment ro bener aonitur homeseael
filim�p'. This inlarmatim x�ill M Ae(v crnlidenlial and c�n only h arcr. avt by authoriuvt enunir ofllviols.'ILr Ikpannrem nf
Lacal Gwemmrnt Finance ��ill me �hia ininrmai�m m cre�re u.da iha� �rill heln nvmrv nlfieial. dimie�,�v h�nn�a�ad fnud
845
Mark S Smith
802 S Washington
PrincetonlN 47670-2766
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Taspaver Name
Smith, Mark S
Prnoem• Address
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SO? S N'ashineton
1'rinceton IN 47670
State Parcel Number Lesal Descripl
26-12-17-101-001.771-027 006-01771-00 PT NW �
j�iaaK � �+tpl.�.� � �N.,+1.
Addr¢c (number mid �treet, city, sm[e, and ZIY code) �— -- — —� Same m pmpem uid�
joa S WAS�, ���+� ��.�n 1183 r��vice�a'iN 4'16'l0
suriry' Numbrr jlas� 5 dieits) Drirds Liccnse/$utc ID Nmnber (lasi 5 digits) Other (pleasc spaif in Part 4 below)
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.4ddrea (Number and a'Itee4 riI)', �m�e, and "LIP code)
Stturity Number (last 5
� s,,,�,� � P��,� �a�
Othcr (plc�sc spccif�� in Pan 4 below)
7 2 10 2.467 AC
undersigned cerrifies, undzr penaity of perjury•, [hat the above and foregoing in(ormation is we and coaect and that he or shc is elieible to
;e the homeslead standard deduction on this property. Each undersigned al;o understands that, by daiming additional homestead deductions
rfully, he or she may be liable for back ta�ces and subsuu�tial financial penalties. #
1 Signature Date Teicphonc �
. �
5- 7 . � o
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i'`5i„`° CLAIM FOR HOMESTEAD PROPERTY TAX FORM VEAR
�° CREDIT/STANDARD DEDUCTION
'��i� StateFortn54731R2/S92) . . -HC10
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� INSTRUCTIONS: See reverse side (or �ling instructions. ��� , �
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. CERTIFICATION STATEMENT
I(VJe) .. certifv�that on the 1 1 day of March, 79_
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I(We) occ pied our principal place of residence [he following described reai property For wpich a Homestead Pioperty vc dit is hereby claimed:
❑ I(We) owned ❑ Are buying under contrect �����r �`�
/� GIBSO?d Cv�Ji.TY hUDITOR
❑ Have a beneficial interest in the entity that is liable for ihe property ta�ces on the property and that owns the property or is buying under a conVact.
� CONTRACTRECORDED
If buying on cantract, Fee Simple owner's name
Recorders offxe where conVact is recorded - Record number � Page
PROPERTY DESCRIPTION �
Counry Tovmship 7a�dng tlistrict (ciry, lown, mwnship)
POO�r^�� ^ �I'� Legaldescnplion � � 1 ^ _�� � -
�( � OC
It any ponion of the residential structure w the land rrot exceetling one (1) acre Ihai immediatey surrountls that sVUC[ure is used to produce i�xome, tlescribe the use and ponion ot
Ne pmperty ulilizetl to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
Si ature of claimant
I hereby certify the above statements are true, correct and complet . � e I . O
O ,0.,..�J�L�
Address (number and s(reet uty, state, ZIP codeJ
Qa.'b�ti 1183 ��-�^> '�^ 4'tc-ro
ASSESSOR USE ONLY TRU X ASSESSED HOMESTEAD NON-RESIDENTIAL
VA U VALUE VALUE VALUE
Land not exceeding 7(one) acre immediatety (� �
surrounding residential improvements.
Otherland (2)
Totalland (line 1 plus line 2) (3)
Dwelling (a)
Residential improvements
Garage (5)
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true, coveCt, and Signature of Assesor Date signed
complete.
�eritying action - Signature ot Auditw Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _ -
Lesser of 1/2 Homestead c�
Valuation or 52,000
Signature of Audiror Date igned� /�/�
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