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Homestead_StilwellFOFM HC 70 1979 Presc�i�eA By Sta1e 9oa�0 al ia. CommissioneR ✓ CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 �� SEE BACK FOR FILING INSTRUCTIONS io Be Filea in Duplicate �(We),�0 � ��• � �� � certify that on the 1st day of aroh, 19 ° I, (We) occ ied as r principal ce of residence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: I, (We) ❑ owned �O�p `b�ga0 ❑ are buying under contract ❑ have a beneficial i erest in the taxpayer Property Description in �"h- County �R-Z°''�� Township Taxing District (� Township): �� Parcel Number or legal description shown on tax statement: Qt .t/cJ"v i�F-a- i� �. 3G.4 If buying on contract: Owners na Contract recorded in Recorders Office - Record No If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income Any other counties in which individual owns or is buying real property: �hereby certify the above statement is true, correct and complete. � _ _ .�e- f-. x ��� %� � .- /'� ApOr¢55 County Township �,, A�Y�6�� Gry. S�are am Zio �e Individual either owns or is buying under a contract that provides he is to pay the property taxes on the residence, or has a beneficial interest in the taxpayer. - FOR ASSESSOR'S USE ONLY - Land not exceeding 1(one) acre immediately surrounding residential improvemenis Other Land � � � � � Total Land Residential Improvements �.pR i �}j�j ing Other Improvements T•- ,Improvements f�eby certify the Signature o� nssessor 1 Approved: arage T a Y AUDITOR Line (6) plus (7) equals (8) �ove is true. correct. and complete. True Cash Value (1) � o0 iz� so (3� S3 0 (a) �3 �Po (5) — (6) �3STJ (�) (g� � 3 Sa-� ' ACTION BY AUDITOR - Assessed Valuation /70 ,20 �-p Homestead Valuation i'7 0 /r��. j � 5�-/�-80 Da:e Date: . _ - �. si,v[�nxH!�w+irt:iwo ixr,vwwtwx�z�n Gibson County Auditor 101 N Main PRINCETON IN 47670 590 InJi.�iJua� and married caupks are IimiiM io orc hnmc�tead uandaN it�lut�ion. As �he �occtip� oi ihis dodunion bccomcs more brnefitial, thrrz is more incrn:nx dun e�er ior M1onx�yeaJ in W. Ilomn�eaJ fraud oaces hi�her tac pilk (or all: thert(ae. HEA lii3-20Q9 reqvvn u�papen who rcccive �hc hoinestraJ standard deJunion to reri(v �Mi �hey are elitiNc to recenc thc benefit an1 tu p�m'idr xMiitionai identiiyine fnfomuniun �cesvn� �o allow coumy gm'emment m b_tap munimr homesm:xl filint'a. Ihis infmmation will Le Aryw crnlideaial and ren nnly h actt+uA hy aWhnrietd rouny� offKiale. The IXpanment of Local Gm'<rtmem Fi�uMe will u.c chis information ro a<a:c rouls ihat ��ill h:lp cwnn� otTcials ciimimrc homcACaJ fiaud. •�� �• � — T•uxpa��er Name Prooertc AJdress Stilwell, Jerry D/ Judith L Jerry D/ Judith L Stilwell 2168 W Columbia Est PrincetonlN 47670-9320 I�I��II���I�II��I�„III���I�I����II���I�III����II��i��l�l��l�l � �e �r � � naarcss �m,mber e�,a =,vm. < $ � 30? N Priicc Princcton IN 47670 S[ate Parcel Number Leoal Description 2G11-14-102-001.888-0 7 COLUMBIAEST1an9 5�� !we ll m prupm mlun_v - ' —� Ixlow) s-�� �,,,. e `� �ame:ss proprny edJrcs; in Part: bcbw) dersismed certifies, under penalry of �rjury�, that the above and foregoing infortnation is we and coaect and that he or sl�e is elieible to the homesiead standard deduction on this property. Fach undersiened al;o understands that, by claiming additional homestead deductions dly, he or she may be liable (or back iaxes and substanrial financial penalties. i � .%1��� - - ' •' ��'�--- ,� / 0�2�/ � 51 � 0`2�l� � ��