Homestead_StorckmanF9ftM HC 10 1979 To & FileE in Duplicate
RescnDeE By S�ate Bwrd a7 Tax tommiuioncrs
CLAIM FOR HOMESTEAU PflOPERTY TAX CREDIT FOR YEAR 19 � 9
SEE BACK FOR FILING INSTRUCTIONS
�We) � , ��-�'�^--�-��• d�u"-�/� certify that on the 1st day of
rch, 19�, I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We)�owned
❑ are buying under contraci
❑ have a beneficial inter�,st in the taxpayer
Property Description
Taxing District (Cii��ewn; Township):
Parcel Number
If buying on contract: Owners name ��� simple o.�e,�
oo� - b�g9�
Township
or legal description shown on tax statement:
�5��-1 �i�• NE��y. .�0-2 -io (/�o/�)
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:
certify the above statement is true, correct and complete.
NCOress
County Township
Ciry. State ada Zip CoCe
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 exceedin t(one) acre immediately
surrounding resitle�l i�pro�ent� �
Other Land
Total Land , �
Residential Improvements �'J ? � 1n �
Dwelling
Garage
�� Total
AUDITOR
Other Improvements
T �mprovements - Line (6) pius (7) equals (8)
'� I�oy certify the above is true. correct. and complete.
True Cash
Value
(1) 5 0 0
(2) ��'"" G °
(3) �'i-s�
c4� �r—r�
(5) '
(g) �� i i o
(7) � o
(g� 8i7o
Assessed
Valuation
i7o
-$� � o
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:
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Homestead '• ��
Valuation
i7o
� �
8'90
� - /s- �
Da:e
Date: ���
� • = � � �l��Eff10.4�!H/�Il`/vNl TRLlNlEFPo0.NiF1A
AIIMTEUNT:T.VEIIO�0.UMAm.YNp'�a.Y�x IWYR�PILIIYPIfUEPMTQY�OFLIXAIC{p'Q�{pMRRiPANfF.ICH.4`>�.1
Gibson Caunty Auditor
101 N Main ' � ' � � � 1 • • � • • � •
PRINCETON IN 47670 IndividuaL. and m�rrieJ coupl� are limi�erf io ore homc�caJ �andaN Jc�W.�ion. As ihe �mip� of �Ns Aeduninn bnrorne;
mure beneficial, there is morc incenme tlun e�er far honxi�raJ Gaud. Ilome'rcazl freuJ caues hi�her ta� bi�li tw all: therefar.
� \
����� HEA 13�L7 �O(19 requ'un �a�pacen who rceei.e �he hanestead slandarJ JNuetion m veril'y �ha� they am eli;�iMe �o meene Ih.
benefii amf iu pnxiJe aJJiiiunal iJemiirinp inWrmanun nemsan� b allw' couney ga'rmment �o berter mmiior humestt:al
filinZ,.�. This infmmauon xill M I.ryv ctmlide�Vinl amt r.in nnly M arm<¢J hy autMmd cnumy officials.�The Ikpanmeni o(
I�cal Govemmrn� Pi�um'< will u.c ehis intortnanon tu aream ttWs thai �vill hcln counm otT 'als diminifc hrnn�.r�nd frnuA.
APR 1 2 2�10
GIBSON,OQU � A���fi@f1
4138
Daniel E/ Carol R Storckman
2572 S Old US Hwy 41
Princeton IN 47670-9259
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J�h i' e %
g Addr¢s (number ond �um. c
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$
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�ddrr's (NUmber and slreei, ciiy, 51n1e, and ZIP cuJe)
7a j, o � d l.� S/fw �f'/
:uriry Numbcr (last 5 digits) Dm•crs LiccnsdStacc ID Nu brr Oazt 5 digits)
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Princelon 1\
State Parcel Number Leeal Desci
26-12-30-200-001.892-027 oos-o1892-0o S PT
D10
usN��yl
�. 30 2 10 1.50 AC
Middl<I
��� �C� �� �
� Sumc as prapem adMs; _ _ _ . _; _ _
P�'i'n c�,�a,� �h_. -��6> o
O�hcr (plcase spttifv in Pan 4 below) :
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I�d �C�jI���l
� S:vn<a� ptopem addrcss
C�2��1 � �'h. �
as'c specifi� in Part 4 bclow�)
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undersigned certifies, under penalty of perjury�, that the abo��e and foreeoing infortnatiun is we and cortect and that he or shc is elieible to
;e the homestead standard deduction on this property. Hach undersiened also undzrstands that, by claiming additional homest�ead deductions
rfully, he or she may be liable for back taxes and substantial financial penalties �
11 Si neturc /�' Da�e 'I'cic
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