HomeMy WebLinkAboutHomestead_ClaytonCLAIM FOR HOMESTEAD PROPERTY TAX
CREDR/STANDARD DEDUCTION
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Presrnbed by tha DepaMieni of Laal Govertunch# Frtiance
� INSTRUCTIONS: See reverse side (ar filing ins6uttions.
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1(We) ocapied a o p pla i residence Me fotlowi described real property for whxi
�M!e) owr�ed ❑ Me buy"v�g urWa mntract
�iave a benefidal mtere� in the entity Nal is liable tor Ne property tazes on the property and
tt Gry'ug om m�4al, Fee Sirt�le awnefs �mrre
Remidefa otfice wl�a cor4�eci Ls recarded
cor a reca
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�'!Y�
Toxr¢hip
tt erry pvtion af Iha r�iderkial etruOUre w Ure IaM rwl n[ceeding one it ) acre thal
of Iha ryoperry WFmd m pmduce uimne.
T�mg diafricl (rdy, fown� fowrulcP)
FORM ���
Hc�o
!tdA(on the tst day of March, 2(1_
Property T�c Credit is hereby daimed:
6uying under a contracL
Record number
Pega
� Is U�e paperty ui question:
� Reel properry ❑ Mobile Fbrtre (LC. 61.1-n
nmedalely nds llral sW�tura ia used to produce mmrrie, dmcnba iha use end portion
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, cliRf[I[�\I!!'MIM:/4M1 �ASUlEAPo0.NiJ-IA
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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IndiviJuals anJ ma:ricJ roupk� arc limiied �o ore homc.xcaJ nrandaN dcdunion. As the rarip� ot ihi� datunion hcm�c
more beneficial, thrrc is morc incrnine than e�er for homriteaJ &aud Ilome�.wcl &aud caass higM tai 6ills for all: ;hertfar.
HEA I:d-1-�lHl9 rcquirca uzry�en .rho rcccire the hanestcad s�endard Jnluction m.cri(y ilut the} art cliciMe to recei.r tl�c
benefi� aml to pnxiJe addiiional idrntiirim_ informavon nemsan� ro allw' cwnry' go.rmmmt ro betrcr moni�or IwmrsrsrJ
liling.. Ihis in(mmalion xill he Aryv contidrntinl md cnn only M accccuJ hy authnrireJ couny� ofilcials. TM1r Ikpanncenl o(
1 ccal Gm'<mmem Pi�u�rce �cill u�e �his intormauon W cream 4tila ihat will h;lp ouuritv afficiaLr eliminatc hum<stcal fiauJ.
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T•rsp•r��er Nemr Propertv Address
Clayton, Jeffrey A
3903 — - -'— - -- - -
Jeffrey A Clayton
514 Cleveland AVE
PRINCETON IN 47670-2908
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11988 L'Itredeld RU
Eiberfcld I� i7613
S[ate Parcel Number Leeal Description
'K 26-12-18-300-004.295-028 919-0429500 BALDWIN HGTS 9/10PT BLK
1 1
Ow�ner 1 First Middl< Lact
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�g Add�s (m:mbcr nnd >vect. ciry. succ, and ZIP <odc) � � - - - — - Same as propcirv edd+ev — -" �" —' - "
���� cifJc�.� � ,;h« � i,� �,���o
Social Securiry Numbcr (last 5 diei�s) Uriver's License/State ID Nmnber Qast 5 digiu) Othcr (pltasc specify in Part 4 below)
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Spou:e First Middlc � Last
�ctW n �eK� sa CJc�, �O✓�
Mailine Address (tiumbcr and sYrtt4 ��y, sWle, und "LII' code) ame ns pmpeny midres�
�` /� Gev�l�tnoi �ve. �r-i�nee�o�.�2 '�7�o?O
Sociai Securin� Numbcr (laa 5 digi�s) Dri�xYS Licen_vJSiatc ID Nwnbcr (la;t 5 digits) Ochcr (plcacc spceiF in Pan 3 b�iow�)
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Each undersiimed certifies, under penalty of perjury•, [hat the abovz and (oreeoing infortnxtiun is we and correc[ and that he or she is elieible to
receive the homestead standard deduction on this properly. Eacu undersigned al;o understands that, by claimine additional homestead deductions
unlawfully, he or she may be liable (or back taees and substannal financial penalties.
O�.ner 1 Sign rc Date Teiephurc
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S - m ��e Tclephone
aum ��-/�-/o (�
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