Homestead_ColeGibson County Auditor
101 N Main
PRINCETON IN 47670
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1475
Jane E Norrick
GO JANE COLE
220 S Center
PrincetonlN 47670-2016
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IndiriJuaLs and ina;rieJ coupk. are limi�ed b nnc hointucad aandaN J;tlu.�ion. As the rccrip� o( ihis dcJuninn bcconrc�
murc bcmficial, thrrc i. morc incentne than ecer (or homestead (rvud Ilomcsmml frauJ causes hi�her tac bills (ur all: therefore.
HEA 134-i-20Q9 requvn u�papen who reccivc Ihc hana�caJ slanda�d dedunion �o .crit}� Ilu1 they mc clieidc �o mcene �he
benefit anl to p�a'ide aNlitiuml idemiiyin_ in(iurtumon Mcr.-vey ro allw' counp' gmemment ro b:trcr muniror humeseaJ
tilinfp. This info�mnicu� will M Aqv conlidanial anA nn nnl�� h. acrec+ni hy amM�iinl rnuniy otTiaiuL..'fhe IkTannrm o(
Lceal Gm'cmmrn� Fimm< �� ill u.c this iniortnation m arcmc muls Iha� �vill h:lp cvunq" ofiaial+- dfmitiuc hum<9cal fiauJ.
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Taxnacer Neme
Norrick, Jane E
Stare Parcel Number
Prnpertc Address
??0 S Cemer
Princeton I\ 47670
Leeal Description
26-11-12-101-000.775028 019-0077500 SUNSET TERRACE 25
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1' 1
Owner I First Middle (yus f" �y.���.,;+,d L.ast
��_2.{'l C p�..�. ` u. ;11 d< �o-,. � e I, gc�
r, Address �numDer und svir[, city, sm[e. arid ZIP aodej -—'— —`---' —'— " ' Snm. a; prop.r.y:..'.dr'- - —�
2Z0 �5. �r f � � �e� O � • �'f-'7c�'70
Soeial $ecuricy Number (last 5 die�u) Driva's Licrnx/Sute ID Number (latl 5 digils) Other (pl¢ce speeify in Part 4 beiaw}
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Spouu First Middlc Lzst
Mailing .4ddrts5 (Number anJ srree4 riq�, state, and "LIP cu�k) � Same u pmpcny addresi
Social Sccurity Numbcr (lac� 5 digi�c) Drivcrs Liccnsc/Siatc ID Numbcr paz� 5 digits) Other (plrvsc spccify in Part 4 bclow•)
Svs
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Each undersiened cettifies, under penalty of pequry, that the abo��e and foregoing infortnation is we and coirect and that he or she is elieible to
receive the homes�ead standard deduciion on this property. Each undersiened also undersiands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
O.��cer I SiEmnuc Ua4
Spoux Simaturc pyie Tcicphonc
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tVlli.l t�L IV �J.J
Pi¢SU�Uea 6y $la�e Bw:d al la� Comnissionas
CLAIM FOR HOMESTEA� PROPERTY TAX CREDIT fOR YEAR 1
SEE BACK FOR FILING INSTRUCTIONS 019-D�27S'�
�.��) '�`-+"" �• �°""�"— W`,� • certify thai on the 1�ay of
M�. ,n, 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 contract
❑ have a beneficial interest ,i,n1 t�h,e ta`xpayer
Property Description in .�'�°' County V �(r-' Township
n�� _
Taxing Disirict (City, Town, Township):
Parcel Number
If buying on contraci: Owners name ��ee s�mo�e aw��n
or legal descripiion shown on tax statement:
�,,,,A,.� �..aM.a.�,� as . Zv�
Contract recorded in Recorders Of(ice - Record No. � Page `� 3 g 3
If any portion of the resideniial structure or the land, not exceeding one (1) acre that immediately surrounds that
siructure is used to produce income, describe the use and portion of the property utilized to produce income
Any other couniies in v✓hich individual owns or is buying real property:
certify the above statement is true, correct and complete.
County
Township
Street naeress � � Gay_Siale ano Lo Coce
. � � � ��'1� (� n fi'�. 11
Individual eiiher owns or is buying under a coniract that provides he is to pay-ihe-properiy-taxes�
on the residence, or has a beneficial inierest in the taxpayer.
fl,�;� 01 i9�9
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding resideniial improvements
Other Land
Toial Land
Residential Improvements
Dwelling
Garage
Total
(�)
(2)
(3)
(4)
(5)
(6)
ui�%o
�iis����.� Y:�r�s
True Cash Asses�se'd��� V Homestead
Value Valuation Valualion
Other Improvements (�)
Tota!�rovemencs - Line (6) plus (7) equals (8) (8)
I hereuy certify the above is irue. correct. and complete.
Srgnawre o� Pzsessoe
- ACTION BY AUDITOR -
�pproved:� "'���
palc
Date: —�'{ � f ---------