Homestead_Cundiff (5)�E ^��R
a.�/ '°� CLAIM FOR HOMESTEAD PROPERTY TAX
;��= CREDIT/STANDARD DEDUCTION
e�q ,;��� State Porm Sa73 (R2 / 5-92)
�si.
INSTRUCTIONS: See reverse side lor /iling instructions.
-�.,' .Y. $�1 b � �1�
FORM NEAR
AU�'
�2) �� .IX.J�09.J�Y����__ � certify that on the 1st day of March, 79�
e) occupied as our principal place of residence ihe following described�reai prop rt for which a Homestead Property Tax Credit is hereby daimed:
❑ I(We) owned ❑ Are buying under contract .
❑ Have a beneficial interest in the entiry ihat is liable for the property taxes on the property and that owns the property or is buying under a contract.
� � CONTRACT RECORDED . . -
If buying on contract. Fee Simple owner's name - � . . � ��
Recorder's oRice where mntract is recorded • qecord number Page
Counry
Parcel
PROPERTY
Legaldescnption
Taxing dis�ric� (city, town,
LlV ��] �-"fl�� � �/1-h-M/L2% ��Pi��_
ol the residenlial structure or the IaM not exceeding one (1) acre that immediarety surmuntls that strucmre is used to
y utilized to produce inmme.
income, describe the use and portion
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES �
ICounty Township Counry Township
reby cetlify the above statements are irue. correct and complete. Signaare of Gaimant
Address (number and stree7. ary, s�<. Z7PCOde) .
(o� Z
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL �
VALUE VALUE VALUE VALUE
- Land noi exceeding 7(one) acre immediatety
surrounding residential improvements. (�) �
Otherland (p)
Total land (line 1 plus line Z� 3 �
O
Dwelling (4) ' `
Resideniial improvemenis
Garage (g)
Other improvements (6)
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � . (g) I
I hereby certify ihe above is irue, correct, and signa,ure of Assessor , oa;e signea
complete.
'�ny action - Signamre of Autliror I Dare si9ned
19_Pay19_
Lesser of 7/2 Homesiead
Valuation or 52,000
- _ �
DEDUCTION ALLOWANCE
S
signetl
•
Gibson County Auditor
101 N Main
PRINCETON IN 47670
956
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nrvmn'eo ar ar�1e ewxnor r��i:�ts. v.
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IndiriJuaLc and ma;ricJ mupb are limimd �o nce ho�neucad .tandaN AeJunion. As ihc receipt of �his deduaion becomes
merc bentficial, thrrc is morc incentne dun e�er for home.teacl fraud. Ilomweal fmud causes highrr �n bills for all: thnefae.
HE.1 li�ti-?IX19 requ'un uaparers who reccire iAe hanes�md >undard dnluaion m.eriPy that tM1e. arc eliciMe to recene ihe
benefit aN ro p'w�ide a�Wiiimul idrntitrim_ infwmatiun Mce.'vrc �o alluw' counn gm'emmeni ro bener mmi�or Iwmesrcad
61i�p.�. Ihis in(o�malion will M lt}M crnComtiaYand can nnly h: accrcuti b�' amhotiuvt roumy oReial�. 7he IXpannrem n(
1_acal Govemmem Finam�< �aill u.c �his inturtnation tu c« atr twL. tlut aill hclp cnunn� olficial> eliminai< humes�cad fiaud.
. , , , , , .
Taxnacer Neme Prooert�� Address
' Cundiff, wlliam Todd/Stacey L
• William T Cundiff
602 W Pinkney
PRINCETON IN 47670-2358
I�I��II���I�II��I���III�����I�I��II��I�I�I��I�II�����I�I�II��I
50? a� N�1s��
Prinreton I\ ;7670
State Parcel Number Leeal Description
X 26-12-07303-000.131-028 01s-oo131-0o PRINCE P�aCE 16
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
�
II
� Address (numbcr end �¢ect, ciry.
�C�Z �
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A1iddle
Sume nc property eddrez;
_�( `Fl �1 C7
.F in Pan 4 below)
I L��d:�F
�ame u pmpeny addres;
'�LdU �-1(010
undersitmed certifies, under penalty of perjury, that the abo��e and foreboing information is true and cojrect and that he or she is elieible to
•z the homesiead standard deduction on this property. Each undersigned al;o understands that, by claiming additional homestead deductions
�fully, he o: she may be liable for back taxes and substantial financial penalties.
I Si�mamc [hte l�cicphonc
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