Homestead_Curtis (5)a°�� ; CLAIM FOR HOMESTEAD PROPERTY TAX
sE��� CREDIT/STANDARD DEDUCTION
�;'� StateFOrtnSd73�R2/5-92)
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INSTRUCTIONS: See reverse side lor /iling instructions.
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'e) � ���� �� � certify that on the 7 si day of March, 19
(�) occupied s our principal place of residence ihe tollowing described real property for which a Homestead Property Tau Credit is hereby Gaimed:
I(We) owned .❑_ Are buying under coniract. � .
Have a beneficial interest in the entity that is liable for the property taxes on ihe property and thai owns the property or is buying under a coniract.
.. CONTRACTRECORDED . �
It buyirg on contract, Fee Simple owner's name . � � �- � . - -
Recorders ottice where coniract is recorded Recortl number Page
" ' PROPERTY DESCRIPTION
County : � � 7 nship ` . T-n disffki (ciry. town, fownship) -
Parcel number _ � Legal tlescripY�y'fr� ,
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It any portion ot the residential struaure or Ihe land not exceedirg one (7) acre �hat i �atety surmunds that sVUCnre is used to produce income, descnbe Ihe use and portion
of the property utilized to produce income. . � '
ASSESSOR USE ONLY TRUE TAX- ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately _
surrounding resideniial improvements. (�)
Otherland (p)
Total land (line 7 plus line Z� (3)
Dwelling (4) ��
Residential improvements
Garage (5) �
Other improvements (6)
Total improvements (line 4 thiough line � (7) I
Total value (line 3 pVs line � (g) -�
I hereby certify (he above is irue. correci, and Signawre ot Assesmr Dare signed
complete.
�'ving action - Syna:ure of Audiror Date signed
•
79_Pay19_
Lesser of 1/2 Homestead
Valuation or 52,000
DEDUCTION ALLOWANCE
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Gibson County Audilor
101 N Main
PRINCETON IN 47670
3280
Stephen B Curtis
1908 Taylor Ave
PrincetonlN 47670-3206
S�AR R10.M �"M 12'/ Nnl
1RNASOtCRPoRViAIA
InJiriduaL. anJ ina:riN aouple arc Iimi�M lo onc hnmrucaJ aamWN JcJu.iion. As Ne rtteip� ot ihis dMuc�inn bccome�
mure beneficiai, �hrre is morc incrn[ne than ecer for Aonm'rcmI frawl. HomerxaJ frauJ causcs hicher b� bilis (ur all: therc(urr.
HEA 6i�1-2009 rtquim taapa�en who reccive �hc hancstcad sianduJ �kalunion to .erily ilui thc� arc cligiMc to mcei�c thc
brnefit ani tu pra'idr aiNlitio�ul idrnnn'fnc iniurmatmn �xms-vn io allw' counn� gmrmmeni ro Nuer munitw Iwmrsrc:wi
filin�.'lliis inlamuiion will M Aery mnlidcntial and nn nnly h. arm:.eJ Fy amMrired mm�tr nflicials.l'M10 Dcpanmm�t of
Lueal Gmcrmnrnt Fina�rce ��ill uxe �his iniormation W arcau twls Ju� a'ill h:lp epmn' uffiriaLs dimi�te IwmeneaJ (raud.
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Taxpaeer Name
Curtis, Stephen B
State Parcel Number
Prnpert�� Address
1903 'I'avbr A V G
Princeton I� 37670
Leeal Description
,� 26-12-08-203-003.587-028 Ots-035e7-0o DIKE ENLG 9
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Ox�ner I First hliddle Lut
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��g Addras (numbcr m�d srtaY. city. smtc, end ZIP codc) - -- ' - - --- - - Somc as pmperty eddtcv ' ' '— - � -
o ,� c -y U s. y767d
$ocial Securil} Numbn last 5 digiLS) Drivers Lic<nse/State IU Nmnbtt Qazi 5 diFiB) Othrr (plevse specify in Part 4 below)
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Spouu First Middle Lan
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Meilin¢ Address (Number and slrttl ci1)', slnlc, and "LIP caie) � Same u proprny adJros
Sociel Stturitr Numbcr I.laq 5 digits) Drivcrs Liccnsc/SUtc ID Numbcr (la.� 5 digits) O�ha (plcuc spccif�� in Pan 4 bclow)
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Each undersi�med cerrifies, under penalty of perjuq�, that the above and foregoing infortnation is we and corrzct and that he or she is elieible to
receive the homestead standard deduclion on this property. Each undersiened also undersmnds ihai, by claimine addilional homestead deductions
unlawfully, he or she may be liable for back taxes �nd substanrial financial penalties.
Owncr I Signature f�te Tclephmc
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Spouu Sizmatu g�e Telcphonc
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