HomeMy WebLinkAboutHomestead_Debord (6)CLAI��i FOR HG��Sl�U Pf;OPERIY TAX Cft�IT FOR YEAR 19� �
SEE BACK FOR FIL1P�6 It•;S7RUCTIOi•�S Q�9'_ OO
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Z, �'���+e) (�i� �L7%1 � �i� .%L ���OhGi _ �rt-ify that on the lst day o'
h, 19�, I, (t9e) oq _ i�l zs our orincipal olace oi residen� the folloaing des�iY,ed real
��.sty tor tivnich a iloir�t.� �op=..rty Tax CYedit is here�r� b�.ing claiired:
i, (i�'e) �i] a,�ne3 � �
� are buyinR un3er contrac '
� ha;re a beneficial int_rest in the taxoayer
Proc°rty ipscrin`ion. in �i�bSBYI ���Y T°"�'�
Tav.inq District (City, Ta,.�n, 'Ibwnslup): ��� r'e-7�¢
pzr.�l i�L,-�ic�r or legal descrintion striwn on tax statamnt:
/��rr �9 �t/ Z
I= bu�.�ino o�n�sact: Urmers r�re (�°_ sirr�le rnner)
-- Con�ract reyord�3 in P�a�rder's Of�ice - R�cord tb.. Page
If any co��ion of :he residential struc�re or th° land, not a��exling or.e (1) acre t�t
irc��riia�ely surro�s t'riat structure is us�i to produce incane, describe th_ us_ a� portien o�
u�= oro�sty utilized to produce irrorre
Fn:�' o`'rier munties in o:hich individual a..�ns or is bv�ing real prop�-rty: Cblmtv 7tr:rnshio
��.he z�o« s; aterent is true, mrrect arri cor�lete.
i.seny c�-`�-if} `
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*Individu�l ei�h_r a.ans or is b�ying Lmer a wntrac� that pro'aids he is tA pay `he
orop�_rty ta�ces on :h° resid�nce, or has a�.n°Licial interest in th° ta>=paYer•
- rQR ASSESSCNt�S USE 0��7LY -
i an-� not e.v��n9' 1�(or.e) acre irtst��
surrotu r3 �g � i'd�'�°,'.n� ti���r°vaner'ts
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Gibson County Auditor
101 N Main
PRINCETON IN 47670 Indiriduab anJ muriN coupko are limited to ore homNeaJ aandaN dNu:�ion. As the receip� 01 ihis dnlunan bcconrc_
� more beneficiaL �Me is more incenmz ttun ner (or homes�eml fraud. Hom vead fraud ca� hi�her ta� bills (a all: therefare.
��1j- �� HEA 133i-]009 rcquires uxpa.en who recei�r the hwnestead s�endard deAucuon m cerify tha� ehey we elitiWe �o recene ihc
ebeneFl and lo p�m'ide additimul iJentiiyifrc mtormauon Ma�'vn� to allw� rounq' grn'emmeni to berter mmiror homrnerl
�� f filim�+. This inlnrmai�m x�ill he Ac}v confidential and can nnly M acresseJ by aNhariud counry� officiuls. The Ikpanmeni of
1_ocal Goremmem Piv�me will u.e �his intormation ro crwtt hwls �hat wfll h:lp �rounp' of%ciat. dimiwte Iwm<ttcad (raud.
MAY 3 �utu �
— �°�'�'�
— GIBSON COUNTY AUDITOR
713
Ralph / Sylvia DeBord
213 E Wamock
PrincetonlN 47670-1655
���u��ui�i�����ni���niui��i��ui�i�n�i�nn��n��n���i�
T•rspa��er Name Prooertc AJdress
DeBord, Ralph / Sylvia
?13 E WamocA
Princcton IN J7670
State Parcel NumAer Leeal Descriotion
/� 26-12-06-403-000.602-028 019-00602-00 WARNOCK 29 PT
This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
�• �
Owntt I First Middle Lazt
RRGp1! �, Qe f�6RD
ig Add�s (numbcr end svecc cirv, sutc, end ZIP codeJ � Somc az propem oddms;
Social Smurity Numbcr (lasi 5 dieits) Ihiva's LittR�c/Sutt ID Numbcr Qasi 5 digits) O�her (plcue speciF in Part 4 bclow)
—
S�wuu First A1iddlc Lut
S y LU/� l�t� Qe �Of2i�
Mailing Address (Number and slrec4 ��y. swte, and ZIP coJe) �$ame az pmpeny addrec '
Social Sccurin� \umber (lazi 5 digirs) Drivcrs License/S`
� _
, --
Each undersigned certifies, under penalry of perjury•, that the above and Furegoing information is we and correct and that he or she is elieible ro
receive the homestead standard deduction on this propeny. Fach undersi¢ned al>o understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taYes and substantial financial penalties.
Own Si�ms e Date Tcicphme
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