Homestead_Dovewun xc io ie�v
Hesai6M By State BaarE al Tax tommissioners
Ta Be FiIM in Duplicate
CLAIM fOR HOMESTEAD PROPERTY TAX CREUIT FOR .YEAR 192`L �f
SEE BACK FOR FILING INSTRUCTIONS m�q_ oo�qa .o 0
-�(We) �� °� - • certify that on the 1st day of
arch, 19�, I, (We) occupie as our principal place f 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 inQt,erest in the taxpayer
Property Description in�/v% -��- County �Q��� Tawnship
Taxing District (City, TeLVa�ewFtship):�ls-c,.�. ��,��.
Parcel Number or legal description shown on tax statement:
ii�/.�. %
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If buying Ofl contract: Owners name ��� s�moie owner)
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property: County Township
' hereby certify the above statement is true, correct and complete.
�.,. _ ... � n - �
'Signamre
- -Z �
antl Zip Coae
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
True Cash Assessed Homestead
Value Valuation Valuation
Land not exceeding 1(one) acre immediately
surrounding residential improvements (�) / �'-�O Sa�o
Other Land �°��iiT (2) " —
Total Land � 1 � �+ �(3) / "��o S�O
��
Residential Improyements (a)
Other Improvements
OI ASSPSSOr
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the above is true. correct. and complete.
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Approved: �, �L����� Date: � ��-6 �7 "�1
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
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iRFAtU1lFA(OF4Z1�
CMcRYM�Ai iPA\CE IC41.1-E`�l.I
IndividuaL� anJ rtu;rieJ rnupin are limi�ed io onc homeunJ 9andaN JNuaion. 3s �he �ttrip� of �his dcducta� bcconres
morc benencial, ihere is morc incentnx ihan ecer (or homesteaJ fraud Ilomrsttacl fmud causs hi�kr tax bills for all: rhrrcfore.
HEA 13�1-}-20(!9 requirts uzparrn who reccirc ihc hanestcaJ <mndard JNuction �o verity thal ihey are cliciMc to mcei�e thc
brnePo ami ta p�m�iJ<:ulJiiional iJentiirin_ informa�iun nece.ary ro alluu� cwnn� emrmmenl to Nemr munitur honxste:d
fili�,�. Ifiis inlormuion will br Aqv contidemial mA can nnly M1c acressnl by amhnr'vcd rounp� n�cial+.'ITr Ikpanmrni nf
Loeal Gw<mn<m PivMe ��ill u�e thfs fniormation m crea:e tivls dut o'ill hdn caa�n� ufficials dimiv�c Mme.traJ iraud
Taxnaver Name
Dove, Stanley D/ Teresa J
Prnorrtc Address
� 231 S Washington ST
Princc�on I\ 47670
3310
Stanley D/ Teresa J Dove
231 S Washington ST
Princeton IN 47670-2237
�i�u��iu����u�ui���nin���n�i�ii��i��n�u��nn���n���
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ig Addrcss (number ond �ttcc4 ��ty, smeE, and ZIP codc)
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Addrtzti (NUmber and eVttL ciiy, sWle,:uid ZIP cuik)
State Parcel Number Lesal Descriution
X26-12-08-301-000.692-028 019-00692-00 LYNCH 2ND i 14 PT/115
mmaie
�o��
ame as praperty oddms�
(pleue specify in Part 4 beiaw)
M�aai�
�o � e
��u pmpeny address
(Plca�c e{atify in Pan: bcbw) --
undersiEmed certifies, undzr prnalty of perjury�, [hat the abo��e and foregoing infortnation is we and correci and that he or she is elieible to
re the homestead standard deduc�ion on this propeny. Each undersiened also understands tha� by claiming addiiional homestead deductions
rfully, he or she may be liable (or back taxes and substantial financial penal�ies.
,1 Siennturc Uate Tdcohonc
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