Homestead_DriscollCLAlAA FOR HOMESTEAD PROPERTYTAX
CREDR/STANDARD DEDUCTION
smm rv� s4rs (R7 i s-ob)
Pra�bed by Ihe Depa6rent ai Lool Go�armaY Frar�
�NSTRUC710NS: See reverse side far lding instructions.
For�
HC70
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�. a:_. s" ' �.:.. ' ..' �.. ._ y1\.� 'r . ' . rE .e Yw ' 4 �y- .
� (�'�e) certiy that 1st 20_
I(We) omipied as aa prrt�dpal plaa oF residence ihe "rg descrmed r�l properly far which a Fim�estead Prop� �i��by daimed:
��(We) owned ❑ Me byr"vg under oantrad �—py�,!,
Have a benefi6al mferest m the enfily C�at is liable 6w Cie poperty t�ces m the p�opaty and tlat owns the poperry w is�g�r�a cantracL
tt huyure on m+tracl Fee simpe w.riers ivr�
(�,tirdds ot6ce whae carRrafl ia ieouded
a� � .:.�xr..°,� .i...-..•� � . .>:x- ��- rnvrcnu�uwwr,nwa:;.� .
- TunshF .. T�my d Wncl (dy mrvn, �
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nvriber ��. legal de�a�Wm �� � _' Is tl�e poperty i
vtion oF the reside�qial sWC�ve w the tmd nol mcceadnp o�e (1) ave Mal inma6eEely wnav� tl�
■aperty iEiFmd m piotluce eiaorne.
Remrd numDer I Pege
paperry LJ Mobib Fione (LC. 6/./•n '
uaed b produoa nmrtie. desad�e tha uw md porUOn
y - > . j.• fiiY'i �ji£ �� ��YIC�TIM f i I�W GYVM�V� 4,f1WiC�l�GlWJ� � ~ ' . �� I���j•.�"ttJ
N- ��, �y�. ASSEASORUSEOMLY � �i�, t`�._�� y�'� y��i, .-AT700XOF�TTV� E$ � � VALUE ��-� ,�v2i�r.0.�S�:V��.,�.A.�..na$�,tY'??F.�.
.. �i.:• i.... t. <. .4.. �`.;r :�s., �..... „n,.r., , .,... '� i�
>,Land rrot exceedng t(one) aae imr�diately ' _ a in� �, k�+� �' ���?� i q, �.i
SWwnd� feSidefltial� C4. ��) '�'a���� r�t i���'`' �.'�ii�n�l'
n8 impovErt=n `,s-�. +t �..:, i r. a.l�...u�!s A!
O�her lard �2) ' -•'�tg)''': "� `.`�C�, �
'��r'd,r{? �g,:,i;
i,"
Tdsl land (lare 1 plus 6�e � �g)
�,, e ,
; ��� .� � ,y �� , t �ty.�4�C'.
Resdential "vnprovecients ar Mrwally ��� �4� ": ., Yr.,.�,.�� �%e ., i�.»'.'�'✓.�:'(: b''._:tie:���
0.SSas50d Abd7B / A1anu!acCaed Flort�e ��e (� � r� �'A�l;� f u�y���� jq9 �p d��'�llryy�,�
.. 3,.n3,Y"�.�.�+�i 57,5 ��•...nl?`.,.+��?R:
r •S�,-j� rt � ..
Otlier improvemen� (6) . � •
.n- ,;:`-v, ,r.,.; :.: : s
Tdel unptwert�arrts (�vre � War� 6ne 6) C�
T�I value (1'vre 3 pds Bne � (g)
I tiereby certiy Nre above is true. mred. and sigr�ae otassaRV Dam signed
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Yeriyirg adian' Sipmhsa N Audmr DaOe signed
'.7 ;
20 _ Pay 2b _
Lesser oF 72 Homestead
vaa,�nor� ar sas,aoo
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
� FII,�D
APR 1 4 ZO10
�a� ,a
GIBSON COUNTY
fIATEfORM!"MIR=/�MI
MAStIRFFlO1tM.g1�
T IY:A [E IC V 1.121l.1
InJiriJuals anJ ina:riN cauple arc IimiteJ to orc homc�eaJ vanJaN dMu.iion. As ihr rttcip� oi �his dcduciion beconres
morc beneficial, therc is more incenmr fian e�er for homrsiead fnud Ilomnteazl fraud cau�es hi�M1er ux bills fur all: thercforr.
HEA 13J-1-30(19 requires u�papcn aho reccirc the hanesteaJ sundard Jnluaion in verify tlui they arc eligiblc to rrcene �he
benrfit aN to p�w'iJe �Yliti��ul iJentiirine information necr<vn� to allw� counrc ev�rmment ro bener monitor homrneaJ
filit�5. Thic in(nmulion xill M AttY confiCeNial and can nnk M arctmreJ hy aminriuvi roumy o�Ticiulz �fhe Ikpanmem nf
Local Gw<rnnrnt Fi�uirce xill uK �hi� intoemation 4 trcatt twls tha� o'ill h:ip eqairv ofiw9als dimiiurc homesieaJ fiaud.
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Taxoaver Name Prooert�� Address
Driscoll, Patrick/Becky
Patrick�— {��S` SIQ!'�A.i�� �C•
PRINCETON IN 47670 �
11 I R S Prince S'f
PRINCLTO\ I\ 47670
Stare Parcel Number Leeal Description
,Y 2Cr12-18-203-000.294-028 01s-oo2sa-oo SS ADD 59
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.
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ig Address (numbcr nnd>vm�, ciry, state, end ZIP codc) �
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iilin� Addrtss (Number and atree4 cily, SWIe, unJ "LIP cude)
ib' �S pr��Jc S
cial Sccurity Numbtt (last 5 dieits) Drivcrs Liccnsc/SUtc ID Niunber (laa 5 digits)
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Pert S A,9ow) .
idersignecl certifies, under penalty of pequry, that the abovz and foregoing infortnation is we and correct and that he or she is elieible to
lhe homes�ead standard deduction on this propeny. Each undersiened al,o understands that, by claimine additional homestead deductions
illy, he or she may be liable fnr back taxes and substantial financial penalties.
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