HomeMy WebLinkAboutHomestead_Dyer (5)..� ^•n
e���� CLAIM FOR HOMESTEAD PROPERTY TAX
� t CREDIT/STANDARD DEDUCTION
iY�
State form Sa73 (R2 / S92)
s � 1
INSTRUCTIONS: See reverse side lor filing instructions.
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JUL 2 8 1998
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I (We) _ , certi 7
I(We) occupied as r princi al place of r sidence the following described real property for which a Homestead P%'pe� � �e it'is Fie'r�6'�^f9i ed
I(We) owned ❑ Are buying under contrac[
Have a beneficial inierest in the entiry that is Iiabie for the property taxes on !he property and that owns the property or is buying under a contraci.
�_ . , . _ .. . :, �,-. �..« � ... . . CONTRACT RECORDED ':_ _. ,. � . ., . �:s �.. . q, . . . . . _
It Wyirg on tontratt. Fee Simple owner's name
Recortlefs oHice where contred is recorded Record number Page
Caunty
� � - PROPEH'iY DESCRIPTION - " - � = r: ` s .. - 6,,.'�� . �. .
Taxi�iy,�istnct (cityifown, towns� ip) y
Parcel number Legal desaip�ion
O l q " � l�q,-'bZ�
It any portion of Ne residen0al swcmre or Ne land not e.ceetling one (1) acre that immediatety surrounds that sWCNre is usetl to produce income, describe the use arM portion
of the pmperty utitizetl to protluce income.
� PROPERTY OWNED BY CLAIMANT IN OTHER COUMIES � - -
Counry Towns�ip Counry Township
I hereby certify the above statements are true, correct and complete. Signamre o� ciaimam
�ress (number arxl sbeet. ury, state, ZIP code)
��: ASSESSOR USE ONLY �� . TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL,", ���
. • VALUE VALUE�.. VALUE . - VALUE�� -
Land noi exceeding 1(one) acre immediatety '� - . -.
surrounding residential improvements. (�) ` - �
Other land (p) � ��'�' �
,,.:i�::o. �
7otal land (line 7 plus line 2� (3)
Dwelling (q) . � ' . ..
Residential impmvements - . , ,
Garage (g) . - '
Other improvemen[s (6) � �
Total improvements (line 4 Ihrough line � (7)
7otal value (line 3 p�s line � (g)
I hereby Certify the above i5 irue, corrett. and Sgnawre ol Assessor Date signed
complete.
Ventyirg adion - SgnaNre of Autlitor Date signed
C�J
Gibson County Auditor
101 N Main
PRINCETON IN 47670
1538
SUi£ f00.\I �)HIR / W'1
ixrnsUa[awx�zu .
4E�MME`lllrtL(A�\tG0�244MFATfP: \IEICH.I.•[J.1
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IndiriJual. aud ma-ricd couple� arc limited to nnc ham�.veaJ �tanda�d dnlunion. As Ihe �eceip� o( Ihis JMuctinn bcconres
mere beneficial, thrrc is more mren[nx than ner (or homestead fiaud Ilomnttad fami cauxs hi�lrr tas bilL fw ail: therefae.
HEA I:Ji-]009 requirts u�pa�en w�ho reccive ihc hanestred smnda�d dNuc�ion m rcrily tha� ihey am eli�ide �o mcci.e ihe
benent aml lo pnxidc mkiitiunal idrntiiyin_ intumiation rcce.sarv ro allw� counrv ernemmrnt ro beuer moniror hune�rcaJ
filiny>. Ihis infomutimi ��ill M l.cry confidrniial and nn only tu amc_ uA hy autMriied munw nfT¢ial.. Th< IX�+annirn� of
Lucal Gwertvnem Pivm�e uill uw this intortnation m crca:e ¢vle �ha� will heln camrv offitials dimi�te txmmxteaA fiaud_
James Dyer
329 E Ohio
PRINCETON IN 47670-3023
I�I��II���I�II��I���III�����II�II�����I�I��II���I�II�I��I���II
T•rxpever Name Prnpertv Address
Dyer, James/Stephanie E
;?e r: on�o
I'rinreton IN 47670
State Parcel NumAer Leeal Descriotion
.Y 26-12-18-203-000.368-028 Otaoo3sa-oo SS ADD 14v143 PTn4a 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.
Addmss (number und speet, city, smte, and ZIP code)
5
and sYree4 ��}'. s�ate. and "LIP code)
IDNumbcr (lu�
Social Stturiry Number (lasc 5 di¢irs) Drivcls Licc2ce/Siatc ID Nwnbcr (lazt 5
— — -- —
Othcr (plcuc
Same as propercy addrcs;
in Part 4
u pmprm add`as
�
Each undersigned certifies, under penelty of perjury, [hat the above and (oregoing infortnation is true and wrczct and that he or she is elieible to
receive the homesiead standard deduction on this property. Each undersi¢ned also undentands that, by claiming additional homestead deductions
unlawfully, he o: she may be liable for 6ack taces and substantial financial penalties.
Ouncr 1 SibmaWre Date Tdephonc
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