Homestead_Eagan�� CLAIM FOR HOMESTEAD PROPERTY TAX 'YEAR
s. CREDIT/STANDARD DEDUCTION �
,�.? State Form Sa73 (R2 / 5-92) .
,.'. F E B 2 5 1999
INSTRUCTIONS: See reverse side lor filing instructians.
� " .. , . ° :. � - � - � � • � � -` ^ �:CERTIFlCATION STATEMENT � � . �•.��- - . � . . . - ,
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��we) _� �'� t� _��- a-,°- � ceniry hat G�i+�is y �Tr�t�iP��A
I(We) occupied as o principa� piace of residenc he following described real properry for which a Homestead Property Ta�c Credit is hereby daimed:
�1 (We) owned ❑ Are buying under contract
� Have a beneficial interest in the entiry that is liable for the property taxes on the property and that owns the property or is buying under a contract.
• - - . CONTRACT�RECORDED '. - = - � �
If Wying om m�tract, Fee Simple owner's name
Recorder's oHice where comract is recorded Record number Page
.. � � PROPERTY�DESCRIPTiON � - - � . A � - --' - �
County Township Ta� tlistrict (ciry, town, mwnship) '
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Parterl number I Legal tle5cription
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If any ponion of Ihe resWential swcture or Ihe land not eaceeding one (1) aae that immediatey surrounds that struc[ure is usetl to protluce income, deunbe the use arM portion
of ihe pmperty utilized to produce income.
' PHOPERTY OWNED BY CLAIMANT IN OTHEH COUNT7ES �
Counry Township Counry Township
I hereby certity ihe above statemenis are irue, correct and complete. Si ure o� ci .mam `
G ON'1
ress (num6erarMstreet. dry, state. ZlPaode)
��� 3 z 3 7A.0 �e r/�r�e •
- ASSESSOR USE ONLY TRUE TAX ASSESSED NOMESTEAD . NON-RESIDENTIAL..
VAtUE VALUE VAWE VALUE �
Land not ezceeding 1 (one) acre immediately . ' � - " � �
surrounding resideniial improvemenis. (�) - '
Otherland (Z) } . �
'.ro ,.
7otal land (line 7 plus line 7� (3)
Dwelling (4) - _ � • �
�i' _
Residential improvements .
Garage (g) .
Other improvemenis (6) � �
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line 7� (g)
I hereby certify Ihe above i5 Uue, correCt, and Sgnature of Assessor Date signed
complete.
Veriryirg aaion - Sgnanre oi Auditor Date sgnetl
Gibson County Auditar
101 N Main
PRINCETON IN 47670
•
aU�E fOItM �l!M IR: /YMI
nt�suunwx�au
fnJiciJuaL� anJ ma:rinl coupla are luni�ed io onc honrewcaJ .tandaN Jidue�ion. As the receipt ni Nis dedunion becrnre�
more beneficial, therc is morc incrn:n�e dun <ccr for home.rcaJ fraud. Iiomr>�ead frsud cau� highrr tac bills tur all: therefore.
HEA 13-i3-'_fNW requim uxpa�m who receive the hanesteaJ standard �krluction to .crilY dwt they am elicible io mcene iM1c
benefi� anJ ro pnxiUe aikliiional identit��im_ infumuitiun �xcovn ro aliw� counn� gcn'emmmi tu betmr munitor IwmestcaJ
filin�.lhis inlormuion x�ill he Aepl mnlldential and nn nnly h arm¢A by awhnriicJ romuy officiaL.'fhr Ikpanmem nf
Local Gu�emmrn� Pinanee �cill me thfs fnformmiun to areate 0.wis that aill h:Ip cnunq� olfieiai. diminam hcmnestead frauJ.
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T•rspa��er Name Pronert�� AJdress
Eagan, Randy G/ Rebecca L
?3?3 '1'avlorAV[
Princcton IN 47670
3294
Randy G/ Rebecca L Eagan
2323 Taylor AVE State Parcel Number Leeal Description
PrincetonlN 47670-3213
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idersi4med cenifies, under penalty of perjury, that the above and foregoing infortnation is we and coirect and that he or she is elieible to
the homesiead standard deduction on this propeny. Each undersiened al;o understands that, by claiming additional homestead deductions
illy, he or she may be liable (or back tares and substantial financial penalties.
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