Homestead_Ellis (6)CLA.IM FOR HOAAESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
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PresaLeE by Ihe [7eper6nent of Laal Gouemnas Franw
OJSraucnoMS: see raverse s;ee ror (diny inmuc&ons.
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��e) � ��`± rl'`-+�LJS6t� r fhat an��, 20_
I(We) oowpied a prmdpal place M resider�ce the fypaMingEescnbed real poperty far whirh a Homestead Property Tac t is daimed:
� GIBSON COUNTY AUDITOR
�� M'e) owned ❑ ae buymg unaa cantract
Have a benefidal mterest m ihe entily tliat is liade 6or ihe poperty lazes m Me propeAy a(M C�at ams the property w is 6uying undflr a contract
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M G+Yvi9 om m�trat Fee Sirt�le uwrefa reme
f�mrdefs atf� whae mr4a�1 i+ remded Remrd numhar Page
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� ne�eny certiry �ne anwe sarert�nis are true. correa and mrrpeee.
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y �0.SSESSORUSEONLY ..' s *�`� :." 7RlJE,TAX ' ASSESSmVALUE `�FWIff_S7EAD.� �r NONRF.�8171f1L-n'+}�.�
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Residential "vnprvvertients orMnually �� �4� `. :� �.i �`�� t�?�s�':m�.�:''7'�rs"��+"�
Assessed Abdle / AlaraAac4aed Flartie a� R''�' y,�, F y�:�,.?.y`- .�.�''*TM+��4��:
Garage (5) �3,� r'�:�i � t 7* -"�w!.
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Tdal 'unprovanerrts (!rre 4 Uwugh 6ne 6) (7)
Tdal value (I'sre 3 pks ffne n (8)
I hereby certiy the abwe's We, oarect. and SiBrema otAsaessu Dam e'gied
canPlete.
�Mre emm - Si�puume otAuSOOr Date 6igned
. . - . , ... � - :ST/WDARDDFDUCTIONALLOWfWCE� .;;:'.• � +;�'y,;+"� >*,:r;'r',�'-�;?�.
20 _ Pay 20 _
Lesser af 12 Hort�ead
Valuation or f3.5.000
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Si�aEne of AudOor � b�
Gibson Counry Auditor
101 N Main
PRINCETON IN 47670
728
�TA�E f(1Rn1!!WI�/5"��1
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Indiriduals and ma-riN touple� are luni�ed to onc Irome.teaJ standaN dnlu.�ioa As Ne rtteip� ot ihi> dedunion hcome..
murc brneficial, thzrc is mwe incrntire thin ner (or M1omnteacl (rdud. Homesttad Eraud causes higMr ta� bills for all: therefae.
HEA IiJi-?IX19 requves uxpa.crs v.�ho recci.e ihe hrnnestmJ standard drJuction io verih� itu� �hey me eligiMe w mcei�e the
bnnefit aN to p'm'idr m]Jiiional identifyinc infurmanon nemsan ro allow� counn gwrmment eo N;tzr moniror homrne:W
filin�. This in(omutim will br Aryr mnf:Lrnial and ean nnly FY acresseJ b.' author¢N roumc af7icials.'ITe Ikpanmm�t of
Lacal Gmcrtvnrn� FivMe ��ill u�c this inimmation to crcam [eols �hat wili help co�mn' officiaL' dimiwrc FpmestnJ lraud.
Taxoacer Name Prnpertc Address
Ellis, Bryan M/Rebecca L Parker
�O7 N' Sp�uce ST
1'rinceton I\ 47670
Bryan M Ellis
407 W Spruce State Parcel Number LeQal Description
PRINCETON IN 47670-1247
I�I��II���I�II��I���III������II��I�I�I��II���III���I���I�I�I�I XZS-�2-07-101-000.697-028 01s-oo697-0oFORESTPa.�K1PT
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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g Address (number end sv�it, ciry, swe, end ZIP code)
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Security Numbrr �last 5 digits) Drivds Licenscl5ute IU Nwnber (lut 5 i
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Address (Number and 9rte4 riq', state, and GfP code)
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ecuriry� Numbtt (lazt S diei�s) Drivtt's Liccase/Statc ID Nmnber �las� 5 d�.
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cnrifv in Pan 6 Mlnal
Fach undersigned certifizs, under penalry of pequry•, that the abo�•e and foregoing infortnation is we and correct and that he or she is elieible to
receive the homestead standard deduction on lhis property. Each undersiened al>o understands thaL by claiming additional homestead deductions
unlaa-fully, he or she may be liable (or back taYes and substanrial financial penalties.
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