HomeMy WebLinkAboutHomestead_Engler (4)CLAIM FOR HOMESTEAD PROPERTY TAX FORM � YEAR
CREOIT/STANDARD DEDUCTION HCto 'f �
State Form SA73 (R6 / d-03)
PresuibeC by Na Department of �oral Govemment Finance
INSTRUC710NS: See �everse side (w filing insfructions.
�_:�.ii .,u ��>;. �` '��r _� µ."..�' =`.�:-:s����i'-�'`_ ERTIFICATION STAiEMENT.`. :hf;- s; � ... •' H ::� -
��e� , 1 r . . . . certifyrtnatPonjhe�s���ofMarch.20_
I(We) occupied as our principal place of r dence the foilowing describe al property for which a Homestead Property T�c Credit is hereby daimed:
❑ I(We) owned ❑ Are buying under wn�ract � �a� �
� Have a beneficial interest in the enGty that is liable for the property taxes on the property and that ow������js b�g17nOdner a conVaU.
�Nil' 6
If buy'ug on conVact, Fee Simple ownefs name
County
If any portion t
ot the praperry
conVactis recorAed
rumsnip
sWCture w Ne Wnd not exceeding one
ke iMOme.
lha�
Rewrd number . � Page
Tating tlistritt ([iry, fown, township)
�y5i e property in Question:
f ) 1
�C V ❑ Real property ❑ Mobiie Homo p.C. 67J-7)
wrrounds that swaure is usetl to protluce inwme, describa the use antl portion
"�^r 4��.���` ASSESSOR USE ONLY� -��`�� a�� �kTRUE TAX+' y.-�� ASSESSED'VALUE �. HOMESTEAD?' '�NON=RESIUENTIAL ri
��.ar�.X�Y.�.:.`�' ��:�t.w �..%�t.�a.4�a:.�i�tiVAI.UE�.�.> ,.AT-100%OFTN,;t.�..,.`�`F.VAUJE-�i��t�'-a.�c�.s.VALUE.s�si"���
Land not ezceeding 1(one) acre immediatety 4� �„F p, �$��?���tt"��
suvounding residential improvements. (�) �;�i �'�������� ����'•
��"� ���
Otherland z � ^a . �
i ) tc�,�a�-,a'��'w x �",
Tdal land (line i plus line 2) (3�
� � r ; �_��
u� .` ����.
Dwelling (4) '-# s.�.a �, �.�
�Residentiel improvemenLS orMnually ���^��� -����' �
AssesSed Mobile / ManufaQUred Home y 5 %� .��-�����$�
Gara e
l ) '�—�q_.s� _ - z's: s ,x.�
.s,fi�'�. "--•ac'��� n._�Iz�,:£�!
�4 t� ,�_..-:��:
Other improvements (6) !`-�i -.�-�,^,.;"5>�'�
-�:�::"-,�'S b,S'...
Tclal improvements (line 4 through line 6) (��
Tatal vaWe (line 3 plis line � (g�
I hereby certify the above is We, covecf, and Signamre otASSaswr Date sgned
complete. -
Veii(ying actbn - SignaWre of Autlitor Date signed
20 _ Pay 20 _
Lesser of tr2 Homestead
vaivauon w E35.000
SignaWre af NWriw
; .-
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
1499
iliR IOIIM!! W I.C�/ 4N1
.\�i1fIT'E110Y [��TE B[l\PnT.MY�4.\ia. Y�r,
IRf`TN�fnflT iHf UFPMTQ:IIf4 L(w:LL
1RlASVRERFORN:SIA
IndiriJuals and marriN coupks arc limi�ad m ore hnrtreucad uanCartl JNu:�ion. As 1hc rcttipt ol ttti> Jcdunion beconx�
mure brneficial, thrrc is morc incentire ttun e�er (or homesteaA (nuJ. Ilome.+�e�l fiaml causes hi�hzr ta� bills Iw all: thertfne.
HEA I i}3-?1109 requves uapaycrs who rcccivc Ihc hanes�:ad standvd �kvtunion m ccrify �hai they arc cligiMc lo reteite �h.
brnefit an1 tu pu'ide :YIJIIIUNI idenuiyin_ inturncnron necrsvn• ro allow' crounn• gUrmmrnt to betrcr muniror homeseul
�ilin��. Ihis inlortnalinn w�ill M Aryw crnfiJcmial mA cnn onl�� R avmx.cA bc autlmri¢A rnnny� oflicials.'1'hr Ikpanmem nf
Ta�parer Neme Prnpem• Address
Engler, Paul D/ Virginia L
?00? Glcnwix� DR
Princeton 1\ 37670
Paul D Engler
2002 Glenwood Dr State Parcel Number Le�al Description
PRINCETON IN 47670-1041
�i�u��in�i��n�n����unu����nu�u�in����inn�i��n�il l� 26-11-12-103-000.436-028 01�100436-OOTOWERHGTS215PT216
ier I First M�UNe
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'ig Address lnumUCr und svm, ciry. smm. and ZIF codc) -� � Sumc as p� "Y,r' :.dL:c,s --"
OU a %� r, Q���"�, �'r. �t �� 70
al5muriry� Number (last i diei6) Dmers Lice2ad5taie ID humber (lu� 5 digiLS) Olhe� (plcae specify in Part 4 below)
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undersitmed certifies, under penalry of perjury, that the abo��e and forzgoing infurtnation is true and correct and that he or she is elieible to
re the homes�ead standard deduction on this property. Each undersigned also undemands thai, by claiming additional homestead deductions
�fully, he or she may be liable for back taxes and substantial financial penalties.
I Signapue Uat: 'I'clephone
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