Homestead_Fears� CLAIM FOR HOMESTEAD PROPERTY TAX
°� CREDIT/STANDARD DEDUCTION
� t / State Fwm Sa73 (R6l d-03)
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' Prwcribed by Me Departrnent ot local Govemment Finance
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place of residence the fdlowing described real property for which a Homestead Property T�c Credit i �i�laimed:
'"1` �e) owned ❑ Pre buying under contract
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�Have a benefidal interest in the entity that is liable for Ne properry taxes on the property and that ovms Ne property or is buyff'g�d�e.�- conVact.
_ GIBSON COiiurv .��,.��.._
u a,ying w� comraa. Fee simple ow�ers neme
Recordefs ofice where contreq is reoorded
Rewrdnumber IPepe
Counry Tpvnship Tacing distrid (', wn'to ip)
bB( ��oo `O � Lepal descriPtlon Is Iha pmperty in questlan: -
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- V ❑ Real property ❑ Mobile Hwne (I.Q G7.7-�
I( any pwtion o1 Ne residentlal structure w Ure IarW not ezceeding one (1) aae Nat immediatey surtounds Ihat sW cture is used to produca income, describe Ne use and portion
o( Me pvparty utlllzed tn prt�duce income.
20 _ Pay 20 _
Lesser of 72 Hanestead ,
Valuation w $35,000
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Data � �^ Q
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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APR 7 - ZO10
�,IggON CO N� AuD1T0�
3170
Donald L Fears
702 E Monroe
PRINCETON IN 47670-2518
�IiRFOR\I!�'M10./HYI
iFFAY11IfA fORN :l.w
IndiviJuals and ma:riN coupin are limited io ore homesead uandtN JcUu.�ion. As the rereipt oi Nis dcducCan bttomes
more beneficial, �Me is morc ifrcrntnx than e�er for M1omesteacl fnud Ilom veaJ Gaw1 causs highrr taz bills frn all: ihert;ae.
HE.1 li4i-20(19 requim �a�pa�en ��ho raxire �hc hanesteed sundard drluction tn mritj ilui they ere dieide to rtcci.e ihc
benefit ani ro pnn'idr a�klitimul identin'irc_ Iniurm��wn nYr.-vey ia allw� aounn� Fmemment ro betrcr mmi�ur homeste:Kl
filim�. Thic inlarmmion xill 6r L,e�v mnfdauial and nn only M� attr��n1 M1y amMrimd roump oft'¢ialc.'fhr Ik�unnrni of
Local Gm�crtnnem Fi�u�e �cill u.c this information [u cr<au tuds �ha� aill h:!p eqmb' offwtials <limi�te lumestcad fraud.
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I�I��il���l�ll��l���lll�„„I�I�I�I����III��I�II�����I�II��I�I
Trapa��er \eme
Fears, Donald Wicki L
State Parcel Number
Prnpertr Address
70? G Monme
1'rinccton I\ 47670
Le?al Description
26-12-07-404-001.500.028 019-Otsoaoo PT E SE 7-2-10.372 AC
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Ow'n<r I
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Sceial Securirv Number Qasu� ) Uriver's LicenseJSum ID Nmnber (lui 5 digiB) Other (pieue specif in Pan S bdow)
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Spouse First Middk Last
V �r� � � . �er�� s
Mailin, .4ddress (t�umber anJ st�eel ri�)', smie, and "LIP cak) � Same u pmpeny addtrss
Social Stturin� Numbcr (las[ 5 di ' Dmcrs Liccnsc/SUtc ID N�unbcr Qas� 5 digit5) Othcr (plcuc spccify in Pan 4 bclow�)
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Fach undersiened certifies, under penalry of perjury, tliat the abo��e and foregoing informatiun is we and correct and [hat he or she is eligible to
receive �he homestead standard deduction on this property. Bach undersiened al>o understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penal�ies.
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