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CLAI��I FOR Ha��STEAII PROP�tTY TAX C�IT FOP, Y�tAR 19.� ./
SEE BACK FOR FILING INS7RUCTIONS Q�9- Q0�.30- a0
�� ,L Q,,,, ;,� o �� 1�.%QA , certify that on the lst day o:
�,.h� 1,x�y �, �.,_) oc ie3 as our princioal olace ot residen� th= follaaing descri.b�d real
�g°.rty I"t5r w'ch a Ho�ste�3 �opA.sty Tax �'erlit is hPSeb�� b�ing clai�red:
i, f1e) owna3
� aze bv�inc? un3er �ntract
� have a beneficial intezest �in the ta�ax�ye�
Proe�rty Descriotion. in .% J .C`fY�
Tar.inq District (City, 'ibc,n, �bwnshiP� :
Nimty
TvJmshi;
��r.�l i�u�ti�•.s or legal descrintion shot+T on tax statanent:
\�4`R���_^^ {l. y d' L,h; Dr./1�,4n) �+"r���
?= DU.'117� on �ntract: Ocyners r�re (�e� si.�le awner)
- - Co:,`ract re:ord�i in P�m�=r's O°=ice - Fecord I3�. Page
I= any cor�.ion of the residential s`s�cture or `he land, not er�e�ii-ng or.e (1) acre that
ir,cN.�iiately sun.�o�s ;�a± structure is us�i ta produce incrnw_� describe ti� use az�d oortien o_
the pioperty utilized to pmduce irrorm
*.n:r o�'•_r m�ties in which individual a��ns or is bu�ing real proo�.str�:
h�rsy c.� �ify th_ abo� 5`aterent is true, mrrect arsi cmr'�lete.
. . , „ �T- � �
Cb�iv �.°nshio
City, State acz3 Zip G
*Inciividual eitM_r arns or is biying �er a a�ntract that provids he is tn nay 'che
pro�_rty ta�cs on �he residence, or has a�eficial inter�st in the ta�yer. .
- FOR ASSESS(?R�S USc OP;LY -
Lan3 not ex��g 1 Sone) acre i�rediatAl.y
sisrourriing resi �..ntaalt�u.-ura�/ro`�varents
O'-�her I.and �� � � ��
T�� � 198G
P�sidentia171cpro��nts ixaelling
�� ��jp1TQR Garaae
Zbtal
o�-�h�s 7n�rovan-.nts
Te •. Srroromvesrpnts - Line (6) pius (7) �ls i8)
True Cash Pssess�i F3arros�.�
Value Va].ua�icn Valuatio:
(1) / 3 O O `'`'�` °
cz) %// / ;
c3� � / %/%�
�4� / %/% �//////
(5) � � � � i
(6) � (o 0 o a 87o
�,� � � ����/
ce) � �������
T 7:°SP17y' C.°1.��'1I}' tYl° ci�7Q�7° 15 tSll°_r COi7°_C�r c.IY� OQiIDl?�.
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Si�atur_ oi Pss°sscr
- ACTIOt� Bl' 4UiliT��r��
D3�: 3 - .5 g C� .
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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1631
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.11iiE �OA.N �!'M� 1�/"W I
MASURER W0.M :}IA
IndiriJuaL anJ �nvriN aouplo ace limimd �o onc homcs¢aJ aandaN JeAu.�ion. As the reccipt ol Nis daluction beconxs
murc beneficiaL rM< i. morc incrnm'e tlmn r�er (or honxsteaJ frauJ. I IomrseaJ GauJ causes higher ta� bills for all: ihercfae.
HHA R4-4-'_IN19 mquim iaapa.en who «ccire ihc hanesteeJ sundard �k.iluc�ion m verify ihat �hcy arc eliiiNe io recci�e ihe
benefit an1 io pnn'iJe ahfitiunal iJentityinp intwma�wn nem'vrv to alluw� counp� ga'rmmenl ro bever moniror humrste:xl
filin�o�. ITiis inl'omuiion will 6e l.cp mnfidenlial and can onl�� h� acccsud bv amhnriud counn� n(1¢i�al..'IAe Ikpannrem nf
lucal Gwcrmncm Fivm'c �� ill m< thfs info�mation m crcau 0.wis ttut will hc!p cpmn� ufnc-ial. climiwrc homc �caJ fiaud.
' • ' , , , .
Taxpacer Name Pruoertc Address
Fisher. Keith A/ Jane A
Keith A /Jane A Fisher
919 W Mill
PrincetonlN 47670-1203
I�I��il���i�ll��l���lll������ll��l�lll�����ll����lll�l��ll���l
'� 2 i �f� � �'
nadrcss (numcer ond�¢eec ciry.-smrc, and ZiP cuJej —'-
919 W A1ili
Princewn IN 47670
State Parcel Number Lesal Description
26-11-12-204-000.830-028 01s-ooa3o-oo SLOnr� ADD 4
1
" -. ." - " �. $.lfiX�Bi FrG�w1' G:.�.I�v' - � _
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Address (Number and strcei, city, 51a1e, and ZIP cak)
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O[hcr�plcssc
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undersiened certifies, under penalty of �rjury•, that the above and foregoing infortnation is we and correct and that he or she is eligible to
:e the homestead standard deduction on �his propert}•. Each undersiened al>o understands that, by claiming addi�ional homestead deductions
+fully, he or she may be liable (or back taxes and substantial financial penalties.
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