Homestead_Fitch (4)Giqson Cmnty Auditor
101 N Main
PRINCETON IN 47670
•��I.I_,E D
_ APR 6 zuw
GIBSON C UN� q�pITOR
2883
Dor�� }"s Richard / Fitch
60�Christian hVE � � .
Princeton IN 47670
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InJi��iJuals and ma,-ricJ rnupk� arc limi¢d �o orc hnmcsteaJ �andaN JNuaion..4s ihe recerpi nl �his dcJuctan bcconres
murc beneficial, thrrc is morc incrncive tlun e�er (or homestrad fr�uJ. Ilomo�ead frsud causec hipJrr Iac bills fur all; thercfwe.
HEA 134-4-3(I(19 requim taxpryen �ho rrccive the hwnesicad s�andard JNuctian to .erily ttui tM1cv am <IiciNe to recei�c the
brnefit and tu pnn'idr :xktiGo�ul iJenut�'im_ fniurmauon Mcesary to allw� counrv gorrmment �o Ntrcr muniror humes�eaJ
flint.�. Ihis in(nrmatinn will M f.ery confdrntinl and t:�n nnk M� ncee� vl h�� amhoriicA rnumy nl7ici�ls. "Ihr Ikpanmem of
i oeal Gm<mmem Fieu�e ��ill ux this intormation w creatt 4vls �hat will h:lp cwnn oHieialx elfmmaie homeacad traud.
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Trsoarer Neme
Fitch, Dorris Richard /
State Parcel Number
26-12-07-303-000.823-028
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Propertc Addre}s
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606Lhristian Jli�F �
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Prinretnn I\ ;7670
Leaal Descriotion
019��00823-00 PRINCE PLACE 56/57/58 PT
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Oxnn 1 First Middlc / Lazt
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�eAJu�u;(eamG.rard�so-.ct:it�.-s¢:o:anL�2!^coC:) - _ _ ' _ _ _'�j,-enmen.prn;�emoddrc: '_'_ ' '_ �-
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lr Olo � . e r ' .%c� �. '7/-; h.c .f o,. 1 !.� �?4?d
$ocul $ceurity Number (last 5 Jieits) Ihiver's LicensdS�am ID Nmnber (lazl 5 di:iu) Oiher (please sptcify in Pan 4 below)
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Each undersigned cerrifies, under penalry of perjury•, that the abc7��e and furegoing inForznatiun is we and correct and that he or she is elicible ro
receive the homestead standard deduction on this property. Each undersiened also understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for hack taxes and substantial financial penahies.
Ou'�rcrlSiEmaturc [�IC 7'cicphonc ����� ���_'���
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FOflM HC 70 1979
PreuriCeO By Sute Bwrtl af Tax Commissioners
To & FiIM in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CAEUIT FOR YEAR 191� �/
SEE BACK fOR FILING INSTRUCTIONS o�9� �Q �%,1'�...00
v
�,(We) •� ' �� that on the 1st day of
.iarch, 19 I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) L`i"owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in -�� °-B"� County �� - Township
Taxing District (City, Tewn-Tew�ship):�
Parcel Number
If buying on contract: Owners name (�� SimD�e
or legal description shown on tax statement:
�2l�svcl_ )''� S'�C `� S`�r2�W'/i
Contract recorded in Recorders Office - Record No
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
certify the above statement is true, correct and complete.
.� _ D . � n ��
_ Strret AtlOress
County Township
Ciry. Swte ana Ziv �e
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneticial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding�(o ) acr immediately
surrounding residen ta irr�irove�ents� �
Other Land
Total Land
�.U�' i � 197�
Residential Improvements
l��l
/
Other Improvements
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� AuairoR
True Cash
Value
(>> �3d
(2) —
(3) � 3 a
Dwelling
� (4) �`.-Tr�-U
Garage �5� ao (�-1%0
Total �6� �'�°"
T�Improvements - Line (6) plus (7) equals (8)
I;, .,uy certif� above is true. correct. and complete.
Signamre o� Fssessor
v
Assessed Homestead
Valuation Valuation
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- ACTION BY AUDITOR -
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Date: �� � i ��