Homestead_Foster (6)FOflM HC 10 79i9
Prescri�ed By Sia�e Bwra ot ia. Commissioners
io Be Pilea in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19� ✓
� SEE BACK FOR FILING INSTRUCTIONS p�q -oo $Y8-oa
�arch, 19_��, I, (WeY/occupied as our principal place c
which a Homestead Property Tax Credit is hereby being
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial inj�erest in the taxpayer
Property Description i
certify that on the 1st day of
the following described real property for
,�� Township
Taxing District (City, �ewrt; T�rrtship): ���
Parcel Number or legal description shown on tax statement:
�. _ E% �E� /—a�—/o , r�'S_lu�w�
If buying on contract: Owners name ��� simo�e aw�e,i
Contract recorded in Recorders Office - Record
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: County Township
is true, correCt and Complete.
' Individual either owns or is.buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
T�otal Land � I L °� �
Residential Improv JuN cl � �9�9
(�� i
Other Improvertie�
i
/
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. � �.
True Cash
Value
��� �SSo
(2) �-�
(3) �`S S—o
Dwelling �4� ��S
Garage (5� a ► �D
Total �6) ,1 c�o 't'
Tr' Improvements - Line (6) plus p) equals (8)
I�by certity� above is true. correct. and complete.
SignaWre ol AsseSwr
(� ) -�-��
(8) �° �
Assessed
Valuation
So
r��,:
Homestead
Valuation
�s'o
_ _. . .
. .
�' — / S-- 7,�
Da�e
Date: —b ' /�' 7%
Gibson County Auditor
101 N Main
�• PRI�3CETON IN 47670
�
3162
John G/ Lois Kay Foster
700 E Christian ST
Princeton IN 47670-2757
�IARfOR>1�!W1.2'(w'1
.V �R(1�'ED BT �!.\lE BlNROM NYY�I TC b'I
irtf15U[Flt fORM :11�
InJiriJuals and martiN couple arc limiinl io nne homc,teaJ uandaN dc�lunion. As Ne rmcipt o( ihis dNuction becnmes
murc beneficiai, therc i. morr fncrn:ire dun e�er ior M1omr.'teaJ frduA. Ilome��eal fraud caaces hi�her tan bills ta all: therefwe.
HEA 13iJ-3009 rcquim uxpa.ers v.�ho r.cei.e the hanes�raJ standard �iluction m.eri(y tha� �M1ey am cliciMe to meene tFe
benefii aml ro p�m�id<:¢IJitional idmtiiring in(wm�non ,xcn'vn� ro allw� counry go.rmment ro bertrr moniror homeread
fili�r�. Iltis iNnrmalitui will M Ae�v mnfideNial and can nnly h: acces.nl M1y amMriuvl munry� n17ci�ln.'IM Ikrynnrem nf
Local Govcrmncm Fina�rce �rill m< this infonna�ion �o arcam e�wln �hm o�ill h:lp euunry offirials eliminme homatcad BauJ.
.�� �. �
���n��ni�i��n�in���uni�i��in�i���i�ni���ni��uu���i�
TJSP81'f'f �JIIIC
Foster, John G/ Lois Kay
State Parcel Number
26-12-07-404-000.848-028
\
Prupern• Address
700 G Christian S'1'
Princeton IN �7670
Leeal Description
019-00848-00 PT SE 7 2 10 .8128 AC
KOLBS ADD 37PT
1 �
Owner I First Middle ( / Lati
�i��� � �i���i "'
-.ig .lddrtss (numScr wL strxt.'eiry: sate: and Z�IP,co�d.j - . _ / .❑..$ome ns pmpem nddrec:._ _ ' ' ' _ _
U � �• C�J Q�- 7-.
$
SErouu First Middlc Last
Mailim__� Addras (t�umbrr anJ sVee4 cil�', stalc, and LIP cak) � S:une s pmpertv addrcs.
Social Securiry Numbc� �laa 5 digits) Drivcr's LiccnsdSUtc ID Numbcr Qaa 5 diei[s) Othcr (plpsc spccify in Pan 4 bcbw)
Sve
� � . �
Each undersigned certifies, under penalty of pepury�, that the above and (oreeoing infurtnation is we and wrrect and that he or she is elieible to
receive the homestead standard deduction on �his property. Each undersi¢ned al>o understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taees and substantial financial penalties.
P.'ncr 1 Siene � Uate
Spou>cSi re i� Tcicphonc
\ /
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