Homestead_Fouts (3)FaAen Hc �a ism
P�esGri�ea By State Boa�C ol ia. Commissianeri
io Be FiIN in Duo��cate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�� �
SEE BACK FOR F.ILING INSTRUCTIONS Qr9— �OgSy'�D
l/
�We)
� arch, 19 I, i
which a Homestead
.� X/ni� �-
Ve) occupied as o'Ur principal place of refrfden�
Property Tax Credit is hereby being claimed:
-� certity that on the 1st day of
the following described real property for
I, (We)`�owned ,
�O are buying under contract
❑ have a beneficial ir}4erest in the taxpayer
Property Description in ot� -�-�� County ,��� Township
Taxing District (City, Town-Temmship):�
Parcel Number or legal description shown on tax statement:
�, C.%� , 5'" ��i -�'
T"'
If buying on contract: Owners
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:
certify the above statement is true, correct and complete.
County Township
i P.i1.fi1G� ��"f
Giiy. State am 2io Wae
'i��i0
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 im�e�nts � � �
Other Land
Total Land
Residential Improvements
Other Improvements
,�uN � s �s7s_
Dwe ing
e
�
AUDITOR
T Improvements - Line (6) plus (7) equals (8)
i�
,1�aby certify� above is true. correct. and complete.
Signawre o� nssessor� ��� //
True Cash
Value
(� ) �5�� o
(2) —
(s����o
(4) b s0
�5� S �-RD
(6) .4L—C�s—ZJ�
,,, -
(81 �
Assessed Homestead
Valuation Valuation
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Date: —�i�[����
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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iliiE!(1RN �!!MI�/ fwl
i11EnSUlFAWR4:ilA
InJiviJua� anJ ma:riN coupks arc Iimi�eJ io orc homeucaJ �andaN Jnlunion. As Ne rcceipi o( ihi> dcdunion beconxs
morc bcnencial, tMe is morc incrnme dun e�er (or M1omrsrcad fnwl. Homestead fiawl causa hi�htt tac bill> tm all: thertforr.
HEA 1i33-71Ml9 requires mxpacen �ho rttcive ihe hanesmaJ s�andard JNuction ui verily iha� �hcy' are eliciMe m recri�e Ihx
beneni an1 ta p�w�ide additiort�l iJentin'im: infom�atiun nece.nrv �o allw� counn� emrmmenl ro Nt¢r monitur homesrcad
filin�s. 7Tix inlomuiion aill be {.qv cm( !miial anJ c�n nn11 M. acces.eJ b. awhnmN cnumy olTcial.. The Uqunnrcnt of
Lucal Govemmem Fi�unce will u<e this informa[ion m area[c nwle tlut will h:lp cvunn' ufficials diminam Ipmestead (mud.
,•, ,, '"
Taxoarer Name Prnoertc Address
Fouts, Marlin Keith / Carol Jean
407 N' Lmc�on S'1'
Princeton 1\ 47670
25�%
Mariin Keith / Carol Jean Fouts
407 W Emerson ST State Parcel Number Lesal Description
Princeton IN 47670-1326
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Ouner I First Middlc . Lu�
IY1�1�lriJ /�E;rN �uurs
g Audrev (numh:r snd �o-sc, citj, s•s:c, and ZIP:od:) �$ntne as rmreM ndd�ew
1-� Q 1 �•{�, F 11'I L'lE.$d !� .$ i.
$
Spoiuc First � Middlc Lut
C'��R o� �� F} n� �U U Ts
Mailine Addrtss (Numbcr and avtt4 cii)', sime, nnJ'LIP calr) � Sumc az pfopeny addm;
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Fach undersiLmed certifies, under penalry of pepury. [hat the above and foregoing infortnation is we and correct and that he or she is elicible to
receive the homestead standard deduction on this propeny. 6ach undersiened also understands that, by claimine additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
U.'ner I Sibmnwre Uate '
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