Homestead_Foutz� CLAIM FOR HOMESTEAU PHOPERTY TAX CREUIT FUR YEAH 19�
. SEE BACK FOR FILING INSTRUCTIONS ��4_po853-00 ✓
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I, (We) `� � certity that on the tst day of
A1a h, 19 I, (We) occupied as our principal place of idence the following described real property tor
I w�a Homestead Property Tax Credit is hereby being claimed: '
I, (We) owned . ,
❑ are buying under contract
O have a beneficial intgrgst_in lhe taxpayer
Property Description in �� �-�^��'""-"
Taxing District (Cily, Town, Township):
Parcel Number.
Township
or.legal descriplion shown on tax statement:
� � �-a� �- �+-. ��'��-7
If buying on contract: Owners name °eB ""'°" """",
Contract recorded in Recorders Office - Record No
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If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used lo 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:
I hereby certify the above statement is true, correct and complete.
County Township
�c .� �,-.� 7/ v /�,..� �-�-Gi �� � • `7767 0
�a . .. .. . SVeet AEOiesa � . . . C �v Si 4 2 o Co0
' I�dividual 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 immedialely
surrounding residential improvements
Other Land
Total Land
Residential Improvements Dwelling
Garage -
Total
(�l
IZ)
(3)
(41
(5)
(6)
True Cash
Value
Other Improvements ���
Totaljjprovements - Line (6) plus p) equals (8) (8)
I hei#.r,erlity the above is true, correct, and complete.
Si9^����e ol Assessoi
- ACTION BY AUDITOR -
Approved: `-^'""�`�`
Assessed Homestead
Valuation Valuation
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
2885
Randall Lee / Marsha Jo Foutz
710 S Hall ST
PrincetonlN 47670-2330
TRF JtfA fU0.4 �'�..1�
LMTt CA14�LY}flAT ip�A\ff.lt'�I.I.L'.l.1
hWiviJuals and marriN couples are limi�nl io nnc homtunJ MandaN JNunion. As ihc ¢ceipi ol �his deduaion Mconrec
more beneficial, thrrc is rtrorc incrntke dun e�er for homesrcml Gdud. Ilamn�eacl fiauJ causs hi�hrr tac bills fur all: ihercfore.
HEA 1?�LS-?(NW requime taipapen w�ho r.reive ihe hancnmJ smndard deAunion �o rerilj Iha� they are eli_iMc to receiu• ihe
benent aN io prtn'idr mklitio�ul idenuiyfnc inWrm:niun Mcr:san� io allou� counn� gv:rmment m Ntrer monitor humeattaJ
hlin�.'ILis infarmalinn will br Aryw mnfJenlial and r�n nnly h: arcrs.ad hy nuthnrimA rnumy nlTicials. The Ikpanmmi o(
Local Gm<mnent FimMC ��ill mc this inio�mation tu arca:e LLvls �hat �vill heln mmn� afTiiiak dimiw�c hercnes�ead &auA.
�i�n��n��i������n���iini���n���n�����iinn������i�i�i��
Taxnaeer Neme
Foutz, Randall Lee / Marsha Jo
State Parcel Number
2G 12-07-303-000.853-028
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Properh� Address
710SIIaIIST
Prinmton I\ a7670
Leeal Descriotion
l E WOODS 29 PT SW
7-2-10 .07 AC
1' 1
Owncr 1 First Middl< Laz�
.�e '@�1f
'•iyAl,E:cas(runS�rs.d;-�rcctci:�.�ca::.a.-.d21PcoE:i—' — --._ _'_' ___(C1..SemeasPmr-ay�_�s— _ -- __ ' _
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S�auu First Middlc I,asf
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Mailinc .Address (Number and sirttt eily, stalc. and "LIP code) � Same u pmyerty addre5;
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F�ch undersi�med certifies, under penalry of �rjury�, [hat the above and foregoing infurtnatiun is We and correct and that he or she is elieible to
recei�•e the homestead standard deduction on this property. Fach undersienzd al;o understands tha4 by claiming additional homestead deductions
unlawfulh�, he or she may be liable for back taxes and subs�an0al financial penalties.
Owner i SiymaUUC Uaic
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