Homestead_FryCLAIM FOR HOMESTEAD PROPERTYTAX
CREDIT/STANDARD DEDUCTION
Stete Fpm 5/73 (R6l 403)
Prasaihed by Ne Department of Laral Gavemment Finar�e
INSTRUCTIONS: See reverse side lor �ling inshuctions.
FORM YEAR
��1 ci p�
p�J
JUL 1 7 2006
� (�e>—_Y� (�-i'/KJ y�! � � 1�-� O'`6� .�/�
certify that on the �st day o{�March, 20
I�(,W(e) occupied as our principal place of residence lhe follo ' g described real property for which a Homestea��peii}% fe�Ei�7il�idVi�i E�Baimed:
',2y I(We) owned ❑ Ne buying under contracf
� Have a benefidal interest in the entity that is liable for the property taxes on the property and ihat owns the property or is buying under a conVaU.
I( buying on contracl, Fee Simple ownefs name
Ftecordels ofice where coniraq is remrded
County � To.vnship
Par I nu r g descriDtion
��
if any poM1ion ol lhe residenllal aW cture w Ne land nat axceeding one (1) ave that
of ihe pro/p�erry ufilized to produce income.
/ (�/�'�"� �
County
Tavnship
I hereby ceNfy the above statements are We, coved and complete.
(number arM streef, city,
Recora number
the
Page
I �Real properry ❑ MobJe Homo (/.C. 67.7-7)
surrounds that sw ure is used tn produce income, desaibe the use and poNOn
Counry
' ' - . _��
s� F
�� pT s' ;�'�' � ��}� � ���d�"s -�= � TRUETAX� � ASSESSEDVACUE HOMESTEAD ' °� �'eNON"-YRESI�ENTIAL�"'�
�'h ASSESSOR USE ONLY � ���� �.
,.,,�.
�aS':'a�.�:�.-'3:�v �,e., n: ��"i `.."K.�. �.,,a� �...•�� �.tVflLUE.�`�.z., �„' ATF100°�/e�OF,ITV� ��,VALUE�`.� � s.�it..',-�"�VAL:U�.ax:�"_�.:%�y`�
Land not exceeding 1(one) acre immediately �,� ;F� '��,�.�r',-�' ev+.�,�*+ ,�
surrounding residentlal improvements. y��'"��'�a�. �y�� ,, �,��9::<
Oiher land � '+�a'��=�� . �
(2) � u ..
.4 ` ��, �
Tolal land (line 7 plus line 2) (3�
l.z^ a � .syy- Y�'-+=" °a
`�.z-f � r; .a.i� ... ... � _ �r -u�
Dwelling (4) . �z. ,.3t•x r,,; _ � .'r . � �4r �
�ResidentiellmprovementsorMnuaOy r���,-��'�%°��' -=' �'
Assesaed Modle / ManufacNrad Home Garage (5� ��,',�!y_= s;�ry],� '`'�' �3J'`'�
��'�� � fvi2=��Y • ... ��
# "i--� �`€��
Otherimprovements (5) i���"s'� �TM�v '*�
� i� �
T�al improvemenLs (line 4 through line 6) (�)
Tctal value (line 3 plis line � (8�
I hereby terti(y the above is We, covecl, and Signature of Assessor Date signed
complele.
Vailyi�xj action - Sgnature oflwditor Date sgned
� .�2 ``~ _�. w�1`"r� -'`�"' � ��" _�"STANDARU:DE�UCTION ALLOWANCE?t °=�"'�`"" �� '¢ "€y� � R, "`"'
.�F�r��f.�v"�-^t-'la�':2�.....,$R`�,K�te�a�,.�'•e. Ms�� .�..AxF�'!u'�fi..�Y.iii:�.'~bv.si `.YT s��+a.t��`$i�4-Y+''��•..:.a
20_Pay20_
' Lesser W 112 Homestead
vauanon a E35.00p
S
SgnaWreolAUditor � Dates"gneA
� r- •
Gibson Counry Auditor
101 N Main
PRINCETON IN 47670
�
ST��E fORM �) W IM1:/�wl T�AtiI%l[A PoRM �SIA
N�M*'EUpT[[UEB(WU�Of.aR��PTi9v pEf�CWBmUYt�i�DFPMTNF.YlUFLPAIf�R�MO.ifO:G]CEICH.131A1
' � ' • � � � 1 � . � . . � .
InJiviJuaL+ mW mertiN toupks are Iimi�M io one homeucaJ �andaN drduction. As ihe nceipt ol �his dMumm� beconres
morc beneficial, thrre is morc mcentive Oun e�er (ur home.tead G.md. Ilome��eaJ fraud causes higher iaa bills (ur aIC theretore.
HBA Gii-?009 requiles u�pa�ers who receive �hc hanesteed siandard JeJurtion m.eriiy that �6cy me dieiWe io rtcene ihe
benefi� aN to prtn�iJ<:uWitional iJcmiiyinc infurmatron nemsan m alluw counn� gv:rmmem ro bever muniwr humes�e:Kf
filin��.'Ihis infomuiion wili br {.qu emtlJmtial am1 can nnly M� arcn�nt Fr authoriuvl rnuni�� nlliciaii. The Ikrynnrnt nf
Lucal Gmcmmem finani�e e'ill u.< �his informauon to crcam ewls �Iw� x'ill h:Ip eounry oBxial. diminarc humes�<ad haud.
. � � � � �
Tnxpavrr Name Prooertc Address
Fry, Robin R
$11 \ �mwnlctt
Princcton 1\ 47670
-- -- - 2403 - -- ----- - - — - -- - -- - - - . _ _ _� _ � _ ,
Robin R Fry
511 Brownlee St
PRINCETON IN 47670-1213
I�I��Ii���l�ll��l���lll������li��l�l���ll��ll�„�II���III���II
State Parcel Number Leeal Descriotion
26-12-07-101-000.679-028 01s-oo67s-o0 FOREST PnaK 19 PT
\
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Owner I � First Middle Lazt
�ob; n � ; �,k� l�- �r�l
e�.1dLr.s;(r�'�S.-�and,5ect'ciry:s•,a:e�a�dAPcod:j _ ' '- '_ .. mencpmperty.aeidrecc. _. _ . . -- _
�l� I�. ►3t�own �ee A�e. Pninc��on���,�1'?G76
Spou;c First h1iddlc La�t
�erte
Mailine Address (Number and strtt4 ciq', slnle, anJ "LIP coJe) � Same u pmpmy add`a.i
Social Sccurip� Numbcr (Ltict 5 digitt) Drivcr's LiccnsrJSta[c ID Numbcr (la t 5 digits) Ocher (plmsc spccify in Pan < bclow')
svz
� . �
Fach undersiened certifies, under penalty of pepury•, that the aboce and foregoing infortnation is we and correct and that he or she is eligible to
receive the homestead standard deduc�ion on this propeny. Each undersigned a!so understands that, by claimin¢ additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
Owner I 5� t�ue Uetc
Spoiuc Sig�tamre Uate Tcicphonc
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•11 � �' 1