Homestead_Halley
ofSeller Sign Data(MM/DD/YYYS) Printed Nome of Seller SignMitt D
Date( /D/5'm7
F. ER(S)fGWEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Zackery A.Halley Mackenzie M.Settle
Bu et- - veyancedocument BuyerL'-Name as appears an conveyance document
1826 Ridgeway Ave. 1826 Ridgeway Ave.
Address(Number and Street) Address(Number and Street) F I LED
Evansville,IN 47714 Evansville,IN 47714
Ciry,State,and ZfP Cade
May 20 9
20200
Telephone Number (
CERTAIN DEDUCTIONS FOR THISPROPERff� ALL OF rAPPLY. M+yf{ (
YEs NO CONDITION /YEs CONDITION \ GIBSON COUNTY AUDITOR C
El 1.Will this property be the buyer's primary L� U 3.Homestead
residence? Provide complete address of primary • o a ating/Cooling System
residence,including county:
❑ 5.Wind Power Device
1883 N.Carithers Rd. ❑ Ind' 6.Hydroelectric Power Device
Address(Number and Street)
❑ a"7.Geothermal Energy Heating/Cooling Device
Princeton,IN 47670 Gibson ❑ 078.Is this property a residential rental property?
City,State ZIP Code County
• ❑ la,""(Would you like to receive tax statements for this
VEI 2.Does the buyer have a homestead in Indiana to be property via e-mail? (Provide contact information
vacated for this residence? If yes,provide befo . ase see instructions for more information.
complete address of residence being vacated, Notavailable in noes.)
Trig county:
1 c1 'r v - a-c-R 26-05-33-300-000. 280-02
pfz.umber and Street)
AV Aib7 4ULt._ ( 0 Cr). 1` 1
•
tostsdiglts of Buyer!Driver's State Last S digits of Social Securiry Number Last 5 digits of Buyer Z/Spouse Driver's State Last S digits of Social Security Number
License/ID/dtherNumber License/ID/Ocher Number