Homestead_Adamsi���`'��" - CLAIM FOR HOMESTEAD PROPERTY TAX
i � CREDIT/STANDARD DEDUCTION
� State Fo(m Sa73 (R2 / S92)
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INSTRUCTIONS: See reverse side lor (ling instructions.
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� CERTIFlCATION STATEMENT
�I (We) � ��%�`G�Y�� certify that the 7st day M r . 79
I(We) occupie as our principal place esiden e foliowing descnbed real property for which a Homesiead Prope
❑ I(We) owned ❑ Are b�ying under contract i�� BSON C Ui TY AUDITOR
❑ Have a beneficial interest in the eniity that is liable for the property tazes on the property and that owns the property or is buying under a contract.
CONTRACTRECORDED �
It buying on conUatt, Fee Simple ownefs name
Recortlers office where con[ract is recorded Recortl number Page
PROPERTY DESCRIPTION �
Counry Township � Ta<ing district (dry, town, township)
Pa I number Legal descnption
Gb6-oao�G�� ��' d7 -a-� , `�����'
If any portion of the resitlential structure or the land not exceetling one (1) acre thal immediately sunounds that structure is used to protluce income, descnbe the uu and ponion of
the property utilizetl ro produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Caunry Township Counry Township
Signature i c imant
.s ereby certify the above statements are true, correct and complete.
rantlstme(. � . Wte. cotle) � ' �
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ASSESSOR USE ONLY TRUE TAX , ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediatety (� �
surrounding residential improvements.
Otherland (2) �
Total land (line 7 plus line 2J (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6) �
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true, Corrett, and Signamre of Assesor Date signed
complete.
Verifying action - Sgnature of Auditor . Date siqned
�� STANDARD DEDUCTION ALLOWANCE
19_ Pay 79 _
Lesser oi 7/2 Homestead $
Valuation or 52,000
Signature of Autli Date sign
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Gibson County Auditor
101 N Flain
PRINCETON IN 47670
2027
{lNEf00.\I!AMIR_/!+MI
IPFASlIRE0. Po0.4 :3-1�
IndiriJuals anJ marriN coupks are limi¢d �o ore honie�caJ .tandaN JcAunion. A> ihc reccipt of Ihis dedunion becomcs
murc beneficial, iherc is morc fncrnmr than ecer (or homestcaJ GauJ. Ibmrsttal fraud causes hi�her Iac bflls (or all; therefore.
HEA G33-?01l9 «quim uxpa.en who receive thc luunes�ead >nndard J.iluctian m.erilY dut they am elitiNe to recene tM1e
benefit an1 ro pnn'ide :xlJitioiul iJrntitrin_ infumiatiun �ces'vn' to allw� cwnp� �vn'rmmmt ro b;rter mmitur homrseaJ
tilin�,�.'ITi. inlamuiion will be Aepl cwCdential and ran nnl�� h• avmc.cA M1r awMriaed roimry� otikia6. The Ikpannmm nf
I.UCJI GOYCROII<O1 RNMt will ua this mfurmation w crcatc ¢ds ihat x'ill hclp counn' ufficial> diminatc homc>tcad fiaud.
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T•rxparer M1ame Propem� Address
Adams, James W/Judith A
James W/ udith A Adams
2502 W 300 S
PRINCETON IN 47670-9364
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oer I First
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i`g AGGiess (nuiribcr m(d �vcct. cirv, sm�c, and ZIP <udc)� - -" -- ' "' - —
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State Parcel Number
26-11-27-400-002.p46-027
J
RI BOY I8�
PRI\CLTON IN d7670
Leeal Description
006-0204Cr00 PT,SE_27 2 11_.6091 AC
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.:rtyui.L-•-�� _ __ —. ^
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:u pmpeny address
digiu) � Ochcr (pk�sc sTccify in Part 3
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undersigned certifies, under penalry of pequry•, that the abo��e and foregoin� infoRnation is we and correct and that he or she is zlieible ro
re the homestead standard deduction on this property. Each undersi¢ned also undentands that, by claiming additional homestead deductions
,�fully, he or she may be liable for back �axes and subs�anrial financial penalties.
�icnnwrc� /.// �i�n_ Ua�''�—' Telephme
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