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CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19� ,/� I� ,
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S�E BACK FOR FILING INSTRUCTIONS
�_. ru,�) .`F �1.� �. l.{M.dLf.1.C�s'�-J � �crlify Ih�t on Uie tst day ol
Mi�,.19 , I, (We) occupied as our principal ptace oi residence the following described real property for
which n Homestead Proporty Tex Crodit Is herr.by boing clnimod:
I. (We) wned
❑ are buying under contract
❑ have a beneficial interest i,n_the taxpayer �� �
Property Description in_ .TL..�I'�d� Coun � �p Township
Taxing District (City, Town, Township): �6�R�i
Parcel Number . or legal description shown on tax statement
Q� . tJ ���.a.�� �'�t r�,� .�..��.�- . 31 36- I- �o
If buying Ofl contract: Owners name ��ee simoie owneq
Contract recorded in Recorders Office - Record No. S Page ��DS
Ii any portion of ihe 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:
1-hereby certify the above statement is true, correct and comolete
County Township
�`� t
' Individual either owns or is buying under a contract that provides he is to pay � 4o�i�e� ta
on the residence, or has a beneficial interest in the taxpaye . '�
- FOR ASSESSOR'S USE ONLY -
and not exceeding 1(one) acre immediately
urrounding residential improvements
ther Land
otal Land
esidential Improvements
Dwelling
Garage
Total
(�1
(2)
(3)
l4)
(5)
(6)
True Cash
Value
ther Improvements (7)
otal �ovements - Line (6) plus (7) equals (8) (8)
her��ertify the above is true. correct. and complete.
gnalure oi A552550�
/�, (� - ACTION BY AUDITOR -
nnrnvod� W��l "-' • `1 ' �IACJ�/Y
APR 2 � 1989
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���UDITO"R I-f�mestead
Valuation Valuation
7A6
o�,«: - �-�8_Si
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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PAfAA@Fnn11T itlf DEPnRT�2`T(f l(kAL CM clYV,fAT f1AA\l'F.ICbI,I�L'J.I
Individuals and inarricJ mupks are limi�ed m one homcdeaJ +tandanl d:duciion. As the rttrip� ol �his dedunion beconus
mere bcneficial, thrrc u morc incenme than e�cr (or M1omoteml fraud. Ilomrsttad f2ud causes hi�her tac bills Nr all: thertFae.
HEA 13J�-?(1(19 requim u�pa.ers who mccirc the homcz�eaJ standa�d deJunion m reritj �hai �hey am cligiNe io meei.. ihe
benefil aN to pnr'idr aJditio�ul identifyfne infomcnion necesvn� ro allux' counrc �r<mmrni ro b:trcr muniior humesteaJ
filin��. This infnmutinn xill be Aryw confidcniial mA can nnly h acce<.cd br authomnl ronnry� otTiciaL..'fM1e Ikpannmm nf
1_ucal Gwemmem Pinance ��ill ua ihis iniormation w crcam nwls �ha� �vill h:lp counry� officiaLs diminne homest<aA ImuJ.
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Taspaeer Name Prnoertr Address
Anderson, James E/ Karen K a5 �- 3�,Y�C�YrQi-k �P.�
R3 Rox 196 G
I'rincetn 70
James E/ Karen K Anderson
2591 N Benchmark Dr
Princeton IN 47670.8522
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State Parcel Number
2605-30-101-003.302-027
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Leeal Description
PT SE FR 30 1 10 PT NE FR 31 1 10 1.078
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O�.�oer I First Middle L�st
��cm � - R nC� e�zso rl
ig.4ddress (numDCr ond svcst. cirv, statc, end ZIY <odc) "- — — - - - � —'-'-'-�'�+mc m pruptny aiJr'e'v -- ' - - -
a s� � u�1. � r�.P, mar � � rz. ,�ve.� rtc�..-3-c�n, T f.,� ti� 1. 6-z. U
Social $ccurily Number (las 5 digiLS) Ihivers Licrnx/Sum ID Nmnber (Issl 5 di�iu) Othrr (pleue specify in Part 4 below)
Spou;c First Middlc Last
�%re � K (��e2san
Mailine Address (Nwnber and sttteL cit}', stale, anJ LIP caie) � Sam� a� pmpeny addrcs.+ �
a 5 Gi � �l • �P t�cJP� y�c� rk �� � }� �n ce�n r' �{ �7 c� �
Social Sccuriry NumMr (lazc 5 digi�s) Dmtti LiccnselStatc ID Nwnbcr (lazt 5 digi�s) Ochcr (plcasc spcciF in Part 9 bclow�)
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Each undersigned certifies, under penalry o( perjury•. [hat the abovt and foregoing infortnation is we and correct and that he or she is eli4ible to
receive the homestead s�andard deduciion on this property. Each undersicned also vndemands ihat, by claiming additional homestead deductions
unlaa�fully, he or she may be liable for back taxes and substantial financial penalties.
Owna I Sienaturc Uate 7'clephonc
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