Homestead_Armstrong (5)..�^...
e�/'=" °. CLAIM FOR HOMESTEAD PROPERTY TAX
;��'= CREDIT/STANDARD DEDUCTION
.�,,;� State Form Sa73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side (or liling instiuctions.
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�� �Ne)�� ,_, /C�/1"/L��� / /� . certify that he t - y of�,
xc ied as our principal place of residence following described�real property for which a Homesiead Pr T r it � e m
�(We) owned ❑ Are buying under con rect � , i'��� 1 !1 1�pC
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property o� 5 bt�yidg FfidEadWntraci.
II buying on conirad, Fee Simple owner's name
Recorder's office where contract is recortletl
Couny
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It any portion of Ihe resitl
of the pmperty uGlized ro
Township
or the lantl not exce€tlin9 one
CONTRACT RECORDED
Record number � Page
PROPERTY DESCHIPTION
Taxing tlistrict (ciry, fown,
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siruc[ure is used to produce irimme, describe the use arW portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
certify the above statemenis are true, correct and complete.
numb�er d!)d s1ree1, city. stafe. ZIP ('/v�e) _ �
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL.
. VALUE VALUE VAIUE . VAWE
Land noi exceeding 7(one) acre immediately
surrounding residential improvements. (�)
Otherland (2)
Total land (line 1 plus line 2� (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvemenis (6)
Total improvemenis (line 4 through line � � (7)
Total value (line 3 p�s line 7� (g)
I hereby certify ihe above is Irue, correci, and Signamre ot Assessor Date si9ned
complete.
��ing action - Signawre of Autlitor Date signed
STANDARD DEDUCTION ALIOWANCE
79_Pay79_
Lesser of 1/2 Homestead
Valuation or 52.000 S
SignaNre oi Auditor Date signetl
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TRfASUAfAf00.V :}IA
GibsonCountyAuditor __ ------....--.._.._.._____._..._............__.._.._�...
101NMain �� � ' � � � � "�' ' 1 '
PRINCETON IN 47670 IndividuaL� and muriN muplo are limimd w ore home�tcaJ yandaN i4vtunion. Ay �he receipi ot ihis dedunion hecomcs
more benencial. tlrcrc is morc incrn:nr th�n r�er for homesxsl fiaW. IlomeRead f�aud cauns hi�M tac bills for all: thercfore.
HEA 13s:-'_IXI9 rayui+v �a�pasers who receire tM1e Iwmes�ead s�andud deJuc�ion m.erify rfut they am eligide �o receire Ihe
I��� benefii and ro prrnide addiifunal identiiyim_ inform;nion ixtt�vey io allow county gmemmrnt ro Y.�mr moniror Iwmrnead
� filim�p'. ll�is in(arma�inn xill M I:efu confdefuial and rvn nnly� he arcesseJ br authorrzN roumy oRcialc. "ITe Ikrynnxn� o(
Local Guvemment Finanee uill u+e this fnturmanon tu crmh twls that wi0 h:lp avunce off�ai> dim�wm homes�rad (mud.
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APR �- L010 T•rxpaver Name Prooern• Address
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563 GIB50N EOUN?Y A�BIfi9i!
Mark D/ Kimberly D Armstrong
1225 S 350 W
PrincetonlN 47670-8158
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Armstrong, Mark D/ Kimberiy D
i f3n _ 6
r�on IN 70
S[ate Parcel Number Leeal Description
26-11-16-400-001.840-027 006-01840.00 PT E NE NE 1G2-11 1 AC
J D-17
This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
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Ouner 1 First Middle (� Lut
r Q Q �� t� f" UlA 5`i' �D �
ng Address (number and strett, city, smte, and ZIP code) � Sam< az pmperty addres;
1�. � S S 35�0 r` ,, �.f/' � . D
Social $
A1iddlc /� Last
�{; � lo eJ"1 Da �r rn �U rv►�5''� r D�-
Mailinn .Address (Numbcr and rce�, cil}', siale, und "LIP cale) �e as pmperrv uddres�
�- �, 5 S 3S 4J I' i cc i� �1 �� � 7v
Social Stturin� Numbtt (las[ 5 digi�s) Dm•tt's Liccnscl$Gre ID Nmnbcr (latt 5 digi[5) Oeher (plesse spcciCy in Part+ below•)
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Each undersibmed ctr�ifies, under penalty of pequq�. [hat the abo��e and foregoing infocmation is we and correct and that he or she is elieibte to
receive the homes�ead standard deduction on this propeny. Each undersi¢ned al;o understands that, by claiming addiiional homestead deductions
unlaa-fidly, he or she may be liable for back taties and substantial financial penalties.
Owna I Signxmre Uatc 7'clephme
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