Homestead_Baileye.���� CLAIM FOR HOMESTEAD PROPERTY TAX FoRM VEAR
CREDIT/STANDARD DEDUCTION HCio
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�;� State Porm Sd73 (R2 / 592)
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INSTRUCTIONS: See reverse side (or liling instmctions.
CERTIFICATION STATEMENT
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Ne) � ii that on t t d y �arc�i� �
:��) qccupied as our principal pla . residence the following described real pwpeny tor which a Homesiead Property a CreAdi$� ned:
/ P�vr� � v
(We) owned ❑ Are buying under contract
❑ Have a beneticial interest in ihe entity ihat is liable for Ihe properry taxes on the properiy and that owns the property or is buying under a contract.
CONTRACT RECORDED
If buying on contraci. Fee Simple owner's name •
Recorder's ofl�ce where contract i5 recorded Recortl number Page
County
Township
Legal
PROPERTY DESCRIPTION
tl any potlion of the resitlenlial slrucW re or the lantl noi eyceetling one 1', acre that fmmedii��y surrounds ihat strucWre is use�t to produce rt¢Ome. tlescribe Ne use antl portion
ot ihe pmpeny milizetl to protluce income. U
ASSESSOR USE ONLY TflUE7AX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land no� exceeding 1(one) acre immetliately I(� I I
surrounding residential improvements.
O;herland (2) I
iotal land (line 1 plus line Z� (3)
Dwelling (4) �
Residential improvements
Garage (5) �
Other improvements (6) I
Total improvements (line 4 lhrough lina � (7) I I
To�al value (line 3 pf�s line 7� I(g) I I
i hereby Certify the abo�e is �rue. corBCi. and I Signamre ot Assessor I Date signed
comple�e.
��>ritying action � Signawre of Autli;or I Da�e signed
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STANDARD DEDUCTION ALLOWANCE �
I79_Pay79_ -
Lesser of 7l2 Homestead
Valuation or 52.000 S
Signaw�e of Auditor Date sfgned
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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�u�mar nrt
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IndiriJuaL. aud mvried touplec are Iimiitd �o ore home�teaJ aaiMaN Jedu7ion. As the receipt ot ihi� dcdurtion Mronres y'
morc beneficial, thna is more incenm�e tlun e�er for homesmaJ feaud. Ilomrste�l (mud causs hi�her uc bflli for all: thertforr.
HEA li+i-?009 rcquircs uzpa.en x�ho reccive �he IwmesteaJ standard dNuction m.eri(y �M� �hey are eliciNe to mcei.e the
benefil and to p�p�ide aJdiiio�ul iJrntiirin_ infarm�tiun riece.'vrc �o allw� counh' eo�'emmmt ro b:irer maniterc homesead
filin��. This infnrma�ion xill be Aryw confidemial anA r�n only tti acce:ud b�� amhorirrd counn� o�ci:d�. Thr Ikpanmm� of
Local Govcrmnem Fifu�rce ��ill ua thfs fnfortna[ion tu trcam nols �hat x'iIl h:Ip aamn' u(ficial. climi�m home>t<ad @aud.
Tasparer Name
Bailey, Darrin L/ Teresa A
Darri� n L� /�Teresa A Bailey� 6r,� W J i I f p R
Princeton IN 47670-8124
� State Parcel Number
2Cs11-15-101 �f103.301-027
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Prnpert�• Address '
�6�s���p�
f'rinceton I\ J7676!
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Lesal Descrioiion
06-03301-00 SANDY RIDGE EST SEC B
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
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Owner I . F'irst Middle • Lasi
!~AkRi� L I�A�L�-Y
g Add�¢s (number and sveet, city, vtc, and ZI P cade) �j Samc ns property odd�
7� ,/ y�.�
!-�ni H I�1� , � LL-DK. �R �NC�TO N `I�i �i7 lc1 O
Socml Sccurit} Numbc� (last 5 die�LS) Drivds Licetiee/State ID Number Qast 5 digils) O�her (plcut sp¢ify in Part 4 below)
Spou;e First Middlc Last
�ecesa A 64��ey
MailinL` Addres5 (Number and Ncc4 �q'. siale, and "LIP coJe) {� �j Same a5 pmperty addrew
a1a4 8 W. �111 Q� . Pc'�nce�on Z N y 7�7 oU4
Social Stturin� Numbe� (last 5 digiCS) Dm•efs Limnse/State ID Nwnber (la;t 5 digi�s) Oeher (plea5e specify in Part» belox�)
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Each unde=signed certifies, under penalry of �rjuq•, [hat the abo��e and foregoing infortnation is we and correct and that he or she is elieible to
receive the homeslead standard deduction on this property. Each undersi¢ned al;o understands that, by claiminc additional homestead deductions
unlawfully, he or she may be liable (or back �axes and substantial financial penalties.
Ouner t Dete Tcicphone
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