Homestead_Barrella'�•'+
e� °°, CLAIM FOR HOMESTEAD.PROPERTY TAX
. CREDIT/STANDARD DEDUCTION
i,�': .
� State Form Sa73 (R2 / 5-92)
,iu °
INSTRUCTIONS: See �eveise side lor liling instructions.
�w• `' � I� !r ��
� �� �
�) _�/�,f�,(��/� . �O�(j_�,ej` i���/if.dJ�- certify that on the isi day of March, 19_
�,.+e) occupied as our principal place of residence the tollowing described real property for which a Homestead Property Tax Credit is hereby claimed:
❑ I (We) owned ❑ Are buyin9 under coniract ' . . � ,
❑ Have a beneficial inierest in the entiry ihat is liable tor ihe property taxes on ihe property and that owns ihe property or is buying under a coniract.
� . � . CONTRACTRECORDED �'
tl buying on contrad, Fee Simple owner's name_ __ . � � ^
Recortler's oNice where contraci is recorded Record number Page
Counry
Parceli
uOQ'
ot the p
DESCRIPTION
Township
�? y-oo � /�� � � . 0[5' - .z i o �
�,iden6al stmcwre or the lantl not exceetling one (1) acre that immediatety surrountls thai structure is used to produce income, tlescribe the use and portion
m protluce income. '
ASSESSOR USE ONLY
Land not exceeding 7(one) acre immediately
surrounding residential improvements.
Otherland
Tota� land (line 7 plus line Z�
Dwelling
Residential improvements
Garage
Other improvemenis
Tmal impmvements (line 4 through line �
Total value (line 3 p�s line �
I hereby certify the above is true, correci, and
�md �e.
:tion - Sgna:ure of Audi;or
Autlitor
19_Payt9_
Lesser o( ll2 Homestead
Valuation or 52,o00
TRUE TAX
VALUE
(U
(Z)
(3)
(4)
(5)
(6)
I�)
le1
Signature ofASSessor
ASSESSED
VAIUE
ALLOWANCE
S
HOMESTEAD
VALUE
�—�—
NON-RESIDENTIAL
VALUE
Dare signetl
Date signed
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
4133
0
1RFANII[R f00.411.�
IndiriJual.� and nu:riN aaupin arc IimimJ �o onc hnmeucaJ uandaN Jnluc�ion. As thc rcccipt ol �his dcduaion bccomcs
murc hneficial, therc u morc incrntire dnn e�er (ar homcsrcaJ GauJ. I IumesteaJ fnud <auses hichrr tac bills fur all: therefwe.
HEA I iii-3fH19 cequim u�pnm x�ho rttcive Ihc homesicad smnda�J JeJunion in verity ihn �hey are elieiMe to mczi.e ihe
benefit anf to pnn�ide aiklitiunal ideniin�ine infumcrtwn mce.san� �o aliw� eounp� grn�emment m Nettr monimr humemaJ
filin�,�.'ILi� inlnmuiiw will M Aml cmf�icntial anA cdn mly h� accn.cJ M1r nmMrisA rnnny� olTiciaL.'Ihr Ikpannunt nf
1_ueal Gmemmem Pimm�c wfll me �his infurma�ion [u crca;c nols ihat aill hclp awntt uf8cials diminam Ipme>t<ad fraud.
. � � � . �
T•rxpacer Name Prnpem• Address
Barrell, Robert D/ Lorinda D
Robert D/ Lorinda D Barrell
3437 S 125 E
PrincetonlN 47670-9214 �
���n��n�����n�u����in�i�ini�i�ni��i�n�n����in���ni�
I\C���2 i
Addras (numbcr and strtYY, cirv, i�atc, i
343`� S ia
Numbcr Qast i di¢its) Uri�
cade)
�-
License/SWtt ID Nmnbcr (Iasi 5 digits)
C(,� 1 �Jo�%-
Addrcss (Numbrr and sUCe4 ��)'. s�ate, end "LIP cuik)
digits) Dm•crs LiccnscJSU[c ID Nwnbcr (la,� 5 digits)
State Parcel Number
26-12-29-400-001.779-027
V
us
13or z � 3
f'rinccmn.l\:i.7670, � �
Leeal Description
006-01779-00 PT SE 29 2 70 .46 AC
D-10
�
OtLer (plcvse specify in Part 4 bdow)
's�2�e�
u pmpeny addres;
Othcr (plcsc specify in Pan 4 bcloa)
undersigned certifies, undzr penalty of pequp�, that the above and foregoing infurmxtion is we and co`rect and that he or she is eligible to
;e the homestead standard deduction on this propeny. Each undersigned also underslands that, by claimin¢ additional homestead deductions
,�fully, he or she may be liable for back taKes and substantial financial penalties.
1 SiwLSC .� _ Dav^ 7'