Homestead_Bracherwwn Hc io iem '
RescriDM By Sute BoarE of Tax Cammissioners
To & FiIM in Dupliwte
CLAIM FOR HOMESTEAO PROPERTY TAX CAEOIT FOR YEAR 19�L
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�(We) ��`� �"��- �• �-a-�'-��� r`yv U� certify that on the 1st day of
arch, 19__7_5_, I, (We) occupied as o r principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) C�I' owned �O I _ � /� /qt'Q�
❑ are buying under contract U/ �/�� / v
❑ have a beneticial interest in the taxpayer
Property Description in � County ���� Township
Taxing District (City, Town, Township): �Q �-� �
Parcel Number or legal description shown on tax statement:
�� ��� s� �,� ��-�-�o . s��
If buying on contract: Owners name �'� "nip1e Ownef�
Contract recorded in Recorders Office - Record No
If any portion of the 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:
hereby certify the above statement is true, correct and complete.
i!`3
County Township
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
True Cash
� � �� � Value
Land not exceeding 1 ne a e im ia l
surrounding residenti im v (�) `��/a
Other Land
����a ? �� i979
Total Land o
Residential Improve� �/, ��j4� Dwelling
C�C Y' ��t�
� AUDITOR Garage
Tolal
Other Improvements
To} � Improvements - Line (6) plus (7) equals (8)
!�by certify the above is true. correct. and complete.
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(7) —
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- ACTION BY AUDITOR -
Assessed
Valuation
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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S1 V! IIIR\I!IM IR�/ 1+P1
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InJividuaL anJ ma:riN coupk� are Iimi�N �o nne homearaJ �tandaN dNuafon. A. Ne recrip� of ihis dnluction becomc±
morc bcneficial, thrrc i. morr incenm'e clun t�er for homrs�eacl fiaud. Ilonx��ral fratul causa hi�her bc bilis tur all: therefore.
HHA 13-i+-3fN)9 rcquiles uxpa�ers x�ho rttcice the hwnesteaJ siandard dnluaion b rerify tfut tAe) art eligiNC m maenr the
brnePo am1 m pnxiJe aJditional iJmtifying infurtn:mon �cez.arc ro alluu' counp� gen'emmrnl ro beutr monitw homrstt:d
lilin�,�.'lliiz inlormaiion x�ill M Aryw emlidrniinl and e:in nnly M: aree.uA Fc nwhnnied enanry� n0icials. The IX�anmeni nf
Lacal Gmcmmem Fin�nm xill ux thfs intormation to arcam 4vls �hm will hclp cvunn uffmiaL.' dimi�u�c homeAead fraud.
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Tasnaeer N•ame Propertc Address
Bracher, Fay E ,�/ o/ /�� f
l9� y!!�.. �' P f,�s,/JGl I��
Rinccton IN 37670� " U��
6
Fay E Brecher
1924 N Old Petersburg Rd
PrincetonlN 47670-8511
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Address(Num6
ma sttm, ciry. >tam, endZ(P codrj -- -
e
ist i digiu) Ihiver's Lfcensd5ute U Nmnber (las�
F�rsc
md sutt4 rin', sia�e, unJ ZIP code)
Stturity Numbcr (lazt 5
State Parcel Number
2s-os-si-aoao� .�ssoz�
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Leaal Descriotion
006-00195-00 PT N SE 31 1 10 .987 AC
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��. i i-Seuwmpra�r�a;d:W _. ' ___ .I _
Otha (pleazt spttif in Part 4 below')
� Same �s pmperty adJres�
Oihcr (plesc spccify in Part 4 Mlow)
x
undersiened certifirs, under penalty of perjup•, that the abo��e and foreeoing informatiun is we�and cotrect and that he or she is elieible [o
+e the homestead standard deduction on ihis propeny. Each undersigned also undersmnds that, by claiming additional homestead deductions
rfully, he or she may beliable for back taxes and substantial financial penal�ies.
�bmanuc ��L� �^/� j � Uetc Tcicphone �
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�Si :e ��� Tcicphone '
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