Homestead_Byrns (6)Gibson County Auditor
101 N Main
PRINCETON IN 47670
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GIBSON COUNTY AUDITOR
Ruth Ann Byrns
R 3 Box 304
Princeton IN 47670-8435
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InJi��iduaL and m�:riN rouples are limited to ore home�esd ..tandard �L�lu.�iva As the rereip� of ihi� dNucnon beconm
morc beneficial. there fs more incrncne than r�er for M1omr�Yracl fiaud. Hamra�.ead $awl ca� higher taa bills tor aIC drerefare.
HEA Ii�FI-?(N19 rcquirn uzpren who receim the hanestwd smndvJ JNunion in verify ihai Nry a�e eli¢iWe to mcrne tM1e
benefi� anJ io p�a'ide addi�ianal idcmi!}'inc infumwtiun �ktt.-vn� ro allw� coun»� gmzmmrnt to Nttrr mmita Iwmeseal
filin��. Ihis inlnmviion will be Aep eonfdtnlial and ren nnly M accecceJ by amMrveJ [nunp' a(Lcials.'ILe D�annrem of
Local Gw<mmcm Financ< afll mc this in(ortnazion N cr<ah twls tha� �rill h;:p cqu�p' officials diminam Irom<srcad fiaud.
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Taspaver Neme Prnnertc Address
Byrns, Rulh Ann /
R r 30i J
Princeton IN 47670 �� �
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State Parcel Number
I I III � 26-11-07-400-000.253-027
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as pmpem addrtas
in Part 4 bclow)
undersigned certifies, under penalty of pepup•, that the abo�•z and foregoing infurtnation is we and co�rect and that he or she is elieible ro
re the homestead standard deduction on this property. Each undersiened also unders�ands thaL by claiming additional homestead deductions
,�fully, he or she may be liable for back taxes and substanrial financial penahies.
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FOqA1 MC f0 1979 To & FiIW in Duplicate
RcscribM By State BwrE of Taz Commissioncrs
CLAIM FOR HOMESTEAD PAOPEATY TAX CREUIT FOR YEAH 19�
SEE BACK FOR FILING INSTRUCTIONS
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occupied as our principal pla e of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) Q owned OD� �oQas�
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in � � C/�ounty ��� Township
Taxing District (City, Town, Township): y''"� �.
Parcel Number or legal description shown on tax statement:
_ �� E��L SE��K �7-�-�/ /3./3 �4
If buying on contract: Owners name ��� simoie
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:
certify the above statement is true, cor�ect and complete.
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Sttret
County Township
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Ciry. State anE Zip Coee
' 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 -
Land not exceeding 1 (one�re�mme,iatel� �
surrounding residential imp _" m ts
Other Land
Total Land )UN 13 1979
Residential Improvements
9
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Other Improvements
To�improvements - Line (6) plus (7) equals (8)
I_. �y certify the above is true. correct. and complete.
nssessoe
Approved
True Cash
Value
(i) So 0
(2) 3G so
�s� �fi 5 a
(4) T(O80
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(6) yCGyU
(7) /'�30
�a> 6 � i d
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
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Date
Date: �