Homestead_ChapmanCLAIh1 FOR HOmESTEAD PROPERTY TAX CREUIT FUIi YEAII 19 S9 �
SEE BACK FOR FILING IIJSl f1UCTIONS (�%O� Oo 3/�-p0 V
�, (We) "��"'" �—^'� `�(`��n�`-� cr.ilily Ih:il on Uin 1st d:ry �il
�March, 19�_, ,(We) occupied s our prin pal place of residence lhe lolluwiny described ieal properly for
hich a Homestead Properry Tax Credit is hereby being claimed: �
I, (We owned
O are buying under conlract . .'
❑ have a beneficial intereps� �in��lh�e taxpayer
Property Description in �/�" County � o- __��_Township
Taxing District (City, Town, Townshi'): ��'i'a' ��,�,,.� .
Parcel Number or legal descriplion shown on lax statem�ent:
(�,E- �w a�-l-�o �f._9.(�g�
If buying Ofl contract: Owners name ��ee sfmoie ow�rerl
Contracl recorded in Recorders 011ice - Record
If any porlion of lhe residenlial struclure or the land, not exceediny one (1) acre thal iinniedialely surrounds thai
structure is used to produce income, describe the use and portion o( the property ulilized lo p�oduce income
Any other counties in which individual owns or is buying real property:
I hereby certi(y the above stalement is true, correct and complcle.
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$Ireet AOO�ess
Counly Township
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Individual either owns or is buying under a contracl ihat provides he is to pay !i�,j�c4perty taxes
on the residence, or has a beneficial inleresl in the Iaxpay�iU'`J L I �y;��
- FOR ASSESSOR'S USE OIJLY - �''�%Lli� h,,
AUDITOR `�`�'�s
e
Land not exceeding 1(one) acre immedialely .
surrounding residential improvements
Other Land
Total Land
Residential hnprovements , . .Dwelling
Garage
Total
Other Improvements
�Improvements - Line (6) plus p) equals (8)
„,cUy cerlify ihe above is true, correct. and complele.
True Cash nssessed Homestead
Value Valualion Valualion
l�l _
12) —
(3)
(41 _
(5)
1�)
(�l
�e�
S�gnalu�e o� Assesso�
- ACTION BY AUDIIOIi -
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�,:,�,� �-��-85
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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196
SIUE fOR]I!!H�IL'luA1
111FAN1l[i WRL il.�.
Indiriduals aud ma:riN coupk,. a�c limi�ed to one home�tnJ �und�N dedunion. As the reccipt ol Ni� dcdunbn 6ecome�
more beneficial. thrre u morc incentne than ecer for homn�eaJ fraud I lomn'ttad faud causa hi�hrr tai bills fur all; ihereforr.
HE.\ 13if-3IX19 requim uxpa�en who receire the hwnesteaJ standard dttluction to .xri(y thai iAey am elieiMe io mcenr the
benefii ani ro pm��ide aJJitional idrntikinc infurma�ion mce.'vn� to allw� county �o.rmmrnt �o bever moniror homesreaJ
filin��. This infnmu�ion will M Aept ronfdemial and c�n only le acccaed br nuthor'ved rouny nlTitialx. Thr Ikpanment of
Local Gmcmnem Pi�u�rc< aill uu this iniurtnuion N ercau twls ihat will h:Ip ewmro offwiats dimiwm humcserad fiauJ.
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Taspacer Name Propem� Address
Chapman, Bil�y Dean / Jill Gay
?93�3 C Cari�hcrs Rd
Prince�on IN -07670
Billy Dean / Jill Gay Chapman
2944 E Carithers Rd State Parcel NumAer Lesal Descriptian
Princeton IN 47670-8625
26-OS-27300.000.314-027 006-00314-OO PT SW 27 1 10 4.95a AC
I�I��II���I�II��I���III���I��I��II����I�I�I�I��I��I�I��II���II / c-�
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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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Ouna I First Middle Lasl
i �e a,� 1..�� m q h
�g Address (numbcr end svicet, iry, smte, and ZIP code) Snme at pmperty add�
Social Security Numbcr (lan 5 digiu) Ihivds Licrn�eJSute ID N�unber (las� 5 digiu) Oiher (plcue speci( in Pan 4 below�)
�
S�ause First Middle fast
Sll G�a C� a m a�
Mailine Address (t�umber and stree4 �q', staie. and LIN cuik) $unc as pmpem addres�
Social Stturity Number (lan 5 digitt) Drivers Liccnsc/5tatc ID Nirtnber (1a,7 5 digir) Oihcr (plcasc s}x�ci(y in Pan+ bclow)
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Each undersiened certifies, under penalty of perjury�, that the abo��e and foregoing in(ortnation is true and correct and that he or she is elieible to
receive the homestead standard deduction on this property. Hach undersigned al>o undersiands �hat, by claiming additional homestead deductions
unlawfully, he or she may be liable for back ta�ces and substanrial financial penalties.
Ou'ner i $ip�euue UaL^ 7'dephone
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