Homestead_Cockrum�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
0
2231
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R f P'A\fE I(' b I.1.1_-1.1
hWividua� and ma:riN roupk� arc limiied io onc homc9caJ �tanAaN Jetlunion. As ihe �ttripi oi �hi> dcctunion becwnc
morc beneficial, therc i� morc incenti�Y than aer for homa�.'rc:wl BauJ. Iiomestta�l GauJ caus.s higher tac bills' tur all: thercfure.
HET I.4i-?IX!9 requvn u�pare� x�ho receive �he hanrs�eaJ s�andard deJuc�ion m verily �Iw� �he� am diCiMe �o rccci�c IM1e
benefit anf [o pnaide adilitional iJemii��im_ inform��wn ixcr.san to allw' cwnn� go.'rmmem ro N_ner munitw twmesreaJ
hlin�,�. Ihis inlo�maiinn vili M{.tp conlidcmial and �n nnly h acee>¢vl by audwri�d rounly nlFci:�ls. �fhr Ikpanmrnl nf
Lucul Gw<mmcm Financc ��ill uu Ihfs infurma[ion to cmatc ¢vls iha� �rill h:Ip ia�nrv ufficials dimi�uvc hum<sicad haud.
. • , , . , .
T•rxnaver Name Prupertc Address
Cockrum, Dan . /
P O 6ox 5 �%1i'�
Princcian I\ -07670y
Dan Cockrum
1499 E Conservation Dr
PrincetonlN 47670-8608
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va�2rt� -
Address (Number and slrttl, ciq�, siate, nnd ZIP cu�k)
9�j E Co�se���+�o,-,
xuriN Numbcr Ilact 5 dieiLS) Dm�ttt Liccnx/Stai
5
n
State Parcel Number LeQal Descrip�ion
26-12-05-400-790.994-027 o0croossa-00 CneIN ON LSD GROUND
_�Sf �,� TRS F& W CONS 00&0057400
�/ � f-
�oC K R u vv� I
Semc � p••,�rm �ddmsc"' _ - _'_ _ _ __
(plc�se specify in Part 4 bdow)
�0 C. �� �^C7 r+�
� $ame uti pmpem addtts
r= h'r� r,cefm. ..L� ��l�
iber (lazt 5 digits) Othn (plcasc apcciF in Part: bclow)
Each undersicneci certifies, under penalry of perjury•. [hat the abo�•r and foregoing information is trve and corrzct and that he or she is elicible to
receive the homestead standard deduclion on this property. Each undzrsiened al;o understands that, by claiming additional homestead deductions
unlau�fully, he or she may be liable (or back taxes and substantixl financial penalties.
I Sigmnuc
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