Homestead_Cole..�
,�:� :-�
1;;;
���
v.;
� �ve�
I (We)
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Farm 5/73 (R6 / 4-03)
Reaaibed by the DeDemnertt d Lxal Govemrtbnt Finance
INS7RUCT10NS: See isre�to akM b�np iiebuc8'pne.
ea
as our prindpal place oi residence Ihe following described real property for which a
�
YEAR
o �
OCT I 9 9nns
st
I(We) owned ❑ Are buying under coMract
Have a benefidal interest in ihe entity that is liable tor the property taxes on the property and that owns fhe property or is buying under a wnVaU.
If buying on conUad, Fee Simple owners name
Recofders otfice where mntracl is remrdeE
a.-�' -r,rira�c�a . �� �
�3f : ��xN daY�?�dr'�1-.�'h�r
Caunry Tamship
Parcel number
(,�1 (n—vV /�/(o'C(U I
If any poM1ion o/ tha r8sid8nUal aW cture w Me
of 1he prOpeAy uliGzed �o produte income.
Rewrd number � Page
fownshiP)
q Is Ue property in question:
( J�—�—�(,1 /�ea1 Droperty ❑ Mobila Homa (I.C. 6f.1-�
(t) aae t�at immeCiatery wrtounds Ihat sWGUre Is used to proUuce income, desuibe Ne use and portion
/�.3y
. •��-`'�''aF'.€�4`_'� ..,r�:�r.�T���`���,�_��.."—.::STANDARU.OEDUCTION'ALCOWANCEiH - >� °'-.�{�q-�+EC.�x-+•=-:
4�'Y'2iYi�hi��y�':��eYY4=�: ,y��EZiY.'.,..>i!a�Hn:.'::
20 _ Pay 20
lesser of tr2 Homestead
VeivaDm or 535,000
S
SynaWreofPLditw � Datesgnetl
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
20$
nrnsuvn waw �.�n
InJividuaLc auJ �rti:ried muple. are limited io one home�eaJ �anJard AeAuc�inn. As Ne receipt of ihi� deduc�ion hCmrc�
more benefinal, thero is morc incenmx dun ner for homdxad fraud. Homesreael GaW causes higher tac bills (or all: Nerc(ae.
HEA liii-30(19 rcquim uipa�en xho reccim the hanenead sundarJ dNuction �o .<rily thai the. are elfgiNe io reccnc thc
benefit anl ro p�wide additfurul identiiyinc informatian nY�s-vn� io allw� counn• garmmrnt to Nner mmiror homute:W
filin�,�. This infarma�im will br le7w conlidemial anA can only he attea�eJ M� awholvsJ counq� officiais. The Ikpannrem of
LVCJI GMCRYIiCflt FINMC \�III IM IM1tS IOfO�dtiOO (O [�WS L�IS �I01 O"III II[Ilf rolA[Y ofTii�aLc [Iimiw�e MmeaeaA iranA.
Joshua N Cole
337 E Old Petersburg Rd
PRINCETON IN 47670-8515
�i�n��ni�i��n�in���ni�n�n�i�nn��i�i�ui��i�in��ui��
�
T•rtoa�•er Neme
Cole,Joshua N/Arica
State Parcel Number
26-0531-200-000.436-027
Y
Prnoert�� Address
~l)
R3
Prinretan IN;7670
Legal Description
006-00436-00 PT NE FR 31 1 10 1.34 AC
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
� �5,� l,��t
; Address (number and stteet,
�J1 �, • OIf
�
codr)
�G
�
(Numberandstree4 cily, siate, nnd'LIP code)
Number (lazt 5 dieits) Drivcrs Lice�
'� —
�
�
s
5
Same ns property odd�cv
Part 4
� s�„� � p�a�. ma�
Fach undersigned certifies, undzr penalty of perjury, that the above and foregoing infonnation is we and cortect and that he or she is elieible to
receive the homestead standard deduction on ihis property. Each undersiened also undernands that, by claiming additional homestead deductions
unlawfulh�, he or she may be liable for back taxes and substantial financial penalties.
Cj((��lu
(`���) (