Homestead_Douglas (5)��•�E, CLAIM FOR HOMESTEAD PROPERTY TAX
3'� ; _° CREDIT/STANDARD DEDUCTION
.� State Form 5473 (R2/1 90) '
�' '°" � INSTRUCTIONS: See reverse side for_filing instructions.
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FORM �YEAR
HC10 q
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CERTIFICATION STATEMENT qp�� n „ , :
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I(We) �`�— __ � ify that on the st day of March , 19 �
f(We) occupied as our principal pl e of re ence the fol ing described real prope � � `mestead
Property Tax Credit is hereby claimed: ❑ I(We) owned ❑ Are buying under contract
�Have a beneficial interest in the entity that is liabie for the property taxes on the property and that owns the
property or i's buying it under'a contract. �
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where coniract is recorded
PROPERTY DESCRIPTION
Taxing Distri�
�
ar el Number Legal Description �
�Q3S3U- 00 _ ��. �e.L,-- �- ) -1 b �, 4 t�7 �,
If any portion of the residential structure or the_ land not exceeding one (7 ) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY,CLAIMANT IN OTHER COUNTIES
County Township - County . Township
� hereby certify ihe above statements are true. correc[ and ' Sign2tu�� � �. n �
\ddress (Sireet, number, city, state and ZIP code) /, i� � "
�, � . _ .
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ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land noi ezceeding 1(one) acre immediately � � � �
surrounding residential improvements (� J �
Oiherland (2) �
Total land - line (7) plus line (2) (3) " '
ResidentiaVimprovemen[s � Dwelling (4)- - � - - - - � -
Garage (5)
Other improvements (6)
Total improvemenis - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
lesser of 7/2 Homestead
Valuation or �2.000
1991 Pay 7992 19—Pay 79_
Lesser of 1/2 Homesiead Lesser of 1/2 Homestead
Valuation or 51.500 Valuation or 57,500
of Auditor _ Date Signed
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
784
AVE IaRM'!w�2'/ n+M�
TPFATUIlE0.f00.NT1A
IiWiriduals anJ marriN coupM> are IimiiN to om home�teaJ uandtN deJunion. As �he reeeipt ol'thiS Jcrluqinn becoma
morc beneficial �herc i. morc incrntnr dun n<r (ar homs�ead fraud. Homeixacl fmud eauses highcr ta� 6ills tur all; thercfore.
HEA 137»-?INN requvn u.�pa�rn r.ho reccire ihe hanesteuJ smnda�d �rluction w.erif� that tM1c� yc eficiNe �o mcrne tM1e
benefi� aN m prtw�idr aJJiiiorwl iJentiirina infurm�nun nm.: an' io allw' countt' gqrmmem ro b_net muniror Iwmestea0
lili�,�.'ILix inlnrmation aill Fe le�V ronlidenlinl anA ean only h. arcem+d M1y authnri�N counly nlTcials� lTt Ikyunmeni o(
1_ucal Gm'emm<m Pvuirce ��ill m< this info�mation w treate 4wls �hai x'ill heln counn� ulficials eliminbm humestead (nud.
Kenneth A/ Judy E Douglas
1662 Dunlap Dr
PrincetonlN 47670-8630
�i�n��in�i��n�iu���ni�u�u��nn��i��un��uu�i�ni���
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Taspaver Namr
Douglas, Kenneth A/ Judy E
State Parcel Number
2fr05-28-300-003.534-027
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re Address (numucr and s¢e�, cirv; sm�c: and ZIP eode) — � ---
� �� �2 17viv�.AP �G�., /"�'lNe�7o� �/T/ <
ocial
T��� �
lailing .4ddress (Number anJ slrce4 ��}', siaic, und "LIP cuik)
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xial Stturiry Numbcr (lazt 5 dieiu) Dm'Crs LiccnS :
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/��2 �.oP
Princcton IN
00603534-00 PT
AC C-1
�ovG�ts
ic as p:oper; a'.dre;�
70
�1/D l/G�/�-S
as prapeny addrea�
undersigned cenifies, under penalty of pepury�, that the abo�•e and foregoine infortn�tion is we and correct and that he or
:e the homestead standard deduction on this propeny. Each undersiened al;o undentands that, by claiming additional hon
,fully, he or she may be liable for back taxcs and substantial financial penalties.
� 1 Siercnuc .� !he , _ TelcDhonc
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28 1 10 1.9397
�Ifgfble to
deductions