HomeMy WebLinkAboutHomestead_SlipyCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slare Fortn 5473 (RB / 4-03)
Presuibed by the Departmenl ot Local Govemment Finance
INSTRUCTIONS: See reve�se side for lilinq instructions.
� YEAR
�j CR�
�� ,
OCT 1'j 2UO3
� 'O �'_ ' N COUNTY +.UDITOR 1
I(We) that on Ihe 1 st day of March, 20_
I(We) occupied as our principal piace of residence the foilowing described al property (or which a Ho stead Property Tac Credit is hereby daimed:
❑ I(We) owned ❑!ve buying under coniract �
� Have a benefidal interest in the entity Nat is liable for Me property taxes on the property and that owns the property or is buying under a conVaU.
I( buying om m�irad, Fee Simple owners name
Remrdels otfice where contraU is recordeE
CounTy
7amship
townshiP)
Record number � Page
Parcel number I Legal description Is the property in esUon:
�2� _ a/ g/ 5_� Real property ❑ Mobile Homo (/.C. 67.7-n .
H any poAion of Na residenllal aW cWre w the land not axceeEing one (1 � aae that imrtretliateh/ surtounds Nat sWCture is used to produce income. dewibe Me use and portion
ot the 7�GaM utif¢ed tn produce i�ome.
�' �/� 5 F ��- �-// /. 38'S�,
�����'�'a��"`��tr��«nif��'��r'��M.STAN�ARDAEUUCTIONAL•LOWANCE,3�-�x, .�.���'�-�°����.��..�.��.�
20 _ Pay 20 _
Lesser ot 1/2 Homestead
$
vaWabon a 535.000
Sgnature oflwdBa " Date signetl
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
SlA1E WRN!�W �M1:/Nnl
IRFANAf8fO0.V �11� �
InarciJuak and mu�iN coupki arc limi�ed io orc hame�tr�J >tandaN dcduaion. As Ne receip� of Jti� dedunion beconm
more beneficial. �hrrc is morc i�rcrntne Wn e�er (or homa'tead frduJ. Homr.�eaJ treul caacs hi�her ui bills ior all: there;we.
HEA 131-i-70W requim uxpa�en xho receive Ihe hanesreeJ sundud dnluction in .eri(y tlut �he�� me eligiMe to mcenr �he
benefii and ro p`w'ide uktitional idrntiirifrc infwmatwn ikmsan� to allw� counn� �o.rmmeni W b:;ier monnor Fwmrnzad
filin��. This in(otmalion will br Aa7v mn�idmlial anA tan only M acrtt.eJ br aWhorient rounn� offivi�l.c T6e fkry�annrem of
Local Gmermmem fi�uM'< ��iil ua this in(ortnacion N crcam twls Ilu� x'ill help camq' oHicials diminmc homcsicad Gaud.
$62
Michael Dunlap
1005 S 350 W
PRINCETON IN 47670-8156
���u��n�����n�in���ni�n�n����i�i�n��u��nn�i�nu���
Taxoaeer Name Prupert�� Acldress
Dunlap, Michael/Kimberly �
I OOi S 3>0 �5'
Princemn IN d7670
State Parcel Yumber Leeal Descri� ip ion
�
26-11-16-400-001.815027 006-0181500 PT E tJE SE 16211 1.385
—J --- - Ac - °-"- — —
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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