HomeMy WebLinkAboutHomestead_Dunn (8)I'
, CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
� Sla�e Fortn 5473 (Rfi / 40.7)
Prescribed by the Depanment of Local GovemmeN Finance
�µ� FORM YEAR
HC10 �
INSTRUCTIONS: See reverse side lor'/iling ins(n�clions.
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� M�e) �: cerhfy_ihat.on.the-lst-dayof March. 20_
I(We ccupied as our principal pl ot residence Ihe following described real property for which a Homestead Property T Credil is hereby daimed:
I(We) owned ❑ Are buying under wntract SE� �= Z��
' Have a benefidal interest in lhe entity that is liable for the property taxes on Ihe property and that owns lhe property,or is buying under a wnVaU.
If buying on conirad. Fee Simple owner's name
Remrdefs office where tontrad is recorded
Counry
Parcel number
Tamship
Legal
Tacing district
Is the
Record number � Page
'.A16' �) ��� ��' � i `f't NF,(�� I L�J Raal property ❑ Mobile Homo 11.C. bf. f-�
1/ any portion of Ne resiCenlial sW ctura or the land not a:ceeding ona (1) aae Nat immetliatety surtounds Ihat sWGUre is used to produce income, desaibe the use and poNon
of Ihe proparty utilizeC to Wodute intome. // �_/O f�
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I'`T�'.`�*d .� ti.': Y_��ro''iL°e '4'Ia�I .. a�it �jg� � . .yy f'}tii' `�� ' � � a3r� � Y
�� �ASSESSOR�l1SEONLY��' Ait�'�'�TRUETAX ��, ASSESSED�VALUE. HOMESTEAD'� NON=RESIOENTIAL�=
�. ..'�.'r"'� a�`°�?#'.:.�°'r-"�"..-_+i�:�isXS.4� �1"'ia,YALUE�-�r`.� _ATz100%OF+!TV.S �VAI.UEs� 6�'�sf:�S�VALUE���`'��
Land not exceeding 1(one) aae immediatety s_ '�"..�����"�` '�:
( ) �y,�"✓'(1.�., ,r��'"t �
surrounding residenlial improvements. � ��.,,a�,�����*rf;
Other land / '�� �' �
{2) . £ ...,..��:wn�
T�al land (line 7 plus line 2) (3)
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Dwelling (4) �:—������� � `°; ..•.y+��
Residential improvements or Mnually ����'' `�'"
hssessed Mohile / Manufactured Hortre Garage (5) �'S'n�t .~:. ;���
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4+.".a`�"r� ,'�'y.�i'-`<;�j!.'r
Other improvemenls (6) �: �
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Tdal improvements (line 4 through line 6) (��
Tdal value (line 3 plts line � (g)
I hereby ceAify the above is irue, coned, and Signamre ofnssessor Date signed
complele.
Verilyilg adion - Signature oflwtlimr Date signed
'���;`,A�'�;•_��� ��'tixArv�k�'_�s�3���•.�:��''uSTANDARU'.DEDUCTION'ALCOWANCE��,'�'"�,,,�a'..c�ra*s:-=��.t,'�'�s�.`,�.i�'€sr�_�r".'�.i�'h`�'��..:�
20 _ Pay 20 _
lesser W 1/2 Homestead
vaWanon or S35.W0
5
Sgnaturaof/Wd@or ' DatesigneA
�t
Gibson County Auditor
101 N Main
PRINCETON IN 47670
1341
SIiIEIfMM
1RE15UlfRfORVYI.� �
�tiR:ACEM�II-CJ.I �
Indiriduals and muriN couplec are Iimi�M io one hnmcucaJ uandartl Jnlu.�ion. As thr receipt ol Uji. dnlunion becomes
mare beneficiaL rhrrc is morc incrntire tlun r�<r far hamesm�l Gawl. Ilome»ead frduJ ca� hi�her �a�f 6ills tor all: thrrefore.
HEA I3+1-?009 requim mxpaytts x�ho reeeivc the taines�eaJ sundvd dedunion w rcrify �ha� �hey artlelitide m reaene �he
benefii aN m pro�id< aJ�Niional idenuirinc informmion nem'vn to allw� counn� ga�emment ro Nter muniror IwmrneaJ
filir�.�.'lliis in(arma�ian will 6e Aery conliJenlial and e�n nnly h: armuvl b. awhoriiN rouny� oiI'¢ia�s. 7fie Ikynnani o(
I.ceal Guvcmmcm Fiiuirce will u.c this intormation ro crcam twls �hat mill h:lp cpmrv offirial. cLmmarc fromcACad Gaud.
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T•rsparer Name Prnpert�• Addretis
Dunn, John/Patricia �
• 555�S Persimmon Lane /
� PRINCETON IN 47670-8846
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R2 6ox f?37a
Princeton 1\` �7670
2Cr12-16-200-000.530-027 006-00530.0o PT
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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
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Address (Number and svttt ci�y, suie, nnd LIP cak)
Stturin� Numbtt (lac[ 5 digia)
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idersiened certifies, under penalty of pepury�, that the above and foregoing infortnation is we and correct and that he or she is elieible to
the homes�ead standard deduc�ion on this pmperty. Each undersi¢ned al>o unders�ands tha�, by claiming additional homestead deductions
illy, he or she may be liable (or back taxes and substantial financial penalties. I
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