Homestead_Dunn (10)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
♦ ! Slate Form 5473 (R5 / 10-07)
�� Presaibed by ihe DepartmeM of Local Govemment Finalxz
INSTRUCTIONS: See raverse�side (or filing inshuc[ions.
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ce fhal om sl d� ot Mar n 2
I(We) occupied as our prindpal place oi residence the following described real pmperty for which a Homeste [p �er� �f [�s her aimed
' i.ilU V li IVI I I�VVI1�.tl 1
� I(We) owned ❑ Me buying under contract �
�Have a benefidal interest in the entity that is liable for the property taxes on the property and ihat owns the property or is buying under a contraG.
If buy4g m conVad, Fee Simple ownefs name
Retorders ofice whera contrad is recorded
County
To�w��v
T�ting Eisfrid (tiry, fown, townshiP)
Record number . � Page
P/a�/e/I/ry/ r /'�/, L de5cri'0lio\n Is ihe property in queSUOn:
dY �OO�p� 'J�"CJV � � {� I,3- � — I � � �jOS ❑ Real DroWrtY ❑ Mobile Homo (I.C. 61.1-7)
H eny portion of Me resiOentiel strucWre w the tand nat exceetllip one (1 J aae ihet immediatey surtounds Ihat sWGUre is used to protluce Income. desvibe ihe uae and
W the property Wl'¢ed fn produca intome.
����wi".`��4�y°}.���.STANDARU'.DEUUCTION'ALLOYVAMCE`•H°"Y-,'�^'�;�.,�"�,s�-"�,.-�'y�,��,z r��"�`t.`<'�'���-"r
20_Pay20_
Lesser of 12 Homestead
Valuatian or $6,000 $
Signature of Audila � Date signed
Sl\fEfOFnI!1•Nill'/�wl � iRFA\U[fAPoR4i11A .
VtMw'EOIII'�In1FYMPpM:Y'��Ma.9r PAEYAIbm�YilVpFfMi��`ffCFLAAtf.D�ZL`MfI.TfP:AK'EMVI.I.E_a.l t��
Gibson County Auditor , � , , , ' � , , �
101 N Main '
PRWCETON IN 47670 IndiriJuaL and m�rrieJ touples are IimitN to ore honre�ead �andanl J,du.�ion. As Ne rccript ol Ni: AMarinn bttonre�
morc brneficial, tMe is morc ifrcrncire tlun ner (ur homo�ead frdud Ilome>�eal Bamf causes higher qi bills tur all: thcrcfae.
� HEA li�li-?fq9 raquircs uapa�m x�ho rceivc ihe hanestead sundarJ �tvfuruon �o verilv� ttut they are elicidr to mccnc �Irc
benen� anJ to pnn'ide :xLiitiunal iJentiirin_ iniwmation mcrssan� ro allw' crounn� carmment ro beue; mumror homcs�eaJ
filin��. Ihic in(ntmminn x�ill be A�+1 mntidcniiil mA tan only Fc arrec.rJ bp w�Mriild onnnq� nlLtiali "fhr De�anmmi nf
I.ucal Gwcmmem Fnum< e ill uw this intu`ma[ion cu crcam 4ds tlut �cill hcln ��:?' u(ficia� elimin7m lKnncstcml Raud.
i�%z
Robert J Dunn -
1408 S Metro Dr
PRINCETON IN 47670-9306
�i�n��ni�i��u�in���n��i��n���i��nu��n��in�n�����n�
sveet: ciry,�sm�q and ZiF code)
Securil}' Number (lan i dieiu) Uriver's License/$late IU hmnbcr
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c Addrrss (number and 4ree4 rily, smle, and ZIP cu�k)
� 5. el/v lJ� �Je (�i/ICt"/o,
5 digits) Ochcr (plcasc speci(y in Part 4 Mlox�)
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mdersiened certifies, under penalry o( ptrjury•, that the above and foregoing infortnation is hve and cortect and that he or shc is eligible to
e the homes�ead standard deduction on this propeny. Each undersiened al>o understands that, by claimine additional homesiead deductions
full}', he or she may be liable for back taxes �nd substantial financial penalties. `
1 $iqnat�ne lYe�c TdeOhrne
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