Homestead_Dycus■
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a/ "; CLAIM FOR HOMESTEAD PROPERTY TAX
aa�'� CREDITISTANDARD DEDUCTION
� �� State Porm 5473 (R2 /5-92)
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INSTRUCTIONS: See �everse side Jor Iiling instructions.
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FORM'_ }�J _ 9 �1�
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I(We) _ -�LJ�Iq(L.u��✓ certify.that on the tst day of March, 19�J
�'v) occupied as our principal pla bf residence e following described real propetly for which a Homestead� Pmperty Tax Credit is hereby daimed:
(We) owned ❑ . Are 6uying under contract.. , . . .
rlave a beneficial interest in the entity thai is liable for ihe property taxes on ihe property and that owns ihe propeny or is buying under a contract.
- CONTRACTRECORDED -
If buyirg on contract, Fee Simple owner's name . � � •
Recortler's oMice where contraa is recorded Record number Page
PROPERTY DESCRIPTION
, Tv�ing district (city, fam, rownship)
Parcel n mber Legal description
0 0� -oo�f57-od P+ �� �JE. 3 o�-a-� o I f_a�{ a.0 .
If any portion of Ne residential simcture or Ihe IarM not ecceetling one (1) aae ihai immediatey surrounds that structure is used to produce i�ome, descnbe ihe use and portion
oi �he pmperty utilized lo produce income.
� _ ' . .. . . . .' ... � .
OWNED BY CLAIMANi IN
Counry
I
certify ihe above siatements are true, correct and complete.
(number and street. ciry, state. ZIP code)
n . a . -, ,. ,. � � , �
. ASSESSOR USE ONLY
Land noi ezceeding 1(one) acre immediately
surrounding residential improvements.
Oiherland
Total land (line 7 plus line �
Dwelling
Residential improvements
Garage
Oiher improvemenis
Total improvements (line 4 through line �
Total value (line 3 p�s line 7)
I hereby certify ihe above is true, correct, and
complete.
Verityirg action - Signature of Auditor
Signature of Auditor
19_Pay19_
Lesserof 1/2 Homestead
Valuation or 52,000
TRUE TAX
VALUE
(�)
l2I
(3)
(4)
(5)
(6)
(�)
ie)
SignaNre of Assessor
N
�
�THER COUNTIES
TownShip
daimani
���
vy / 7a
ASSESSED I HOMESTEAD I NON-RESIDENTIAL
YALUE VALUE VALUE �
Date signetl
Date signed
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
4137
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[li�EfY1RA1!IMI�/�1
iRlAYUW W0.V :}�A �
IndiriJuaL. and rtu;riN couplc� arc limi�ed to one homeueaJ �tandaN il�lunioa .4s the rttrip� of ihi� deJuction bttonK>
merc beneficial, thrrr i� mwr incrnme dun r�<r (or M1omr>�eacl GawL IlomoieaJ f�awl ca� hi�her tac bills tor all: the¢fae.
HEA li-ti-?0119 requves uxpa.m xho rmei.e Ihe hanes�rad >�andiN Jnluttion in rerify �lut �hey mr eli;iNc io rtx�ene thc
benent an1 ro pnr�ide a�kli�iunal iJrntifpna infwm:mun �xcr.vey ro allw� counn� gm'emmrni m N_rterj monitor humrsmaJ
tiline�. llii. ininmutinn will M I.c� mntidriuiil mA nn only Iw• arcnml Ar amhnrivcJ mnnry� nlTcinls� The Ik7unnrcni nf
Lceal Govcmm<m Piiunce will use this iniorma[ion w aream �wls ihat will h:ln rounm otTiciaL. dimindm tvmcsmaJ frnuJ.
Diana J Dycus
422 E 300 S
PrincelonlN 47670-9208
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_—�Ou'ner I First
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�g .Address (numbcr md sveel, city, smte, and ZIP code) �� �
ti��z E 3 00.3 p�r�; c� r—U,v, SZL.1
Social Securit}' Numbtt (last 5 digiLS) Ihiver's Litt���e/Siate ID Number (lazt 5 digil
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daili`m Addrt55 (f�umber and yYtttL eiq', sta�e. and ZIP cple) � t
H.� �- & 3�t>S P t!J c � r0,v .�--N
�ocial Stturiry� Numbtt (laz[ 5 dieicc) Drivcrs Limnsc/SU�c ID Numbcr (lazt 5
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Taxpaver Name
Dycus, Diana J
Stare Parcel Number
261230-200-000.457-027
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`� 7�� 7 �D
y7�O70
f'rinceton 1\
OOGW457-00 PT SE
AC D-10
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yazE 3COS
30 2 10 11.04 �
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Snmc m pmpcm oddress - _ � _ _ _ .. . _ '
�y��s
�Sumc ni pmpeny address
a bciow l
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undersitmeti certifies, under penalry of perjury, that the above xnd foregoing infortnation is we and correci and that he or shc is eligible to
,e the homeslead standard deduclion on this property. Each undersicned also underslands that, by claimine additional homest�ead deductions
rfully, he or she may be liable for back taxes and substxntial financial penal[ies. I
I $ignaturc /�'` /' I�tc