Homestead_Elliott,.••• CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
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;, . - � . CREDIT/STANDARD DEDUCTION Hcio
� � State Form 5473 (R2/1-90)
��°�• � INSTRUCTIONS: See reverse side lor liling instructions. �
� CERTIFICATION STATEMENT
I(We) O• I''� certify that on the 1st day of March , 19 �
I (We) occup�d as our
�perty Tax Credit is , ,
Have a beneficial interest in the entity that is liable (or the property taxes on the property and that owns the
property or is buying it under a contract.
place o�esidence the following described real property for which a Homestead
laimed: (We) owned ❑ Are buying under contract
C
on contract.
r's of(ice wh�
Owner's
contract is
CONTRACT RECORDED
PROPERTY DESCRIPTION
(City, t�wn, township)
Page
Parc�l�ymber�(�� I:LegalDescription (y n1i�� ,,/`q���p I-, "���
r� lp l:ak -� � Y.�
If any portion of the residential structure or the land not exceeding one (1) acre ih�Y immediately surroIIr�fS'g,t��
ture is used ro produce income describe the use and portion of the property utilized to produce incom� ���
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township County
certity the above statemenis are true, corred and
Address (Street, number
ASSESSOR USE ONLY
state and ZIP
���
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
I(JI
NON-RESIDENTAL
VALUE
Land noi exceeding 7(one) acre immediately
surrounding residen�ial improvemen�s (� �
Otherland (2)
Total land - line (7) plus line (2) (3)
Residential improvements Dwelling (4)
Garage (5)
Other improvements (6)
To�al improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify ihe above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature oi Auditor Date Signed
1989 Pay 1990
sser oi t/2 Homestead
Valuation or $2,500
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser oi 1/2 Homestead
Valuation or $2,000
�
1991 Pay 1992 19 — Pay 19 —
Lesser of t/2 Homestead Lesser of 1/2 Homestead
Valuation or $1,500 Valuation or $1,500
Date
�'
i1NEfOYN!lMill`(W+1 � IRfASllll[Af�10.NT1A
n��Mn'iDBY�t�1FBMINMVA�:�i�vv PII!`%FJBm0Yi11fDE�M1NE�TfrtURAlGT24YNI1.TiN�\CEMVI.I-�al
Gibson County Auditor
101NMain ��� � � � ' � ���� � ��
PRINCETON IN 47670 InJieiJuaL. and ina:ricJ aoupl� a�c limi�ecl io onc hnme�ead ua�MaN JeUunion. Rs the �tteip� ot Ihis dalunion bttomee
� ����� merc beneficial. thrrc i. more merntnt than e�cr for homeimsl G�ud Hamcsrcsl f`aW causa hi�her ta� tiills tor all: ihertfae.
HEA 13ii-?0(19 requim uxparen who rrccire �hc hpnes�rad slanda�J dcducimn in .mfy Iha� they am dicide Io rttrne the
benefii anJ to pnr�idr aiMlitio�ul idemii�'in_ mfumumun �xcr.a�ry to allw' counrc �n�rmmeni ro Y.irc• moniror homesreaJ
tilin��. This informa�inn will M Aryu mnlidential anA cnn onl�� M acce: uJ Ay awMrireJ onnnry� ofliciai•� The Ikp�nmem of
i
I�cal Gm'ernnrnt FiiuMe xill u.e this in(ormation m crcah htils �ha� �vill hdn camn' of5cials dimm3m homesteaJ fraud.
MAY 16 2011 I
� C.�J.n�
� GIBSON COUNTY AUDITOR
1803
James O/ Cathy L Elliott
1783 Concord Dr
PrincetonlN 47670-9326
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Taxpaver Name
Elliott, James O hCathy L
�
�os� -SI CeNCurcj 1�r.Le
1783 Concard DR
1'rinreton INI37670
State Parcel Number Leeal Descri�ition
2fr11-14-101-001.450-02� COLUMBIA VILLAGE SEC 2 73 D-1
I Firstl Middle �
�� rles D�- u c r ��l �� i
;AUnmss�num�eron6sueeCCirv.su�c.anuZiF'cutirj —' - .— — ' '—�Snmz�yrcrrr-.'..�.'--._„" '-�—
SI � `O/✓CO �tl d/ �' JC 1 � � /Jie� N � /`i � / QnJG. T ! "' / V
iccurity
� ��� � �. yti,� E�/, � �-
lailine Addrcss (1. ber and 9ree4 n�)'. sla�e, and "LII' cutk) � Same as pmpem add�as
�S� 5 CoNcor ��r:uc �r;r��e%Z'`'. lN �'1 � 7 l7
aiai Sauriry Number (lazi 5 diei�s) Drivtt's License/Siate ID Number Qa,� 5 digi�s) Other (pletic sFecify in Part 4 bclow)
idersiened cenifies, under penalry of pepury, that the above and foregoing information is tn�e and correct and that he or
the homestzad standard deduction on this property. Each undersi¢ned al>o understands that, by claiming addiiional hoR
dly, he or she may be liable for back taxes and subsiantial financial penalties.
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deductions