HomeMy WebLinkAboutHomestead_Eubanks (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
t � State Form 5473 (RS / 16-01)
�•u Presaibed by Ure Depar6nerrt W Local Gwemment Finarrce
INSTRUCTIONS: See reverse side lor (ling instructions.
FORM
HC70
YEAR
�(we) � �� ��:! �/� /�J i�J �/��y�- certify that on the 1s� o�ola�ch�7ll�
I(We) occupied as our principal place of residence the following described real property for which a Homestead Propert��]I�redit,�s b�5g�yy daimed:
❑ I(We) owned ❑ Are buying under contrect Z �UUL
iHave a benefidal interest in the entiry that is liable for the property taxes on the property and tliat owns the operty or�byying�y�i,�ider a cqnVaU.
I( b�ry4iq om m�frad, Fee Simple ownefs narne
Recordefs ofim where contrad is remrded
Caunty
rc �y port�a, m ma ��;d
ot the VroPaM uLl¢ed to
Tavnship
atrucWre w tl�e land no1 exceedirg one (1) aae Net
ice income.
S
��
Remrd number � Page
7ating disVict (tiry, town, townShiP)
Is Ne properry in queslion:
❑ ae� vrowro ❑ n+ooue Ho�,o o.a e-,.,•n -
iunds Ihat svucWre Is used W produce inmme, describa the use end portbn
��.'����'c�,•'"a"s°.f��'���� fi`-�STANUARti'bEDUCTION'ALL`OMI/WCE�"-�"sk.``u <#2;:'`_ �.�* ,�, ,�'".z*�e_.�--;.,g�y''", ,-E,�o-�z
20_Pay20_
Lesserof 12 Homestead
Valuation or $6,000 g
SignaWre ofAUdew ' Date s' ned '��
Gibson County Auditor
101 N Main
PRINCETON IN 47670
.
472
Scott D Eubanks
(yiR$ Park Dr f���
PRINCETON IN 47670
i
I
_.-_ ,
�,,�E �.� �,w.��, �...�
InJividuali and marriN couples are limimd to onc homcaeaJ uanJaN AcYlunion. As tht rcceip� ot this�dedunion bttome�
more beneficial, therc is morc incrntnr Ihan e�a (or home.+teacl Gaud. Ilomsttad fraud causes hi�hrr tac bills for ull: Ihertfore.
HEA 1337-?U09 requiies maparen who receire �hc homestmd sundard deJuction �o .erifv �hat they are eligiNe to mcei�e ihe
bznefi� and to pro��idr additiowl identin'ing in(om�atiun mYrsan� �o allw� counn� earmmeni tu bever moniror humesteaJ
tlim� . This information x�ili M kryw emlidemial anA nn nnly !x acce: seJ 6r authorimd counq� olTmials.IThr Ikpanmem of
Lucal Gorcmm<m Ffna�c ��ill mc this intormuion W arcam Wuls �hat will h:ln ��W officials eliminak 1rc�matcad (nud.
Tasoaver Name
Eubanks, Scotl D/Kristy L
�
, i.
Princcmnl\
State Parcel NumAer , L�al I
2611-13-202-002.086-027 005-o208fioo
�__ ____. _— V _ __'—__ _._
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county
i F�m ntiam�
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Some a� pmpem• address
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fy in Part 4 below')
$anre u pmperty addrtss
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undersigned certifies, under penalty of pequry•. [hat the abovz and foregoing information is we and corrzct and that he or
�e the homestead standard deduction on this property. Each undersigned al>o understands that, by claimin¢ addi�ional horc
+fully, he or she may be liable for back ta�ces and substantial financial penalties.
v,
0
HILLS 5
urer.
elieible to
deductions
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