Homestead_FarmerCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` � State Fortn 5473 (R5 / 16-01)
�•� Presaibed by ihe Departmerrt of Local Govemment Finance
INSTRUCTIONS: See reverse side /or filing insfnicfions.
FORM YEAR
— �--5 -NC t o i. .�
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I(We) �///// `V-' �(((L�1/!�r `J`1J/)'XlA i certi � at on the� d�� Mar�20 II
I(We) occupied as our principal place of residence the (ollowing described real property for which a Homestead Pro�erty Ta< rEd � here daimed
' I:IJJ�.h��VVl� � "\VUI�Vf� .
❑ I(We) owned ❑ Me buying under contract
�Have a benefidal interest in the entity that is liable for the properry tazes on the property and fhat owns the property or is buying under a contrad.
If buying on conirap, Fee Simple owners iwne
Remrtlers olfice where contraq is recorded Remrd number I Page
x'3�"laexf �4'�",��, __ '�i'�"°�`t".ys'�+�is� �� r�z�-ev...:•,�;e
��:.�r � �- — �P,RUPERLYf�ESCRFP.T10Nr�
Cui � � Tawnship 7aing disVid (dty, town, townshiP)
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Parcel u/rybe r C/,��!J ��/ � Leyal descriptio Is Ne properry in queslion:
�`� �� / ( o � � ' �—�d ❑ Real DroPertY ❑ MobOe Home U.C. 61.1.7) . .
H any portiai of the resitlentlal sW cWre or the Wnd not uceedinp ma (7 ) arre �het immetliatety wrmunds that sWCWre is used lo produce incune, Cescribe the use end pwtlon
M ihe propury uUIIzeE fn produce iMOme.
Counry
Township
I hereby certify the above statements are We, cortecl and complete.
ciry, atare.
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��drw`,.�.,�b`'_.�``�GZ"'�'.��'&����"�STANDARU::OEOUCTION�.ALLOVVfANCE�,��".,�'�^°�:,',-��.v� "`:�.:�i��^"' ��:�.�:�t,,_�.�i'�'�
20 _ Pay 20 _
Lesser of 12 Homestead
Valuation or $6,000 S
Signature af Pudilu " Date signed
' Gibson Caunty Auditor
101 N Main
PRINCETON IN 47670
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817
Tim D Farmer
1670 N SR 65
PRINCETON IN 47670
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STAiE ifIRN �! V/IM: / �+MI
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.�IIRfASOIEP W0.41U
fpT fII:A'fE M H.1.2'.�.I
InJiriJuaL and mlrid roupla are limi�ed w onc hnmcucad �andaN dcAu.�ion. A� ihe rttrip� ol ihi��dcdunion bttromes
mure brmficial, thrrc is morc incentnx than e�er for homesmal fraud Iiomn�eal fraud causes higher ta� blls (m all: thert(ae.
HEA li�-4-?II(!9 requvn uipacen v:ho receirr Ihc hanes�eaJ smndad �kwluction m verily dui �hcy are efigiblr to rceci.e �he
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brnefit ani ro pnn'idr :xlJiiiunal idenfiicinc infurmatiun nem-vq' io alluw� ownn� �rrmment �o beuer munimr humese:rJ
fili��. -Ifiis in(otmation will M AryY confideniial anA ran only lx arce_uJ M1y w�Mriznl counly nfTeials�'!he Urpanmrn� o!
Local Gm'emm<m FivMC �rill u.e �his iniortna[ion W arw:c mols tlut x'ill h:ln camn� ulficia4. elimin.h< h[rmesteal frauJ.
<iry.stdtc.andZ�vcodc) - —'
Addrev (Number and sveel cil}', s'�ale, and ZIP code)
Stturin� Numbcr (lazc 5 digits)
Tasoaver Name
Farmer,Tim DlSusan G
/ \
R3 uox
Prinreton I\
State Parcel Number Leeal Description
26-OS31-400-000.945-027 ���s-oo aT SE 31 1 i0 7.076 AC
V C' I
t
Pmper: adW-sc— _
(lui 5 digiB) I Othrr (pleast specifv in Part 4
Same �u pmpeny address
Othc� (picuc spccify in Pan 4
idersitmed certifies, under penalty of pepuq�, that the aboce and foreeoing infurmation is we and correct and that he or sHe is elieible to
the homesiead standard deduction on ihis property. Each undersicned also undemands that, by claiming additional homes[ead deductions
dly, he or she may be liable for back taxes and substantial financial penalties. ;I
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