Homestead_Fichtera+t ny -
� i CLAIM FOR HOMESTEAD PROPERTY TAX
;��'� CREDITISTAkDARD DEDUCTION
Staie Form 5473 (R2 / 5-92)
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� INSTRUCTIONS: See reverse side lorliling instructions.
FORM
HC10
YEAR
� �We) ,G�( ������, ���_�I � �� - cer�1'iatpri�h�fl6l�lay of March, 79
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�) occupied as our principal place of residence the following described real property for which a Homestead Property Tar �redit is hereby claimed:
❑ I(We) owned ❑ Are.buying under contract �-
❑ Have a beneficial interest in the entiry ihat is liable for, the property taxes on the property and ih r a contract.
. _...--._ •�ni�. T� .:m�70R -
. -� � .� �CONTRACTRECORDED � � � � � -
I( buying on conirect, Fee Simple owner's name " �
Recortlefs office where mntract is recorded ReCOrtl numher Page
PROPERTY
er. Legald �bn '
-o�3-c� �t + 5E Sw 9- a- /o /. oo �c
. of ihe residential simcwre or the land not ezceeding one (1 � acre ihat immetliately surrountls that swcwre is used to produce income, describe the use and portion
ry utilized to produce income. . . .
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL �
.VALUE VALUE VALUE VALUE .
Land noi exceeding 7(one) acre immediately �
surmunding residenGal improvemenis (�) ' �
Oiherland (p) .
Total land (line 7 plus line 2� (3) "
Dwelling (4) . _
Resideniial improvements -
Garage (g) � -
Other improvemenis . (6)
Total improvements (line 4 tbrough lina � (7)
Total value (line 3 p�s line 7) (g)
1 hereby certify the above is true, corrett, and Sgnature ot Assessor Date signed
complete.
tyug action - Sgna;ure of Autlitor _ Da:e signetl
�
- -� STANDARD DEDUCTION ALLOWANCE �
I 19_Pay19_
Lesser of 1/2 Homesiead
Valuation or 52.000 S � .
Si at e of Autlito1 � Dare signed
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�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
tlpi£ fp0.}I!)JM 12' / )wl
MA�UIG fORM �IT
Indn�iduals and inu�icd roupl� are IimitN to onc homc3caJ �andaN JNunion. As �he receip� 01 ihu dcdunan lxrome�
mure bemfirial, thrre is morc incentire rtun e�rr (or humn'teaJ fnW. Ilomr.aeaJ fiatW <aases hi�M uc 6ills Iw all: therefae.
HEA 1;i;-?009 requirts u�paqers xho recci.r �he hanestcaJ sundard dnluction m.crily ihat ihey are elicide to mcene the
i
brneF� an1 to pnn'id< sLii�ional identiiyins inWrtnstion nem.'vey to allw� counry� �nemment ro b:ner mmi�w lu�mesread
filitw�.. This in(mrtulion will he AqY cm�idemial anJ r�n nnly M armssed 6y aulMriieJ rounly ofi'xialc Thr Ik�wnnxm nf
I.ceal Gmemmem Fivnm will use �hrs in(ormatiun m crcatr rouls that will hdn mmn ofiidals elimiaim humarcaJ haud_
3411
William J/ Jane E Fichter
279S180E
PrincetonlN 47670-8963
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l.0 1 l-� l AM
� �g Add�¢s (numbcr and �vm[, ciry, s[atc,
undersigned certifies, under penalty of perjury•, that the above and foregoing infoRnation iswe and correct and that he or sh� is elieible to
;e the homeslead slandard deduction on this propeny. Each undersiened al;o undentands that, by claiming additional homesiead deductions
��fully, he or she may be liable for back taxes and substantial financial penalties. `
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