Homestead_Fisher�f R13
e� °, CLAIM FOR HOMESTEAD PROPERTY TAX
;'��= CREDIT/STANDARD DEDUCTION '
:�,�'� State Form 5473 (R2 / 5�92)
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INSTRUCTIONS: See reverse side 7or liling instruc(ions.
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FORM��'6� ��YEAR
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HC70
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��We) LJ l,pX LQJ� lJ �V �. I\ cenify.that on the �st day ot March, �9
�) yEcupied as our principal place of residence the following described�real property tor which a Homestead Property Tax Credit is hereby claimed:
�/
LI� (�^1e) owned ❑ Are buying under coniract , -
❑ Have a beneficiai interest in the entity that is liable for the property taxes on [he property and ihat owns ihe propeny or is buying under a contract.
' � CONTRACPRECORDED r � �- � -
I( buying on contracC Fee Simple owners name � � .
Recorders oHice where contract is recortled Record number Page
County
Parcel number
It any portion of ihe resid
of the pmperty utilized to
PROPERTY
Legal deuription
Tacing d�tric�(dry, fown,
— ULJ 1
stmcture or the IarM noI exceeding one (t) acre that immediatey surrounds that structure is usetl to produce income, describe Ne use and portion
ce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES - -�
Counry Township County Township
�by certify ihe above statements are irue. correci and complete. Sgna, r o� da , 2 -��% '//
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Address (number and street. dry. s1a(e. ZIP code) -
ASSESSOR USE ONLY TRUE TAX . ASSESSED HOMESTEAD NON-RESIDENTIAL �
. VAWE VALUE, VAWE VALUE - . _
Land not ezceeding 7(one) acre immediately
surmunding residential improvemenis. (�) � �
Otherland (2)
Total land (line 7 plus line � (3)
Dwelling (4) � �
Residential improvements . �
Garage (g) -
Other improvements (6) -
7otai improvements Qine 4 through line � (7)
Total value (line 3 pLs line n (g)
I hereby certify Ihe above is true, correct, and Signamre of Assessor Daie signed
compiete.
��ying aaion - Signamre ot Autlitor Dare signetl
19_Pay19_
Lesser of 1/2 Homestead
Valuation or $2,000
STANDARD DEDUCTION�ALLOWANCE
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�1i:ASL'REA i�R?t lS1A
GibsonCountyAuditor � � � � � � � � � � � . ��
101 N. Main Street
Pnnceton, IN 47670 �ndividuals and married muples are limited m ane hamestead siandard Jeductioa As the receip�of ihis deJuction hecomes
. morc brneficial, �hcrc is morc incrntire �han n�cr for Iwmestead fmud. Homatcad (aud causes highti uz bills for all; there(orc,
HFA 1344-?009 rtquim tazpayers aim receivc the hmnes[ead siandard dcduttion to ��erify tha[ th .ry� ue cligibic to receiax the
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� fi1 and co proride addi�anal idrntifying infomation neccssary to allac cou�ty grn¢mmcct 1> bcucr moni:nr homeste�d
filings. This information uili be kept confiMmial and cw onty be accetscd by authorvcd comry �ifBciaLs. Thc Departnent af
, I.acal Grn�cromrnt Fina�e w'ill use d�is infortnation m create mols that will help munrv of5cials elimimie homesread fmud
P.PR 1..5 2011 � � . � -
C.J.
— OIBBON COUNrc TY AUDITOR
3568
Steven K Fisher .
822 S 150 E
Princeton IN 47670-8823 ,
II'�III�'��""�'�'�'I'I��'��I�I��I��1'I'll�l'I'llll'll""'�'�II
TaxpaverName � Lowtion Acldress
Fisher, Steven K I
� 150 E
r
PRINCETON IN 47670
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IIIDIQIiI� III �II I�III �III��III �I�II�II�011�11�111 BII�I� Illl II II II�I�I� II III
State Parcel Number Legal Description
26-12-16-100-001.767-027✓PT SW NW 16 2 70 ; 7.50 AC
This fc�rm MUST be returned to County Auditor's office. �`
Please do NOT send this form back with your tax payment to the count,y treasurer.
n�7i�r�� d� � D � rvst � M�awe
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r�� �, . „ ,.f �� 2 l�C�n��Y
lailing Address (mm�ba and stree[, ciry, stau, and ZIP tode) �
�2 , S� /S� �- Pr��ti�����' ��
ocial Sccuriry N�bcr (]azt 5 digits) Dtivcr's Liccnsrl5�au ID N�bcr (last 5 digics)
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9 w�
Address (Numbcr avd stree4 ��Y, su[e, and 7.IP code)
numbcr Qazt 5 digiu) � Drivcls License/State m Numbcr (lazt 5
t'�� s h �.
at property aldress
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specify in PM 4
Each unde�igned certifies, under penalty of perjury, that ihe above and foregoing infortnation is we and correct and that he� r she is eligible to
receive the homestead standard deduction on this property. Each undersigned also understands that, by claiming additional homesfead deductions
unlawfully, he or she may be Gable for back taxes and substantial financial peoalties. � � �
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