Homestead_Fleming�..�^ q CLAIM FOR HOMESTEAD PROPERTY TAX
�_'� . = CREDIT/STANDARD DEDUCTION
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� ' State Form 5473 (R2/1 90)
�' '°�° �� INSTRUCTIONS: See reverse side for filing instructions.
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CERTIFICATION STATEMENT
� � YEAR
HC10
7 �1992
�a:r�.��
on the 1 st day of March , 19 �
�We) occupied as our principal place of re�i4Jence the foilowing described real property for which a Homestead
'Property Tax Credit is hereby claimed: Iy_I I(We) owned ❑ Are buying under contract
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� Have a beneficial interest in the entity that is liable tor the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying on coniracL Fee Simple Owner's Name
Recorder's office where contract is
Parcell
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PROPERTY DESCRIPTION
Taxing District (City, town, township)
1—i0
a
If any portion of the residential structure or the land not exceeding one (t) acre ihat immediately surrounds that struc-
ture fs used to produce income describe ihe use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON•RESIDENTIAL
VALUE
Land not exceeding 1(one) acre immediatety
surrounding resideniial improvemenis (�)
Otherland (2)
Total land - line (1) plus line (2) (3)
Residential improvements Dwelling (4) � -
Garage (5)
Oiher improvemenis (6)
Total improvements - line (4) Ihrough line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Aciion - Signature of Auditor Date Signed
1989 Pay 7990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7991 1997 Pay 7992 19—Pay 19—
Lesser of 7/2 Homestead Lesser of 7/2 Homestead �esserof 1/2 Homestead
Valuation or $2,000 Valuation or 57,500 Valuation or S1,500
Signature of Audiror / 1 � �� \„ , - � Date
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
��II.��D
APR 7 2010
GIBSON,C UN��BIiAh
246
tlitE NRM �))M IR: / �YI
PRF�YNPFnBYi11F
iRFASI1lERiORN �}��
fndividuaL. anJ rturrint couplc are limi�ed m nnc homestead aandaN detlunion. As the receipt ot ihU dcdunion becm�ce
merc beneficial. �here is more incenirce d�an ner (or homestead freud. Hom�,veaJ fraud cause� hislKr ta� �iills ior all: thertiaz.
HEA 13ti-]009 requves uxpa.en �ho receive Ihe hanes�ead sunda�d Jnluction b�erify t1u� thq' �re elitiMe lo mcei�r Ihe
benefi� and ro p�w'ide aAli�io�l idemiiyin_ m(urmitwn necr<san� �o allw� cwnn� em'rmnent ro Nrtci monitw homesead
filim�_ This in(omu�ion will he Aryv ronf:drnlinl anA can only k+e acttssnl b�� au�horivrd vouny oflitivli. The Uepannunl nf
i
Lueal Gwemmem PnuMC will u.e this intoemation W erw;e rools tlu� aill h:Ip evmin' oiTiial. dim�i�arc hom<siead haud.
Taspaver Name
Fleming, Mark T/ Cathy D
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RI Bax I76
1'atoF:a I� '766
Mark T/ Cathy D Fleming I
R1 Box 176 State Parcel NumAer Leeal Descriution
PatokalN 47666-9211 —
26-OS-40-107-000.493-027 006-00493-00 PT LOC 107 1 10 2.3626 AC
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This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county
N�R i E„n
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�e Addrtss (number and ;o-cet, ciry, su�c, and ZIP code)
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undersigned certifies, under penalty of pequry. [hat the above and foregoing infortnation is we and co�rec[ and that he or slie is elieible to
�e the homeslead standard deduction on this propeny. Each undersiened al;o undersiands that, by claiming additional homesllead deductions
Jfully, he or she may be liable (or back taxes and substantial financial penalties. �
1 Sicmnuc Uatc 1'cicphone ��
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