HomeMy WebLinkAboutHomestead_FloydCLAIM FOR HOMESTEAD PROPERTY TAX
" CREDIT/STANDARD DEDUCTION
♦ � SIaU Form 5473 (RS / 10-01)
Presaibed by Ne DepartrtreM of Local Govemment Finance
INSTRUCTIONS: See reverse side /or �ling instructions.
I(we) � W L
I(We) occ ied as our principal ace of residence the followi g s'bed r p perty for v
❑ I(We) owned ❑ Are buyirg under contracl
�Have a benefidal interest in lhe entity that is liable for the property laxes on the property
If buy4ig on conVact, Fee Simple awnefs name
Recmders ofice where contract
H eny portion of Ne resiEentiel sWCWre w the land not axceedinp
W U�e propary uGT¢cd b produte irkoma. �^ \
To.vnship
Tadng a '
Is
arre Net � i �i
� l..>
NEU; BYC11Al1YlANT;IN;C
County
FORM
HC10
YEAR
U�a�oni��t day of March, 20_
Property ac redit is hereby daimed:
a contrad.
Record number . � Page
�neai v.oaenr ❑ r,wwie Momo ��.c. ai.i-n .
swcWre Is used W produce inmme, deuribe the usa end portbn
I hereby cerUfy the above statements are We, cortect and complete. 'y'
Llt/ 4.�
ress (number and stree4 dty, sfafe, ZIP code)
�3�11 T(�1t.�b� ��wt.�.L z•l �IlL7D
20_Pay20_
Lesser of 7/2 Homestead
'' _ ValUation or $6,000
$
Date
Gibson County Auditor
101 N Main
PRINCETON IN 47670
$4$
iRFWIRFII/00.V :SIA
IndiriduaL. anJ ma;rieJ aouples are limi�ed to om homcucaJ aandaN �4�lunion. As the receip� of ihi:� deduaion beconrcs
mere beneficial, therc is morc incrntn< tlun e�er for honxsmad BauJ. Iiomri�ead $auJ causes higher L�: bills for all: thereforr.
HEA liii-20Q9 requires ux�uyers .ho receive tAe hanestead siandvd deAuction m veri(y iha� ihry ye eliGide m rtceue �he
benePo anJ ro prw�ide additioeu�l idrntiiyin¢ infurm�tiun necr'vn to allou� counq� ga'emmmt to Ntre( maniror hort�sxead
filin�.'fhis in(nrmLion will M Aep1 conlldential and can oNy tx� arrecud Fy awharisd rounir nllici,Js�'I'he Ikpanmem ol
�
Local Gw<rmnrn� FintM'< will usc �his info�mation w cr�a:e tods �hat will h:lp counrc otTxiaLs elimm�m homesrcad frauJ.
Taxpa��er Name
Floyd, Douglas KlTiffany D
-
3?II Julii
1'nncMan IN
Douglas K Floyd
3211 Julie Dr State Parcel Number Le�al I
PRINCETON IN 47670-8118
26-11-15-200-003.939-027 Oo6-o3s33oo
I�I��II���I�II��I���III���I��I����II���III��I��II����II�I�I��I � D-77
This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county
uDer 1 First
�o�� las ��vivt
e Add (number and strece, riry, sute, end ZIP code)
��3 1�/ ;TUI�e� �� �P� �
iocml $
ipou;e Firs[
� i�T�tn ��
vlailine Address (Number and atr<cti cily, swie, and "LIP c )
��� w ��I�� ;��
�ocial5ccurirv
m�aaie �' O �
� Samc ac pmpeM addmsi
�� -��� �7/1 SI;E
Othe� (plcue specify in Pan 4 beiow)
�/ � �
� Svme ss p�openy address
Othcr (plcasc specify in Part = bclow�)
RIDGE EST D 39
urer.
i S ress)
undersigned certifies, under penalty o( perjury, that the above and foreboing infoRnation is trve and correct and that he or sh�e is eligible to
re the homestead standard deduction on this property. Fach undersiened also understands that, by daimin¢ additional homestead deductions
rfully, he or she may be liable for back taxes and subs[aniial financial penalties. I
I Signamc
ll-l`l-l0
iI-I�-/o
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