HomeMy WebLinkAboutHomestead_Folsom��� . CLAIM FOR HOMESTEAD PROPERTYTAX
" ° = CREDIT/STANDARD DEDUCTION
'� � State Fortn 5473 (R4 / &00)
INSTRUCTlONS: See reverse side for filin9 inshuctions.
FORM � YEAR
HC10
I(We) lw�Y L� certify ihal on the 1 st day of March, 20_
I(We) occupied as our principal place of residence the foll ' g described real property for which a Homes ead/�ac �edit is hereby daimed:
��, I(We) owned ❑ Are buying under contrad GIBSON COUN.TY AUDITOR
iave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contrad.
It buyug on conVacC Fee Simple ownefs name
Recorder's ofice where contract is recorded
Counry
Tawnship
� Legal tle:
II any portion ot Ue residential 5 WGure w fhe land nol exceeding one (1) acre
ol the property uL7izetl to pro0uce income. - • ��
Record number � Paga
�/(�J cao �a �� / �c
at immedia[ety surtounds that structure is used tn produce inmme, describe the use and pwtion
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
4039
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IndiriduaL. and mariN coupl� are IimitN io onc homcanJ vamlaN ckdunion. As ihe �eceip� ot �hji dcJuninn becomn
more beneficial, tMe is marc incenme than e�<r (ar homesrc:rl fraud. Ilomr>�ead &aud caats higher �as bills lor all: therefar.
HEA I3+3-?0(19 requim �axpa�en who ra�acire Ihc homes�caJ >mndatd �kvlunion �n verily Ihet [hcy are elieide m mcci�r �M1e
benefii an1 m prucidr aeWitional iJeneiiyfnc infurtnatwn Mce.vn� to allow counry �vnemmem tu b_nci munitur home.nead
tilinys.'Ihix in(ormation will M Aryu ronlideNinl anA r.m nnl�� h: aamanl M aulMtimd cnunh� o�T¢i�l:_ Thr IkpannuT� of
I_ueal Gu�'cmmem Fnunc< aiil u.e this intmmaturn w crcam twis Ihat will h:ln raunn� olirials dimiiutc homcsmml traud_
Richard W/ Catherine J Folsom
1946SSOE
PrincetonlN 47670-9267
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e Address (number und svecL city, smrc, and�ZlP
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Securily Number (las[ 5 dieib) Driv Lie
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Sume ns propcM addres:
Pan 4
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Fach undersigned certifizs, under penalty of perjury�, [hat the above and foreboing information is wz and correct and that he or
receive the homestead standard deduction on this propeny. Each undersigned al>o understands �hat, by claiming additional hoR
unlawfully, he or she may be liable (or back taxes and substanrial financial penalties.
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Gl� l�a ��'�
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20 2 10 1 AC
zligible to