Homestead_Ford (2)d�p, CLAIM FOR HOMESTEAD PROPERTY TAX FoRM veaR
�� � �; CREDIT/STANDARD DEDUCTION Hc�o
� ' State Form 5473 (R2/1-90)
�-'°�• � INSTRUCTIONS: See reverse side for filing instructions.
`(We) �-f'piw /"�lu.� � �
I( We) occupied as our principal place c
Property Tax Credit is hereby claimed
ENT
V
�•��certify that on 1st dat�of rc � 19
�CT
residence t,�he, �foll wing described real prop�j�irT� a Homestead
L`�" I(We) owned ❑ Are buying under contract
�Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying on coniract. Fee Simple Owner's Name
Recorder's office where contract is
Parcel Number
PROPERTY DESCRIPTION
_ Taxing 4i�tric
(p-�-1D
town,
. (o �t S a�c .
If any portion of the residential siructure or ihe land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion oi the property utilized to produce income.
� PFiOPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
� ASSESSOR USE ONLY TflUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
' VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvemenis (�)
Otherland (2)
Total land - line (7) plus line (2) (3)
�Resideniial improvemenis Dwelling (4) - - � � - � - �
Garage (5)
Oiher improvements (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 Action - Signature of Auditor Date Signed
7989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1997 1991 Pay 1992 19—Pay 19—
Lesser of t/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or 52.000 Valuation or 51,500 Valuation or 51,500
Signature of Auditor � Date Signed
Gibson County Auditor
101 N Main
PRINCETON IN 47670
•
<,,,� „�,,,,�.,�,..�,
PAfYA1PFD0Y ili! �EPART1LYf K LIXAL
hWiriJual.. and ma:riN coupin are IimitrJ tb one homc9cad uandaN JNu.�iun. As �hc rcceipt o1 this dcdunan bttome:
morc beneficial, therc i. more incen[i�e dun ecer (or homesteazl Baud. Ilomo'rc:vJ fiaud causes hi�her tas 6ills tur.11; therefwr.
HEA I;A-i-?/N!9 requires uxpa.m who receive �he hnnesicaJ standa�d dcJunion m.erilv Ihat they me cligiNc w mcei�e ih.
benefi� amf ro p�p�idr :ulAitional idemiipirc; informarun necr<'sin� �o albu� cwnp� em'cmmrn� to bcncr munitor lwnxsxaJ
iiling,..'Ihis infomutinn x�ill br 47x mntldenuai anA e�n nnl�� M arerccN hr awMrizni rounw ofTicials. The Ikpanmem nf
I.ocal Gmemmrnt FwMC eill me rhi� informminn m areace uxJs �lu� will heln rnmrc offiriala diminiie hlxn�a��d rn�d.
—.----2249—__ _ ' ' _ "_ _ _'_' '_" . _^ _
Glen Mac Ford
—cza-se�rs3-c— 6 y W. O' I� I I� r.
PrincetonlN 47670-8673
���ii��in�i��ii�ni���ii���i��i��ii�iii�i���ii���i�i�ii��n��
Taspaver Nnme Prooertc AJd�xss
Ford, Glen Mac � q w a,r� ,o,L
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-' -'-" ' -- ' ' — PrinceionlN;7670 —_ ^-
State Parcel Number Leeal Descripiton
26-12-06-100-003.272-027 006-03272-00 PT NW 6�2 10.695 AC
Y
1' 1
Ownerl First Middl< �� LaSi
�I
Glen n n�c�� Fo�� ;
�g'Adds.u' (nu�:,a a.d saeeq ci::� saee. a�d�ZIP code)- -- ' - -� -'- -'C-Same m pmpem wW�r.cc- -_ __y_
coq 1nf.0'�el l�Dr• Qri nce.� � �-F (� 0
Social Sccurip' Numbcr (last i diCits) Uriva's License/Sute ID Nwnber Qast 5 df�iL) O�ha (please specifi� in Part 4 bclox•) ;
� Middlc i� Lut
Mailin� Addrcss (Number anJ elrtt4 cil}', smte, und ZIY cuik) � Sam<:ti pmperty addrcsi '.
'
Social Stturiry Numbtt (last 5 dieiLS) DrivcYS Licensc/Sure ID N�unbcr (last 5 digiu) Other (plcasc s{ucify in Part+ bcloa'1 �.
Se¢
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Each undersitmed certifies, under penalty of perjury•. [hat the aboce and foregoing information is we and cottzct and that he or she is elieible to
receive the homestead standard deduclion on this property. Each undersiened al;o underslands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties. �- '
Owncr 1 Sipieuue Untc '
Spoux Sipaturc Uah Tclephonc ',
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11 1 I' �
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