Homestead_Fravel_ ry� � CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
S � State Fortn 5473 (R4 / 8-00)
•,.
INS7RUCTIONS: See reverse side for filing ins6uc6ons.
FORM `, YEAR
HC10 f'�
I(We) certify �,t yn t�e�st�bf March, 20_
I(We) pied a our prindpal place of residence the following desuibed real property for whic�h a Homes d Property Ta� Cr([edR is hereby ndaimed:
i, I(We) owned ❑ Are buying under contraG '�1 -^- �/n/-�-�//
�iave a beneficial interest in the entiry that is liable for the property taxes on the property and fhat o t(gygg�g�y�byy�� i�g� a'cOntrad.
II buyirg on contrac4 Fee Simple ownefs name
contraG
Tawnship
I number I Legal
c�—O��ot��. �
If any portion of Ne resitlential siruclure or lhe land
d ihe properry utiGzed to pco0uce iMOme.
RecorO num6er � � Page
one (1) aae that immediatey surtounAS Nat sVUaure is used to produce income, Eescribe ttre use and pwtion
20 _ Pay 20 _
Lesser of 12 Homestead
, Valuation or E6.000
S
�/IS�J
u
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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tl\tE In0.4 ��'M12'( Mxl
nflqtn' E Il PT 5T V[ bqRl) ry,Yi�;.]Ti 9w
LPE�StI[[RPoR4Y1�
InJividuaL. anJ rturrinl aouplc are limiinl m om home.�rad standaN d,duninn. As ihe �eceip� ol'thir JcAunion becomts
merc beneficial, ther< is morc fncrntnr dun ecer (or homorcaJ GauJ. Ilome»eaJ GauJ cause hi�M ta� Inlls tor all: the¢fore.
HEA L•�LF-]GM requirc> U��u.en w�ho recci.e ihe hanes�ceJ >tanda�J dniuction m vcrify �M� th<y are eligiNc m mcenc thc
brnefit ani ro prw�iJe a1Lli�io�ul fdemiirinc infwmmion �xce.iary ro allw' cwnn� grn'emmrnt to benir muniror homesteaJ
fili�k.�. -(his inlornuiion xill M Ary4 crntidemi.�l and can nnl)' h� arrew�nt M1y aWlmrirtd ronnh' oRtivl�:'fM1e Ikpannrcm of
I.ucal Govcmmrn� Finam�e will ux this in(urtnation tu crea[c 0.wlr tha� will hein ���1' ��al. elimi�4ite homestcad (rauJ.
1907
Ryan S Frevel
P O Box 179
PRINCETON IN 47670-0179
���u��ii��i��i��in���ni���nni����i�����i��ni��i�uii��i�
e Address (num�cf ond �treet, city, smte, and ZIY codr)
a s 3sa � ,�.�. aox �7�
; nceEov� , Sf� u>(o"%C�
�
Tasparer Name
Fravel, Ryan S/Jeanette E
X
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rKi�cr_ro�
State Parcel Number Le�al I
26-11-16-200-004.108-027 006-OaiO&oo
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) Nm�r azi 5 digiu) Other (ple�ce
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Middlc
JeanheN2 I E� leer,
ilin� Addresti (Nu r and a iv, siate, nnd "LIP cuJc)
,�a s 3� �,`�:�•�ox ��9
47r� t�C2�ov� S v� ul (c�i�.%
�ial Stturity Numbcr (last 5 digics) Dmers LicrnsUStatc ID Numbcr Qazt 5 di�,
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il
�ra�e� ��
-'iSuun �u"p�vµ�ly ai.li.aa —' _ _ �
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� Sumeaspmpenyaddres
Mlow)
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PLACE l0T
undersigned certifies, under penalp� of pepuq•, that the above and foregoing information is trve and correct and that he or she is elieible to
:e the homes�ead standard deduction on lhis property. Each undersi¢ned also underslands lhat, by claiming additional homestead deductions
.�fully, he or she may be liable for back taxes and subs�antial financial penalties. �I
I SitmtRUt Uatc 1'cicphonc
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