Homestead_Frazier.�•_�•� CLAIM FOR HOMESTEAD PROPERTY TAX . � ' aR
d�'„ 4, FORM
3'"`` �� ° CREDIT/STANDARD DEDUCTION � ���
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:� State Form 5473 (R2/1-90)
.�' '°�• � INSTRUCTIONS: See reverse side lor liling instructions. �
CERTIFICATION STATEMENT j/
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1:�;�� (We;�� _ Q., ify that on the 1 st day of March , 19
I(We) occupied as our principal place of residence the foll escribed real property for which a Homestead
Property Tax Credit is hereby claimed: I(We) owned ❑ Are buying under contract
�Have a beneficial interest in the entity that is Iiabie for the property taxes on the property and that owns the
property or is buying it under a contract.
- - CONTRACT RECORDED .
If buying on contract. Fee Simple Owner's Name
Recorder's oftice where contract is recorded Record Number Page �
PROPERTY
County Township � Taxing i tr own, nship)
�-
Parc Number Legal Description � � _�. Q�/
.?�aC� � / /p '
If any portion of the resideniial siructure or the land not exceeding one (t ) acre ihat immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
1 hereby certify the above siatemenis are true, correct and ,�j �nature �
�n � _
state
ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
` VALUE
Land not exceeding 1(one) acre�immediately
surrounding resideniial improvemenis (�)
Oiherland (2)
Total land - line (1) plus line (2) (3)
Residential improvements - Dwelling � (4) � - � � � - � -- - - - -
Garage (5)
Other 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 o( Auditor Date Signed
� JIHIYlJFi1lL/ L/CNVLr11V1V ALLVYYNI�trG
�1989 Pay 1990 7990 Pay 1991 1991 Pay 1992 ;� G�:; j�g{,LPay 19—
I Lesser of 7/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homestead
Valuation or $2,500 Valuation or $2,000 Valuation or $t,50flj_ _ a,V I�tion or �7,500
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
3404
Aric S/ Tonya L Frazier
1771 E SR 64�
Princeton IN 47670
i
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umbcr (last 5
euxwnmarn�
InJiriJuals and marriN coupks a�c limimd �o onc hnm�ucad �tamlaN Jzdu.uon. As the receipt of IhiYANuctan bttomes
morc benencial. thrrr i> morc incrntnr Ihan ecrr (ar home..macl Gaud. Ilomrs�eaJ &awl causa higher u� bills for all; therefae.
HE.\ 13A-i-?IX19 requim iacpaven who r.cei.c ihe hanes�eaJ standa�d Jnlunion m reriti� ilu� they arc eli iNe �o mcene the
benen� aN to p(w�idr a�klilloml iJemiiyina iniurmatiun �xxr.vrv �o aliw' cwnrc gattnmmt ro b:ircdimuni�ur Iwmrsrcai
hling,..'Ihis in(amuiinn xill be Aryw cmOde�uial anA �n nnlr h� acm�.eJ Fr wilariird county nfi'einlsiThe Dqunmcm o(
Lceal Gwartn:rcm Fiiunce �vill ma this iniormation tu cream cwls IM� �rill hcln nwuirv oBirul< dimina�e homextead tiaud.
T�xpaeer Name
Frazier, Aric S/ Tonya L
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Envv ba
incc�an IN
State Parcel NumAer Leeal Descripfi
F
26-12-09-300-001.692-027 OOS-o1692-0o PT SE s�
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S�-�� e hl .....__-� F 2� z i��
. . � Snmc ns propenv addttss �
� � i� �1 I Nc�-i-on/ ln/ �7�
itale ID Nm r QaU 5 digil5) Other (plcice speciF in Pan 4 below)
9 2 10 .976 AC
7
Tb N� A � �,�. `f N 1� I �l� �i Z/ c,2 �I
Mailing Addrtss (Number anJ rirtt4 ci�}', slate, and LIP co�k) rf,S:une az pmpeny address ��
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I�1 � E 5-� i� I�1 0,..� -- �,i
SceiW Stturin� Numbcr (las[ 5 digils) Drivcr's Liccrtu/SU[c ID Nmnbcr Qa,� 5 digils) O�ficr (plc�sc spccify in Pan 4 bclow) I�
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Each undersigned certifies, under penalry of pzqury, that the above and foregoing infonnution is we and correct and that he or she is eligible to
receive the homestead siandard deduction on this property. Each undersiened al>o undersiands that, by claiming additional homesiead deductions
unlawfulh�, he or she may be liable (or back taees :uid substantial financial penalties. ��
0xner I Si�xmc _ /� �� l�tc 'PC1eDhone
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