Homestead_Gibson (4)..•n•�• CLAIM FOR HOMESTEAD PROPERTY TAX
d� �` CREDIT/STANDARD DEDUCTION
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� :� State Form 5473 (R2/1-90)
�'^• � INSTRUCTIONS: See reverse side for filing instructions.
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CERTIFICATION STATEMENT �AY O 6 �JJ i
�I(We) R(2Z�.d�i��l�"�jP.l.l,�C�i����l certifythatonthetst��(�7x.„�
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I(We) occupied as 6ur principal plac of residence the following described real property for which a�Homestead
Property Tax Credit is hereby claimed: . , ❑ I(We) owned � Are buying under contract
� Have a beneficial interest in tlie 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 contracl. Fee Simple Owner's Name
Recorder's office where coniract is recorded � Record Number . Page
PROPERTY DESCRIPTION
County
��10 NU �D/q�'-Ob I Legal Des� ption_ ,� /� –� lO �./ � n�G v
f� � 7 0�
If any portion of the residential struciure or the land not exceeding one (1) acre that immediately surrounds thai struc-_
ture is used to produce income describe the use and portion of the property utilized to produce income.
I hereby
Address
PROPERTY OWNED BY CLAIMANT IN OTHER
Township County
the above statemeNS are true.
� � � ASSESSOR USE ONLY
state
and
ES
TRUE 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
co;rect, and complete
Verifying Action - Signature of Auditor Date Signed
7 989 Pay 7 990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
7 990 Pay 1991 1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homesiead Lesser of 7/2 Homestead
Valuation or $2,000 Valuation or �1,500 Valuation or �1,500
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3ignature of Auditor Date Signed
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
4010
51\IEFMM�"MIR:/wl
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, iPf�S11lFRfO0.4:S1A
IndiviJuals aoJ marriN mupin are limiled io onc homr�teaJ xandaN Jcdunion. As ihe remip� o( djis JNuni�n becomes
mure beneficial, thrrc is morc incenene th:m rcer for homesrcad Gaud Ilomo�eaA fiaud cau_�z higher taelCills tor all; thereforc.
HEA I3ii-21%!9 rcquirts u�pa�m x�ho rcceivc thc hnneste�d <tandard dcJunion m.en(7 tlut thcy arc�eligiNe m mcen. ihc
benefi� aN to pnr�ide aJditional idrnGiring iniwm:nwn mrrxa-�rr to allw' county grnemmmt to Niur muni�or IwmmeaA
rrm�.,. rn�� ��ro������ xill hr AqM crnfidenlial anA c�n only Fe accrzcnl bc amhorized rounly n(fitiufz T6< Ikpanmrni nf
I.ocal Gwrrnnem PivM'< wiil ua this intumw�ion N crca:c uwls Ihat will heln mmrr ofSeiat. elimiiam homcueaJ frauJ.
Randy G/ Cherry L Gibson
1922 S OLD US HWY 41
PrincetonlN 47670-9358
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Tazpnver Name
Gibson, Randy G/ Cherry L
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S[ate Parcel Number
26-12-19-200-000.19&027
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R 1 f3oz� 173
Princcton 1�! 47670
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Leeal Descrintion
006-00198-00 PT NE 19 2 10 A2 AC D10
1' 1
Owncr I First Middl< � Last
G�L� � �s�� ;
ig Addr�s ( mber and ivect. city, stete, and ZIP code) ' '-- -- $ame as pfuperiy eddrec'. �— —
2z S. �l � -ti -> > �' �
Sxial
Middlc ' � Last
hF � � ti.L Gi .So � !
Mailinc Address (' mber anJ alrce4 ci�y, sulc. and "LII' cale) , �S:une u pmpeny eddrea; �
I
/ 2 S�/ �/�G = oK- ti �
Social Stturity numbcr (las[ 5 digits) Drivcr's LiccnsdSin[e ID Nianbrr (lazt 5 digi[s) Othcr (plcuc spccify in Pan 4 bclow')
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Each undersitmed certifies, under penalty of �rjury, that the above and foregoing information is we and co�rect and that he or she is elieible [o
recei��e the homestead standard deduction on this property. Fach undersi¢ned also understands that, bv claiming additiooal homest�ad deduaions
unlawfiilly, he or she may bz liable for back taxes :uid substantial 6nancial penalties. '
Owna I Sicnmwc Uatc Tcicphonc
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