HomeMy WebLinkAboutHomestead_Graham (3)CLAIM FOR HOMESTEAD PROPERTY TAX �j (�
CREDITISTANDARD DEDUCTION 6 I
Stata Fam 5473 (R6 / 4-03) 1
Prascnbed by the Department ol Local Govemmeni Finance
INSTRUCTiONS: See �everse side lor �ling inshuctions. �
FORM YEAR _
co
APR 9 2007
=��:Fi:.�4z_= _��?�'o-"��xt-f�r:.,x�# '�t� �n'.GERTIFICATIONSTAIEMENT`• ^�'-":� - +'ti"�'}�i,G � "
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I(YJe) � -' 1 . �• certify that on�a�d� fo�l�arch, 20
I(We) occupied as our principa� place of residence the following described real property for which a Homestead O��Iti�k%i1TtYs R��iQPaimed:
t
❑ I(We) owned e buying under wntract
' Have a benefidal interest in ihe entiry that is liable (or the property taxes on the pwperty and that owns ihe property or is buying under a wntraG.
If buying m ,
County Toxnship Tating dislri (<
Parcel number3 / 043 Legal descripiion Is the
a(�- a-eR-i -o
H any portian o/ Ne resitlantial sWCWre or the land not exceeding one (1 � aae that immetliatey sunounds
of the property utilized tn produce inwme.
Ob1�-o3b3�- �
Rewrd number � Page
_ L�J(JSl�'
question:
2eal property ❑ Mobile Homo (/.Q 61.1-�
re is used b p�oduce income, tlescribe Ua use and portbn
�?oo(� y�aLa�p
I ,�lCo - /� - � /- /�a - �3n � /� 3 7- �5,� 7 I
r'`�'��,5:."�`� r-�.-� ��� � '�,y6Y L".r- � Xae � - -., c. _:. - -. _ �.;,.
�: } F A35� �R�S�ONLY� � �'��i� �1 „�VALUE -iz. R, AAT 100 /e OF TTV� �,'tVALUE�D� � .°4��Y�ESIDENtTIAL�
�� .`�u. �� ___.. �. � . � � y,.VALUE ax,�'ta ' t _
Land not exceeding 1(one) aue immediately �� s-t.� 4h .f,.���y,ps'.:�. �
surtounding residentlal improvements. (�) <'�� ° +�.T`s��+"� ?'
� .� ,t, ,r_-��
�,' � �"3.�,rtx
Other land �'-r�:.'� %���'
(Z) fi�.-�?yY -,>.:", �
.-�->�..,�...,-v`-
Total land (line 1 plus line 2) (3)
�,y_.; Y� a}.F E�h. �.7
Owel�ing (4 $�` �
' � � "-� :.::� `���
'Residential improvements or Mnually
Pssessed Modle! ManuFactured Home Garege 5 a�'�j E�:�'� � ;��ii� r�
( ) .�-.`'`.,. wvY..." .�",��� �
�^CV� , €i . -
Other improvements (6) ;��:_ �Y � ;,-�
,�;�*??��` , �:�
Total improvements (line 4 through line 6) (�)
TUaI value (line 3 plis line � (g)
I hereby ceAi(y �he above is We, corred, and Signature otASSeswr oate signed
mmplete.
Veritying adion - Signature of Putlitor Date syned
��.���'��. "��'�re7t'��,<':'��i.��dn-����:�`sSTANDARU'.DEOUCTION�ALLOWANCE4:u:;�iij:�.�'��"'��s-�_e'�"'�.�*S'.?Y�,�`'�:..�:..�_-'
20 � Pay 20 g
Le;ser of 1!2 Homestead
vguaLOn w E35.000 S
Signature of Audhw � Date si9ned
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
Sl{h�(IA\I
IIlASUAFA Po0.L .Z. �IA
.i fll�n\CE IC 6�:. �•J.1
InJi��iJuaL� anJ inarrieJ mu{�kz are limiinf io onc ho�ueaJ ,�andaN dnlunion. As �he rtteip� of Nii Jadunion beeonxe �
morc bcneficial, thrrc is morc incrntne Oun oer for homtneal (nuJ. Ilartb-rcaJ Baud causs hi�her �a� b Ils for all: there�or<.
HEA 13i3-70(!9 raquvn ta�po�en w�ho rttcivc Ihc hanes�:aJ >undi�J JcJuniJn m vtri�r Ilut they am e iciMe to recenr �Ac
�`
benefi� anl m p�w'ide addiGmul identin'im_ infwmafiun rnca'vn' to allw' counn' em'emmrnt tu b2ver munitor hortr9esl
61i�.-.'Ihis inlnmutinn xill h Aery canlidrntiai anA e�n nnly h arm: sed hy autMrrzd rount�' ofi¢inB�'fhe Ikpannxm o(
I.ocal Grvemmem Fiiunce �cill me this intormation N c¢am 0.vls �hat aill h:lp aavm' offinal. eliminarc homestcal traud.
� Taxpacer Namr
Graham, Lisa/Jo Ann Preston
4�48 _�. ., _ _'—> _" ' '____ _ /./ '__
d
Lisa Graham
377 W 350 S
PRINCETON IN 47670-9203
�i�u���n����u�ui����n�i�ini�����inn��i�ni��ni��u���
i
� l 5�1-
; Addrtss (numbcr end svcct, ciry, stetc, a�
��7 �,.� � SO
R I Ibz ?�?aa
_ 1'rince�an I\ �17670 _
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State Parcel Number Leeal Descrintion
26-12-31-100-003.637-027 OOCr03637-00 PT NW �31 2 10.50 AC
J D 17 I
ni�am<
�/-tiN �r� h�m
—' — ---- . — --�. Saine a2�property ndd�, _—
�r r N ce.-t-o �J J- N�`-I i b 7 O
NI�
ling Address (Number and slreei, ciq', sWle, and "LIP cak)
Stturity Numbtt (laz[ 5
0
Qa,� 5 digits) � Other (Plcaze
� $ume xs pmpeny address
Part +
�ersiEmed cerrifies, under penalty of perjury, that the above and foregoing infortnatiun is true and correct and that he or
the homeslead standard deduction on this properly. Each undersiened al>o underslands that, by claiming additional hort
dly, he or she may be liable (or back taxes and substantial financial penahies.
�-��-io I �
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�lieible to
deductions