Homestead_Gravesa`�/� '�� CLAIM FOR HOMESTEAD PROPERTY TAX � F YEAR
�'�'r CREDITISTANDARD DEDUCTION ��
�,� State Form Sa73 (R2 / 5-92) �
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INSTRUCTIONS� See reve�se side for liling instiucfions. ;�i7 t 1 67�7-J
CERTI CATION STATEMEM
AUD1T
I�) � certity that on ihe 1 st day of March. 19_
� occupied as our princip lace of residence the ol� wing described real properry for which a Homestead Propeny Tax Credit is hereby daimed:
L I(We) owned ❑ Are buying under contr
❑ Have a bene!icial interest in the emiry that is liable for the properiy taaes on the property and that owns the propeny or is buying under a comract.
CONTRACTRECORDED
II buying on contraci. Fee Simple owner's name
Recoroer's oqke where wntraa is recordetl Recortl number Page
� PROPERTY DESCRIPTION �
Coumy Township Ta.ing tli ric 1 4y. ! m:Dwr h' �
�
Parcei number Legal crip � n
'�'�o/ �.� �o /
It any ponion ol the resitlential stmcwre or Ihe land not e.ceeding one (t 1 acre ihai immedarety 5urrounds tha� stmcmre is used m produce Inwme. tlescri6e the use and ponion
of Ihe pmperry Wilized ro produce inmme.
PROPERTY OWNED 8Y CLAIMANT IN OTHER COUNTIES
p ' County
certify the above statements are uue. wrrect and complete.
ciry. siare.
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvements. (' �
Otherlantl I�p)
Total land (line i plus line 2� I(3) I
Dwelling (d) I
Residential improvements
Garage (5) I I
Other improvements (61
Total improvements (line 4 through lina � (7) I I
7otal value (line 3 p�s line � (g) I
I hereby ceriify the above is true, correct. and I Signawre of Assessor Da;e signetl
complete.
�ying ac�ion - Signa;ure ot Autlitor Date signetl
STANDARD DEDUCTION ALLOWANCE
19_Pay79_ �
Lesser of 7l2 Homestead
Valuation or 52.000 S
Signa;ure ot Audi:or Date signetl
. .'. .,�. : '.. - - �
sure roua vwo
TFFASL'RER{OtNR1A
GibsonCountyAuditor ��yi{1�7;��pqr��j�[y����:[�7�I�CI��1)�:Z�],�I:irY��lYaY�:i.`�
. 101 N. Main SUeet Individuals and mamed muplec are limited m one homestead standacd deductiort As the receip[ �af this de�iuction hecomFs
• Pnnceton, IN 47670 morc 6enefxial, iherc is more inccntivc Ilw� ner for twmcstead fnud Homcstead frzud causcs hi�er tax bills for all; the¢fore,
. ����� HEA 134A-?009 mquires tazpayrrs wtw recei�i the homestcad slandard deductian m�rrify tha[ the� are eligiblc ro recei�c the
bcnefit and to prmide addi�ional idenuf}��g infortnation nttessary to allox� counry gwemmcnl lo better monitm homatcad
filings. Tltis informa[iou will 6e kcpt confidrntial and can only be atccssed by authoriied wunty ofTicials. The Depamnrne af
I.acal Gmxmmrnt Fin2nce will use this informaiion [o crerte tools that witl help rnunN officials �elimieate homestead fmud.
APR 7 2011
— C 'J.n�
_ GIBSON COUNTY AUDITOR
1861� .
Bradiey E Graves
2201 W Columbia Ests
PRINCETON IN 47670-9319
-- —�I��I�Illl��l��yl��l�:l"I���I;hIII�ILI�I�!'�1'II;�II�Lu��'I
Taxpaver Name Location Address
Graves, Bradley E
C ' 2201 W COLUMBIA ESTS
\ PRINCETON IN 47670
I
II�I�IIIW�III �II �I �III �I��II�III �I�II�I�I �II�II�III �II�II I�I�II��II�II�I�I� II II
State Parcel Number Leqa1 I
26-11-14-102-001.853-027 �COLUMBIA EST 1'
v
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the cou
T 1 h ust
���� f ��,� �
ailing Addnss (¢umber and strec4 city, staic, and ZIP code)
220� ��si- co(��,5,� ��a�f�s
xial Sccurity N�ber (lact 5 digits) Dtivcr s LicenulStatc ID N�ber
_ �/_q -�_-.
Addras (Nnmber and saed, city, state, and ZIP code)
Drivcrs LicensdStatc ID
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l7
(� tu�
Same az property ad�ess
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� Samc as pmputy address
Othcr(pleasc
treasurer.
undersigned certifies, under penalry of perjury, that ihe above and foregoing infortnation is true and correct and ihat he or she is eligible to
re the homestead standazd deduction on this property. Each undersigned also understands that, by claiming additional i omestead deducrions
vfully, he or she may be liable for back taxes and substantial financial penalties.
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