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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Siate Form 5473 (R2 / 5-92)
INSTRUCTIONS: See reverse side lor (ling instructions.
FORM
HC70
YEAR
CERTIFICATION STATEMENT
I(We) certify that on the 1 st day of March, 19_
I(We) occupied as our principal place of residence th fo owing descnb d 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 entiry that is liable for the property taxes on the property and thai owns the property or is buying under a contract.
CONTRACTRECORDED
It buying on conVact, Fee Simple ownels name
Recorders oKce where conVact is recorded AI O 1I O ea0fth17mber Page
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PROPERTY DESCHIPTION
Counry Township Taring dis[nct (ciry, s�
GIBSON COUNTY AUDITOR
P ber Legaldescription ��
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If any portion of �he resitlential struaure or the land not exceetling one (1 j acre Ihat immediately sunounds that sVUCNre is used to produce income, tlescriba ihe use and portion at
ihe properry utitizetl ro protluce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
S� na ure of daimant
\. �ereby certify the above statements are true, correct and complete. '
v Adr (numberandstree(,ciry,stale,LPCOdeJ -
a 3 ss v,,�e. z"� '{9(0 �o
ASSESSOR USE ONLY TR E TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately �� �
surrounding residential improvements.
Otherland (2)
Total land (line 7 plus line 2) (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7J (8)
I hereby Certify the above is Irue, COrreCt, and Signature ot Assesor Date signed
complete.
Verifying action - Signature of Auditor Date signed
� STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _ . .
Lesser of 1/2 Homestead S
Valuation or 52,000
Sig�ture of Audiwr Dare si ned
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Gibson �ounty Auditor
101 N Main
PRINCETON IN 47670
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NOV 9 ZUtU
lliiEffIR�IJ!'1a/1�/!�1
MAiURER fUftN 11�
PAFYRIOQI IIY TIF OEPMMLYIfIF t(1l'AL CM�0.VMIIR f1An�C[ IfL1.1�LJ.1
hWividuaL. anJ marriN coupk.. are limi�ed to ore hmnc.acad �andaN dniuc�ion. As ihe reccipi oi ihis �JNun"wn beconrcs
more bcnefival. tAere i+ morc incentnr dun e�er for homrsieacl fnud Ilomra�eaJ fiaud causes hi�hrr ta� bills iur ali: ther<fore.
HEA li4-i-]IX19 rcquires u�paper. who rccivc the hanrnmd :�andard dNuc�ion �o .crify du� they arc eli¢iMC io recei.e ihc
benefil an1 ro pM'id< adliuoml idenGipfn_ informahun �xcrsmrr lo allw' eounn' �vn'tmmrnt ro Y.RCr.muniror MmesttaU
filin��. Thic inlarmllion will bc At�w mn�idcmial and nn nnly M acre+�cA M autM�iitt1 coumy nfliaiuB.�Thr Ikpannxm nf
I,iz'al Govcmmrn� Fivirce ��ill u.c this inioimation [u creme [wls iha� �vill h:ln rowrtv ufficial. eliminaie Irom<etcad (mud.
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_ G�ggpN COUNTY AU0170R
844
Marvin / Cathy Harpenau
1745N150E
PrincetonlN 47670-8640
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and suee4 ��y, s�a�c, and'LII' cale)
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Taxparer \ame
Harpenau, Marvin / Cathy
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Princcton IN 47670
State Parcel Number Leeal Description
26-0532-400-001.�6fr027 006-01666-00 PT SE 32 1 70 5.492 AC
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irity Number (lan 5 d�dts) Drivers Licens State ID Nwnbtt (la�,� 5 digits) O[her
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dcau spaify in Part 3 belaw) ,
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Sum< pmpeny addrcz;
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undersi�med certifies, under penalry of perjury•, that the above and (oregoing informatiun is we and correct and that he or sh'e is elieible to
�e the homestead standard duction on this property. Each undersiened al;o understands that, by claiming additional homes?ead deductions
i
�fully, he or she may be li• le for back taYes ;uid subsiantial financinl penalties.
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