HomeMy WebLinkAboutHomestead_Harris�E [iI1� ' .�.
e�', CLAIM FOR HOMESTEAD PROPERTY TAX
i;,�' CREDIT/STANDARD DEDUCTION
` State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side !or /iling inshuctions.
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I ��Ne) • . • �+ �OJVU.o+ � certity Ihat on tF�f�f,G
�) occupied a r principal place of residence the followi described real property for which a Homestead Property Tax CredA�����
�I(We) owned ❑ Are buying under contract
Have a bene(iciai interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
• .. - CONTRACT RECORDED �. - - - � �
If buying on contract. Fee Simple owner's name �. �� '" ' . .
Recorder'S oflice where wntract is recorded ReCOrd number Page
County
Parcel num6er Legal de:
OO�o -mOq01
It any potlion of ihe residential siruc[ure or the IarW not
ot the properry utilized to produce income.
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PROPERTY
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one (71 acre Ihat immediatety surrounds Ihat structure is usetl to produce income, tlescnbe ihe use arid portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
certity the above statemenis are irue, correct and complete.
ciry. state, ZIP
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL -
, - VALUE � VALUE VALUE VALUE
Land noi exceeding 1(one) acre immediately
surrounding resideniial improvements. (�) �
Other land (p)
7otal land (line 7 plus line Z� (3)
Dwelling (4) �
Resideniial improvemenis .
Garage (5�
Olher impmvements (6) �
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g�
i hereby Certify the above is INe, correcl, and Sgnature ot Asseswr Dare signed
complete.
"-=wirg action � Signature of Auditor Date signed
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� Sl VE FMM!)MIP`I f�Ml MASUIIiR Po0.V YIA
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
366
IndiriduaLc and irturinl eoupko a�e limited to one homeund �andaN Jedunion. As �he rttrip� ot �hi: dcducnon beeomes
more brneficial, there is morc incenine than r�er far M1omcS'teul fr�W, flome�ead fraud caasa hi¢Fer tat l�ills (or all: thenfore.
HEA G#3009 requim uzposers x�ho receire �he hanes�eaJ standard �Yiiuctian m.eriF tM� �hev are clieiNe m mcei.c the
benefit anf to pnr'iJe aAddfunal iAentiirinc infomiaron necesvry to allw� aounn� ea'rmment ro Mt¢r monitor homeste:Kl
filin��. This in(amuiion wiil M Aqw emtidential anA can nnly h. acceved hy amho�iuvf munry ofGciali T6e Depanmeni of
I.ucal Gw<rmncm Fivirce �cill u.a �his fntormation N arcam muls tlui a'ill heip casq� officials diminam Irom<stcad fraud.
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Tazpacer Name Prnpertr Address
Harris, Clifford F/ Terresa J
Clifford F/ Terresa J Harris
R 3 Box 286
Princeton IN 47676-8419
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/ � Princeton IN 47570 /�
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State Parcel NumAer
26-11-07-100-000.907-027
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Leeal Descrirition
006-00907-00 PT N W 7 2 11 3.00 AC
D-1-78 i
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This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
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Address (numbcr end svm, <iry, sfatc, and ZIP codc)
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Addrcv (Number and 5tree4 �ly, State, nnd'LlP cexk)
al5tturity Numbcr (laz[ 5 digirs) Drivcrs Licensc/Sratc ID Nwnber (la
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Samc as pmpem addms�
� Same u propeny address
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Each undersiened certifies, under penelty of perjury•, that the above and foregoing in(urtnation is We and comct and that he or she is eGmble to
receive �he homestead standard deduc�ion on this property. Each undersiened al>o understands ihai, by claiming additionat homestead deductions
unlawfully, he or she may be�yeble (or back taxes and substantial financial penalties. �
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