Homestead_Harvey (3)�° CLAIM FOR HOMESTEAD PROPERTY TAX
y� CREDITlSTANDARD DEDUCTION
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Siate Form 5673 (R2 / 5-92)
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INSTRUCTIONS: See reverse side lor liling instructions.
FORM YEAR
HC70
- - � . . . .r^ .� •.`�CERTtFtCA ATEdtENL - . . .. - .
�le) � �. .e.. . .; � �%. _ �C _. - `serti �.. t lst��f a ... 19_
I(We) occupied as our principal place of residence ihe tollovri describe � I property tor whi omestead�er�T�.O� y Gaimed:
❑ I(We) owned ❑ Are buying under wntract ^11 (; r/� 5 �ggg
❑ Have a beneficial interest in the eniiry that is liable tor the property tazes on the property and that owns the prop9'ty+b1 is3uying under a cont�ct.
e
If buying on contraa, Fee Simple owner's name
Recortler's oflice where contraa is recoNed
Record number
Page
. . ." . , - � PROPERTYDESCRIPTION �. - �.�" --�g'>.-� '" - �
CAUnry ���� TownshiP�� Ta<irgdistritt t�fowns�ip)��
Parcel nu ber Legai tlescription
- S.6 2- 00
It any portion of the residential struaure or Ihe IaM not ezceeding one (l) acre �hat immediately surrounds Nai 5trucNre is used ro produce income. Oescnbe ihe use and portion
of the property u;ilized to produce income.
the ab ve s
� and streei, ciry.
PROPERTY OWNED BY CW MANT IN OTHEH 1
Township - County
are [rue, correct and complete. Sgnamre of claimant
L•J
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'� -ASSESSOR USE ONLY " " TRUETAX ASSESSED HOMESTEAD - NON-RESIDEHTIAL.'.
VALUE� VALUE VALUE � - VALUE -�-�
Land nm exceeding 1(one) acre immediately . �-
surrounding residential improvemenis. (�) � � ' �
Otherland (Z)
Total land (line 1 plus line 2� �3)
Dwelling (4) � � - . . - '
Residential improvemenis . �
Garege (5) - '
Other improvements (6) � .
Total improvemenis (line 4 through line � (7)
Total value (line 3 pbs line � (g�
''�reby Certify �he abOVe is lrue, tOrreCl, and Signature ot Assessor � Date signed
�,plete.
Venfying action - Signature ot Autlitor Date sgned
� � = 5TANDARD DEDUCTION ALLOWANCE" � � v �
19_Pay19_
Lesser of 1/2 Homestead
Valuation or $2,000 $
Sgnature ol Audiror Date sgned
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.���RT'EDBY[��IEIXNPOni.v«L:Ta.9�+ lI.E4AIBmpTiNEMlM1MEYf6LOLU�tiYNf]:TiP'A\CEICVI.I�tJ.I
Git�son County Auditor �
101NMain '�' • � � � 1 ••�' • � •
PRI�VCETON IN 47670 lnJiriJuals anJ m�criN couplo arc IimitN to ore homzueaJ uandaN Jeslunion. As �he rttript ot Ihis deduction brtonres
mnrc beneficial, there is morc incenme dun �er for homesteael fnud. Homeseael fraud causes hi�her tac bf�ls br all; Iherefa<.
• HEA 134+-?009 requim uxparen who rttrire ihe hanrs¢ad gandard dnluctian m cerily iM� ihey we eligiNe to recene the
benefi� aM m p�piJe a4litiu�ul idrnnirim: infom��uan necesvn� �o allw� counh' garmment eo benrr monitor homare:d
����� hlinb�. This inlmmaiion will 6r AryN confi?emial anA nn only fx: aeee:ced bc autharized rnumr o((rtiok. Tht Ikpanmem of
Local Govcrmnrn� FiwM'e wll u.e ehi� mtorma:wn W creah mols �hat �rill help cpmR' uhTxtials dimimic humesrcad trauJ.
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� LJtu Taxoa��er Namr Prnpert�• Addretis
MAY 3
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�i�6S0�o NYr� ITBR
Rick A/ Catherine S Harvey
zsi� w so s
PrincetonlN 47670-8125
���n��in����n�ui��������i�in���n�i�i���ini���ni�u����
Harvey, Rick A/ Catherine S
f
State Parcel Number
26-11-15-202-000.562-027
\
R413ox 1�10
Princemn I� 47670
Lesal Descriniion
OOG00562-00 SANDY RIDGE EST SEC A
1PT '
This form MUST be retumed to County Auditor's office. ,
Please do NOT send this form back with your tax payment to the county treasurer.
� F'�rsil
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� e a.±rar (r.c^bcr e:d i�tt, cirv. smt:. and ZIP codc) —
� �� W � � �. I ilncC�ion
� A�I��YinE I
line Address (Number and 5tree4 rily, s�a�e, nnd L[P cude)
A ..---I �arve�j
� � Samc as pmrem addrec: ,
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r(�+� 5 dieiLSl Other lo�tase sottiPo in Part 4 bclow) �
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`�S�`� l.� �� S �rinCe-��r, ��—/U `t`�6�G
Social Security Number (lan 5 dieits) Dm•er's License/Sta[e ID Niunber (lau 5 digits) Other (�
�{arvc�
� $:une u prapeny ndd`as
4
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Gach undetsi�med certifies, under penalty of perjury, that the above and fore�oing inionnation is we and wrreci and that he or she is elieible to
receive the homesiead standard deduction on this propeny. Hach undersiened al;o understands that, by claiming additional homes*.ead deductions
unlawfully, he or she may be liable for back taYes and substantial financial penalties. �
Dx'�r I Sigpflt rt�y Dem 7'dephonc ,
se Sip�amre �
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