Homestead_Haugerd..r•'., CLAIM FOR HOMESTEAD PROPERTY TAX
�� w ; CREDIT/STANDARD DEDUCTION
� State Form 5473 (R2/1-90)
�' '•�• `� INSTRUCTIONS: See reverse side for filing instructions.
FORM
HC10
YEAR
�
CERTIFICATION STATEMENT V
I(We) _ � _ certify that on the 1 st day of March , 19 �
��Ve) occupie as ur principal place of residence the fol owing described real property for which a Homestead
roperty Tax Credit is hereby claimed: �We) owned ❑ Are buying under contract
� Have a beneficial interest in the entity that is liable for ihe property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying on contracl. Fee Simple Owner's Name
contract is recorded
PROPERTY DESC ON
County Town hi Tax ng ' trict City, t , township)
Parcel Number Legal cr tion ,
-CA •�-
If any portion of the residential structure or the land not exceeding one (1) acre that immediately ui
ture is used to produce income describe the use and portion of the property utilized to produce inca
County
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Townshi� Countv T
certify ihe above siatements are true, correct and
Address
ASSESSOfl USE ONLY
siate and ZIP code)
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land noi exceeding �(one) acre immediately
surrounding residential improvements (�)
Otherland (2)
Total land - line (t) plus line (2) (3)
ReSidentiai improvements Dwelling (4)
Garage (5)
Oiher improvemenis (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Veritying Action - Signature of Auditor Date Signed
7989 Pay 1990
sser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 7992 79—Pay 19—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homestead
Valuation or y2.000 Valuation or 51,500 Valuation or $1,500
of Audito� ` ,�n ^ ^ I D�te�Ane�d
'IYI
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
0
2267
ll V ElOIfY �� W IR-/�wl
iAFANAE0.f00.431A
hWiriduaL anJ rturrinf mupks are limiinf io orc homeucaJ �andaN �lunion. As the �axipt ol' Ihis �]Nunion Mcrnx�
morc bcnencial. �here is morc incenmx than na (or M1umesrcacl frauJ. I lomeittad fiaud caaus highrr ta� bflls (ur all: therefae.
HE.\ I±43-?009 rcquires u�papen who rceice Ihc hanestmJ standud �trtuc�ion m veriPo du� they arc dieidc �o rccei�e �he
brnen� amt to p�a'ide additional iJenniyirc_ in(orm�uun m.re.vey ro allw� eounp� gmemment ro Maer mmiror homeseaJ
tilinf;<. Ihis in(nrmaiinn aill M Aryw mnlidemial anA c�n nNy h: arcez.eJ hy amhmiieA mumy olliriais.'ITr Ikpanmem nf
Local Gmemmcm Pim�rce ��ill u.e �his infomuciun tu crcam nols Out mill h:lp cu�uiK officials diminau humes�cad fiaud.
• � � � • � -
T�xpa�•er \emr Propertc Address
Hauger, Gregory L/ Elizabeth H �
Itr3 �3os �a?
� ccmn IN 47670
Gregory L/ Elizabeth H Hauger
196 Lake Inwood Dr
PrincetonlN 47670-8677
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State Parcel Number Leeal Descrip�ion
26-12-06-201-000.897-027 006-00897-00 tf�E INWOOD 4/5
�7re�o�y I L
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' 9'� %�r /�e Zn wocrJ 1� r i�/�ii�c��n ,. /
ceuril} Numbcr (last 5 digi�s) Ihivds Liceroc/Siate ID Nmnbcr (lazi 5�gits)
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E/iZa b�f1�1 �
Addreis (Number anJ svttl dry', s�nle, and ZIP cale)
o �l<c Zn ��,�r
n� Numbcr �last 5 digits) Drivtti Liccns
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dle i
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._�.Samca�pmpcmeddress_ ' _ _ _ _
f7�7� i
au sptci(y in Pan 4 below)
� Sam< as pmpcm add�a,
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spccih� in Part C bclow9
undersitmeti cenifies, under penalty of perjury, that the above and furegoing infurtnation is true and correct and that he or she is elieible ro
�e the homestead standard deduction on this propeny. Each undersi¢ned al>o undersiands that, by claimine addilional homestead deduclior
ifully, he or she may be liable for back taxes ;md substantial financial penal�ies. � �
1 Si�mat�m
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