Homestead_Hensley (7)- ODI�-b115►._ ,�-
d�..�r< �• CLAIM FOR HOMESTEAD PROPERTY TAX _ Fo _ �
i. _' ^ 4 °
y; CREDIT/STANDARD DEDUCTION . Hci �`�� J
:� State Form 5473 (R2/1-90) '
�'°�• �. INSTRUCTIONS: See �everse side lor filing instructions.
M��Y 10-1991 .
CERTIFICATION STATEMENT
� (WB)
9�
. (� �
. .. . '� .r "' 'Ti�
••
II (We) occupied as our principal place of residence th following described 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 entity that is lia le for the property taxes on the property and that owns the
property or is buying it uncler a contract.
CONTRACT.RECORDED
on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded
PROPERTY DESCRIPTION
town,
Number � Page
If any portion oi the residential structure or the lar(� not exceedi(i,� one (7 ) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VA�UE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 1(one) acre immediatety �
surrounding residential improvements (�)
Otherland (2)
Total land - line (7) plus line (2) � (3)
Residential improvemenis Dwelling (4} -
Garage (5)
Other improvements (6)
Total improvements - line (4) ihrough 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
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 7/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or �2.000 Valuation or �1,500 Valuation or $1,500
Signature of Auditor /] ' I\ � I ��e��D
� .�/N n� � � ,f ll / `7
Gibson County Auditor
101 N Main
PRINCETON IN 47670
, •
1110
.�
�
�-���
0
{GR f0R\I
lRE4l1RLRi0R41.1n
InJividuals and nu:ried couplo arc IimitN m nrc hnmeucad �ufMa�d JNu.�ion. As the rereipt oi �hi; deduc�ion bttonrcs
mure benencial, thrre is more incenme th�n ncr ior homcstea�l fnud I lomn�eyl fratal cau� higher �a� hills tor all; ihertfore.
HEA 13ii-3IXW requires u�paren x�ho reccive ihc hwneseeaJ standarJ JNuction m.eriPo �lut thry am cliciNe io mcene ihc
brnefii an1 to pnw'iJe mWitional iJenliirinc infumiatwn nem'vry �o alluu� counn� gcnemment to bcuer muniror humeste:W
(linc.. ILis in(nrma�ion will br {.tiM mnfideniial anA rvn only 6e ucecuJ b�� aulho�iurl coum}� n(Ticials.'I'he Ihpanmrn� of
lucal Gm<rmmcm FivMC ��ill u�c �his inio�ma[iun m crratt 0.ds �hat will h:In cwnn' offirials diminvc IromcstcaJ fraud.
Robert S/ Marcia K Hensley
2665 W 50 S
PrincetonlN 47670-8126
�i�i���ni�i��ii�in����i��ii��������������������n��i���i��i�
Tnsparer Name
Hensley, RobeR S/ Marcia K
c
S[ate Parcel Number
2611-15202-001.151-027
V
�
Leaal Descrintion
006-01151-00 SANDY RIDGE EST SEC A
tOPT
�
¢r I Firsl M1fiddle
Ros�T s. �dENs�y
'�e AdUress (num6cr m�d svee[, city. smte. ana ZIP code) '--'. "�..Sume m propeny m1J+�as-- -"—
,66S1.v Sa S 2.�NCE N !J �7b70
M,��,� I K I �S�
3ilinc Address (NUmbcr and Ntt4 cil)', slale, and "LIP cale) � S�une as pmpeny adJ+es,
Z b b S w s'� S �2 � N�e�-oo� ,�t� �-/7s 7 0
Each undersigned certifies, under penalty of peryury�, that the abo�•e and foregoing infurmation is we and correct and that he or she is elieible to
receive the homestead standard deduction on this propeny. Each undersiened al>o undersiands tha� by claiming additional homestead deductions
unlawfully, he or she may be liable for 6ack �a�ces and subs�antial financial penalties. �
/°��o
�