Homestead_Hull. . _ . ; . _--�� ��.� --� _ � _ �
.�4n•�4 CLAIM FOR HOMESTEAD PROPERTY TAX • FoRM veaR
�� y ; CREDIT/STANDARD DEDUCTION c��
:� State Form 5473 (R2/1-90)
�' '°�° ` INSTRUCTIONS: See reverse side lorliling instructions.
CERTIFICATION STATEMENT P�AY 1 5 1991
I(we) W- v�ns.�a � certify tnat on tne t�dzv�f,��r� �
r(We) occupied as o r principal place of residence the following described real property for w ich a Homestead
Property Tax Credii is hereby claimed: _ I(We) owned _ ❑ Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
on con[racL Fee Simple Owner's Name
Recorder's office where contract is recorded
County .
PROPERTY
Legal Description
►[�i.1.►�
town,
If any poRion of the residential structure or the land not exc�eding one (7 ) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of ihe property utilized to produce income.
(� 13 0
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Cou�
hereby certify ihe above statements are irue, correct and
state and ZIP code)
� ri�n y�6�o
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not ezceeding 1(one) acre immediately
surrounding residential improvements (�)
Other land (2)
Total land - line (1) plus line (2) (3)
ResideniiaPimprovements Dwelling - � (4) - - �
Garage (5)
Other improvements (6)
Total improvemenis - 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 - Signalure of Auditor Date Signed
1989 Pay 1990
Lesser of 1 /2 Homestead
Valuation or $2.500
Signature o
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2,000
�
1991 Pay 7992
Lesser of 1/2 Homeslead
Valuation or $1,500
79_Pay 19—
lesser of 7/2 Homestead
Valuation or �1,500
Date Signei
5-15-9
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
4059
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IndiviJuaL. anJ nu;ricJ toupka arc IimiiN m nre home�ead aandaN JNunion. As the receip� ot �his dNuai�n bttomce
murc benencial, ther< is marc incrndve thm ner (or home..teaJ fr,iwl. IlonxS�eaJ fiauJ causcs hicher tac bilL (or aIC thrrc(ore.
HEA I:J-?-3IXW requims u��u�en who rmive ihe hwnesieaJ s�andud Jnlunion m reri(y ihat �Acc arc cliciNe m recei.e ihc
benefit anf to p�rn'ide a�kli�iuwl iArntiiyinc fnfum�atiun �xce+sary to allw� counry' �n'emment ro bner mwimr honxs�eaJ
filin�. This in(armnion will M F.ryw mnlidcniial and can only l� arcn.nl hy awhnriiN rnunh� mTiciai: Tht Ury+annrcn� nf
Local Gmarmnrn� fivnee ��ill u.e �his iniortna[ion w aream muls �hat will h:ln rounm offrfal. dfmniaic hnmcmad fiaud_
Barry Hull
3186 E 175 S
Princeton IN 47670-8811
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Address (numbEr wd siceet, city, smte, and ZIP code)
1� � �� Q � e��
ccurih Numbcr (last 5 digits) Driver's Licrn.¢/5um ID Nmnber (last 5
'
T�ipa�•er Name
Hull, Barry
�
State Parcel Number
26-12-22-200-003.560-027
�
Pronem� Address
R , �l�
Princetan I� 47670
Leeal Descrirition
006-03560.00 PT NE'22 2 10 1.00 AC
D70
"—' ��e�p�amsa �
.4ddress (�umbrr and eYrttl cil)', slnk, and'LIP nxle) � � Sume as pmpeny adJrt„ ,
Security Number (lazt 5 digits) Drivcrs License/State ID Ninnbcr Qact 5 dig.
� -
undersitmed certifies, under penalry of perjury�. that the abo��e and foregoing information is we and correct and that he or she is elieible w
:z the homestead standard deduc�ion on this property. Each undersiened al>o underslands that, by claiming additional homes�ead deductions
,fully, he or she may be liable for back taxes and subsiantial financial penalties.
1 SiFnz4ue Uatc 7'dephme �
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