HomeMy WebLinkAboutHomestead_Hurst (8).••��;, CLAIM �OR HOMESTEAD PROPERTY TAX
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:�" y ; CREDIT/STANDARD DEDUCTION
�` .� Slate Form 5473.(R2/1-90)
�'°�• � INSTRUCTIONS: See reverse side Ior liling instructions.
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CERTIFICATION STATEMENT
FORM
HC10
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I(We �.� certify that on the 1 st day of March , 19 �
I(We) occupied as our principal place oi residence the follo � g described real property for which a Homesiead
F �erty Tax Credit is hereby.claimed: , I(We) owned u�n g� u. er contract
Have a bene(icial interest in the entity that is liable ior the property taxes on� p%, ejiy�an th ,t owns the
�� property or is buying it under a contracL
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,i ' Jvi�ti j I.`•liU
CONTRACT RECORDED
I( buying on contracl. Fee Simple Owner's Name
Recorder's o((ice �vhere coniract is recorded
.. PROPERTY DESCRIF
Counly ' E , '• Township Taxing
� . �. .CX'I / . —
� Legal De:
2Y�,z.�.,� r��
�1 T
Record Number Page
`�c1 �l-l�l � �� �i
II any portion of the residential'struciure or the land not exceeding one (1) acre that immediately surrounds ihat struc-
ture is used to produce income describe the use and portion oi the property utilized to produce income.
!
County
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I hereby certity the above st
fate.
r,v„ress (Street, number
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Townslup-�— County � Towaship�
,
are true, correct and
stat�and ZIP code)
\ ASSESSOA USE ONLY � TRUE TAX VALUE ASSESSED VAIUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land nol exceeding 1(one) acre immediately
surrounding residential improvements (�)
Otherland �. (2)
Total land - line (1) plus line (2) (3)
Residentiai improvemenis Dwelling (4)
Garage (5)
Other improvemenis (6)
Total improvements - line (4) through line (6) (7)
Totai value - line (3) plus line (7) (8)
I hereby ceriify the above is lrue, Signature of Assesor Date Signed
correct, and complete
Veritying Action - Signature of Auditor Date Signed
�1989 Pay 1990
sser ot ll2 Homestead
Valualion or 32,500
�.
Signature of
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
:.Lesser oi 1l2 Homestead
� ;j Valuation or $2,000
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1991 Pay 1992
Lesser o( tl2 Homestead
Valuafion or $1,500
19—Pay 19—
Lesser ol 1/2 Homestead
Valuafion or $1,500
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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31AiE fORM �) W IR / f�l
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R iN'A TF IC V I.LL'J.1
IndiriJuals mW marriN mupies are Iimiied to onc hoincucaJ �andenl JcUuc�inn. Ae �hc rcceipi of thii dNuction bccomes
merc beneficial. �here i> more incenme Jun r�er (or honxstead frauS Ilome.srcal Gaud causes higher tac liilk fur all: therc(ae.
HEA Gii-20119 rcquirn mipa.crs who rmive ihe hanes�caJ smnda�d �kttuc�ion m vcri(y �hat thev are eligiNe io mcei�e �hc
brnefi� ani ro pnn'iJe a�Witio�ul iAemfi��inc fnfum��iiun mcr.vn� ro allw� counrc grnemmem �o Y,nei muniror honxstemf
filim�. -ITis in(ormalion xill be l.ryw mnfderuial anA r,m nnl�� he avice�Yd F�� autMn�N rounry� ofTiu�ls.'I'hr Ikpannunt nf
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Local Gmcmmem PiwM'< will uec [his inromueion w aream nds that will h:Ip eqmn' ufficials dfmrtarc fromes�<ad iraud.
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> — � — - Taxnn�•er Name - —. - � - — Prnpertr Addretiti �'� �
Hurst, Leslie M/ Genevieve Trust ^ b�
/___ ��� IS�
818 �
Leslie M / Genevieve Hurst
1616 N SR 65
Princeton IN 47670
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I'rinceton
State Parcel Number Leeal Descriiition
26-OS-31-400-000.949-027 ��'�49-0o PT S sE 31 1 1018.979 AC
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� Grtic vic�� � ( N,,,,,.- �
re Address (numbcr mid �ma, eiry, smm, arid ZIP codej ----- — O� Ssme us p:ay:r,y ad'..fcc� � -
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/G /G N. s.z b S f'i',.•• � c ro.,• .� ^' '-f 7 � 7 0
$ocial Securiry Numbcr (last 5 digiu) Driver's License/Sutc IU Nmnber (lazt 5 di�its) Othcr (ple�se specify in Part 4 below) I
Addr¢s (t�umbcr and slree4 rity, smle, and "LIP code)
Stturity Number (latt S digi�s)
� $ame bc propcny addresi
Sdigits) � Othcr(plcascspcciFinPart?bclow'�
undersigned certifies, under penalty of �rjury, that the abo�•e and foregoing information is wz and correct and that he or slie is elieible to
�e the homestead standard deduction on this property. Each undersiened al;o understands that, by claiming additional homestead deductions
rfully, he or she may be liable (or back taxes and substantial financial penalties. I
I Signenur U��c Tclephonc
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