Homestead_Jenks��^•�•, CLAIM FOR HOMESTEAD PROPERTY TAX,
d �.
�. . - y : CREDIT/STANDARD DEDUCTION
� :' State Form 5473 (R2/1-90) � �
�'°�• � INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
FORM YEAR
HC10 �O
I(We) �;� p� 4 ��• �� - ` certify that on the 1 st day of March , 19 ��
r ��_.c��
�`Ne) occupied as our principal piace of residence the fo towing described real property for which a Homestead
operty Tax Credit 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. .. ., .
on
Recorder's office where contract is're
Ivi-. � � '
County
Legal
I CONTRACT RECORDED
Name . ,
ERTY DESCRIPTION
Taxing District (City, town, township)
If any portion of the residential structure or the land r�oj exceedin�,Dne (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to.produce income.
Couniy
PROPERTY OWNED BY
IANT IN OTHER COUNTIES
County —_ Township
certify Ihe above siatements'are Vue. correct and � I Signa,tuCre �{ p��
�(Street, number, city, state and ZIP code) ����r
ASSESSOR USE ONLV ' TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land not ekceeding 7(one) acre immediately
� surrounding resideniial improvemeMS (�)
Other land (2)
Total land - line (7) plus line (2) (3)
Residential improvemen[s Dwelling (4) .
Garage (5)
Oiher 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 7990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of t/2 Homestead
Valuation or $2,000 Valuation or 51,500 Valuation or 57,500
Signature of Auditor� {-� ,n Date ;
l A M M� _ D� 1 I' 1� i,{� J✓� S—
•
Gibson County Auditor
101 N Main
PRINCETON IN 47670
{lAR I110.\I �UM12'/.�+MI
iw SUIfRfU0.4:S1A
Individuals aud in�rriN mupk: are limi�ed lo om hnmcueoJ Aanda¢I �krluaion. As the receipt ol thi: deduction bcconrce
more beneficial, thzrr is more fncentnc tlun e�er for hume.teml (nuJ. I Iomesteal faud caus� hi�hn �ac liills ior all; thrrcfare.
H6A GI-1-IIX19 requ'ves ucpa.en who receire ihc hanesmaJ aiandvd deJunion m verify tha� ehcy are eliciMe to recene thc
benefil a�M1 m ptp'idr aJditioful idenuirirre infurmatwn nceesvry ro allw' counn� gmrmment ro Ntrci mmiror homesrc.�J
fili��. This information w'ill be AryM ctu�fdauial anA ean nnl)' M acre>�ed by autMriuxi rounn' o�Titiul> Thr Ikivnmem nf
i
lunl Gm<mnem R�u�rce xill uss this information m areate Aob Ou� �cill h:Ip caai^: u�t�cvals diminate heunesrcad fiauJ.
Taxpe��er Name
Jenks, Stephen / Lora
1874 �
R� Bo<
Princeion I?
Stephen / Lora Jenks
743 S White Church Rd State Parcel Number Le,y_al I
Princeton IN 47670.8122
26-11-15-101-000.991-027 086-00997-00
I�I��II���I�II��I���III���I��I����II��I�I��I�I�I��I��II��II��i
✓
Owner I Ffrst
STt P F} E rl
i¢ Addms (numM� ond3am, ciry, smm, w�d ZiP calc)
"ly3 S.. uJN iTE CNuRc
Social Securily Numbe� (last 5 digib) Driver's Littnse/:
� -
�E,� k s
Somc as property eddress-- — - -
, 5.�, �+76�a
ify in Pan 4 below)
LoRR I MRY I .7't�ll<5
linc .4ddress (t�umber and suttl ciiy, siaie. anJ "LIP cak) ��� az P�Pem' ��
"143 S, WI})7'E CNuRCH RD� PR1rICETonI �nl. �i`7�`7
al Stturin� Numbcr (lui 5 digi�s) DrivcY: LiccnseJStatc ID Numbcr (1a.� S dieits) 0�6cr (plcacc spccify in Part < bclow)
RIDGE EST SEC A
mdersigned certifies, under penalty of perjury•, that the above and foregoing infunnatiun is we and colrect and ihat he or sHe is elieible to
e the homestead standard deduciion on this property. Each undzrsigned al;o unders�ands thal, by claiming additional homesiead deductions
fully, he or she may be liable for back taxes and substantial finauial penalties. I
I Signaturc Uate 1�cicphonc
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