HomeMy WebLinkAboutHomestead_KerrCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION �
State Fortn 5473 (R8 / 7-07) � �
` � Plescnbed Ihe D
by epartmem of local Govemment Firarxe
INSTRUCTIONS: See raverse side fo� filing insWctions. / i/e ��
( K
FO M YEAR
/A1 "� ^ 1LH Ji.J �
J
� JAN 5 2009
d �'J ° ����v� �
I(We) occupied as our prindpal place of res" ce tlie fdlowin described real ro �� �����`�`Vt��W�A���—
g p perty for which a Homestead Propeny Tac Credit is hereby daimed:
❑ I(We) owned ❑!ve buying under contraU
� Have a benefidal interest in �he entity that is liable for the property taues on the property and that owns ihe propeAy or is buying under a caitrad.
If Wyvig on aonirad, Fee Simpe ownefs tmme
RBCVftl¢rs o15GB whUB COf1U3G i5 rBCOftlBd
Caunry Tamsttip
Record number I Page
Parcel number Legal descriplirn �� � Is Ihe properry in question:
% Nf SG�% 3-d -/o I ❑ R�i w�m ❑ Mobile Fbme (IC 67./-7)
N arry pwtion of �he residarrtial sWClure w Ihe Wnd nIX exceedirg orre (1) acre that im�alely surtounds Nal sirucWre is used to produce inmme, describe ihe use and portion
of Ihe prope�ty utiBied b pmduce inmme.
��-/�-03-.�oo-ooa. oa�-oa)
Counry
Twvnahip
i hereby certi(y the abave shatements are We, correct and complete.
ard s6ee4 mY. �ate. andZ1F
/1 --� r i' ( 1 �
7
tlaimaM
�
Tonnship
�_ � � � .� • �
i�.•
Land not exceeding t(orre) aae immediatety _ _ �
surroundingresidentialimprovements. (�� Y +•-; . '
Other land (Z� - . ...
Tdal land (1'me 1 p(us I'me 2) (g�
Residential improvements a Mnualy �n�� �4� � � �.s �'.
l�ssessed Mobile I Manufactured Home � ,_
Garage �g� . �. . �
Oiher improvements (6) . -
Tctal improvements (line 4 thiough line 6) �7)
TUaI value (fine 3 plis Grre n �g)
I hefeby certiry Ne above is we, correct, and sg�w�e orassessw Dale signed (month, Cay, yea�
complete.
vaifying action - SipnaWre Mfwditor Date sgned (mmth, day. yea�
� �Y Z� — 45.000 for 2007 pay 2008 42.000 for 2010 pay 2071
Lesser of 12 qq.ppp for 2008 pay 2009 47.000 for 2011 pay 2012
Homestead Valuatim S
« 43,000 for 2009 pay 2010 40,000 payable after 2072
�J
oa� sg�ed ��u. aar, r�
/- S-o 9
Gibson County Auditor
101 N Main
PRINCETON IN 47670
•
626
fTV£{011\1!!MIIC`lf+�l
fO0.M 31A
L�diridual> anJ mar�icd coupkti am limiied �o ore homc.uraJ �andaN Jedu.�ion. As the receipt ol Ihis Jcduction 6ecomes
more benencial. thrre i. morc incrntn< than ner (er homesieaJ fraud. HomeaeaJ faiul cause hi�her ua bills tor all: rhrrefwe.
HEA IS-ti-?009 requ'ves ucpa�en who receire ihe hanesteaJ sundard d�rylunion to .eri(y �hai chey am eliciNe b mcenr the
bener.� aN ro p(w'ide addiiion�l iJrntiiyim_ information nece.vrr ro allw' counp� �rmmmt ro b:ner�manitw Iwmesttad
filin�.�a. Thix informmim xill 6e AryN conGdanial and can only h arcessed by aWhonznl rounry o(Teialz.113e Depanmm�t of
Lceal Gm'emmem Fi�unce �cill me �his intormafion m creau twls that wfll h:lp cqmrv ohTxtiaLS elimi�ule homcsicad fmud.
Taxpacer Name
Kerr' David/Chasity L
L����
David Kert
923 N 275 E State Parcel Number
PRINCETON IN 47670-8921
���n��n��i��u�u����n��n�����nn�i�ni��u�i�n��un��� 26-12-03-300-002.027-027
—_____-- _.' _ ___— _
IL' F30t
Princeton IN
�, � C/
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006-02027-00 PT NE �W 3 2 10 1 AC
This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county
i r�ml M;ame
JA� �� � i-IARLL.S �� ��
; Addresi (numher nnd smzt. ciry, smte, and ZIP code � Same as propem odd`¢;
��� �� ��`J�� (`i�C'��t�,-�- l�� i�'7�o%U
iecurily Number (last 5 die��
� ho�S, � �� � � �.��� 1� e s' �t�'
ilinc Address (i�umber and sYrtt4 ci�', stale, and "LIP code) � Same as pmpmy addra:
i��� �,�75 . S�r �� r��e n, 11� -�t7G7c�
%
Each undersigned certifies, under penalry of perjury•, that the above and foregoing infortnation is we and colrect and that he or
receive the homestead siandard deduction on this property. Each undersigned al>o understands that, by claiming additional horc
unlawfulh�, he or she may be liable for back wces and substantial financial penalties.
`f-19-�0 � �
- �$
surer.
eligible to
deductions