Homestead_Key (4)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` Slate Fortn 5473 (R8/7-07)
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Prescnbed by ihe Departmerrt af Laal Govemmen� Firianm
INSTRUCTIONS: See reverse side /or filing instructions.
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�(We) � T Q/!�'di certiry that � d�/� rch. 20
I(We) occupied as our prindpal place of residence Uie tollowing described real property fo ich a Homestead���g� ��i+,is��imed:
� 1(We) owned ❑ Are buying under contrad
J Have a benefidal interest in Ne entity that is IiaWe fw the property tazes on fhe property and that owns fhe property or is buying under a contrad.
It buy'v�g om m�trap, Fae Simqe wrtiefs rrema
Recardefa office where contract is recorded
�b
Tomship
Tadng dislricl(Eif}% town,
Recmdnumber �Page
Pa'tal number Legal descriplion y 0 A L Is Ihe property in queslion:
E AlE 35 I 1 I ❑ a�� w�,a o Moa� i w� cic s-�.,-n
If arry portion of the residerNal sUUClure w Ne lantl not enceedirg orre (1) acre Ihal immetliately surtounds Ihal sUUCture is used lu protluce Income, describe Ihe use eM portion
of the propeity uli6zed b P�� inoome.
a(-o�(-35-�00-00�. o53-oa?
,_ , . . .. . .
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Land not exceedirg 1(wie) aae inmediately �'-" �'
surtoundirgresidentialimprovements. (�� ,��,;,
Otherland (2� �2 �.�= ,.s �:.
>.>:::^�-:.'
Tdal land (line 1 plus (rne 2) �3)
Ma ' a � � r
Dwemn9 �4) -�+� Nti%°?_isr ��: i+»•c�cl Y :y
Residential imprwements or Mnualty .�'i • c
A55essed Mobile I ManufaUUred Home eef_2- �+4�c,>a'.�^.�; � v.4.� i..• :��
Ci2id9E �`5� i �aF�.�w 4 t� �-
= �. ..i:-;�.�. � ro•,.y:
Oiher improvements (6) _�'�,,_..
v ,:
Tdal improvements (line 4 through line 6) �7)
Tolal value (line 3 pha lirre n (8)
I hereby wrfify �he above i5 We. cared. erd Signawre ofASSassa Date signetl (rtanlh. day. Yee�
complete.
Veifyirg adion - SignaUUe of �br Date signed (mmfh, daY• yea�
20_pay20_
Lesser of 12
Homestead ValuaGOn
a
45.000 for 2007 pay 2008 42,000 for 2010 pay 2071
44.000 for 2008 pay 2009 41,000 for 2017 pay 2012 §
43,000 for 2009 pay 2010 40,000 payable after 2012
Date signed (manN. tlaY.Y��)
_a�_a_a-____._
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
985
Txtrsu�tnwz�;s�n
.oran'[nor
InJi��iJuaLs anJ �ru: riN coupk.c a�c limi�evl �o onc home�nJ ..undartl �L�-Au.�ion. As �he receipi o( �his dNunion becomcs
more beneficiaL �here is morc incmtne thm e�er for humeittad fraud Ilomc�'mal (rduJ causes highrr tai aills tor all: therefore.
HEA 13ii-?OlW requim mipa�en ..�ho r.ceive thc hanesteed uandard Jnfuction io .erify �lut thry are :IiciMe �o mcrne the
benefit aM ro pnn'ide aAJitio�ul idrneiipin_ informatwn �C�'vM1' �D OIIW' cWnb' �O.'CmrtILTi ID NR�! moniror homesrc:ri
filingi. Ihis informatinn x�ill be Ae�v mnliuemial anA een oNy M. acmt.ed by amhor"veJ rounty ofT¢iai: 7Te Ik7unnxnt o(
Local Gov<mm<m PinaMC �dll u�c �his information tu crcam Awis dwt will h:In coumv officials dimiri8rc humestead frauJ.
Paul E Key
1776 W 225 N
PRINCETON IN 47670-8315
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Taxoacer Name
Key, Paul E/David C
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Prnpert�� Address
1
w�u � o�,-o�oo
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PrinciNOn 1 \ �-07670
State Parcel NumAer Leeal Des�
26-04-35-200-001.053-027 006-0105300 NE
C-1
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er m�d svcct, c�ty; smte, and'LIV code) -- --- � me m plupem� uddres;— ---
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Addrcss (Kumber end sutt4 ��}', sute, nnJ "LII' code)
Stturip� Numbcr (last 5 digics) � Drivcls Litt2�c/S�atc ID
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undersitmed certifies, under penalty of pzpury•, that [he above and foregoing information is we and colrect and that he or
:e the homestead standard deduction on this propeny. Each undersi¢ned al;o unders�ands that, by claiming additional hoR
,fully, he or she may be liable for back taxes and substantial financial penalties.
I Sisnaune Datc Telephone
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35 1 11 40 AC
elieible to
deductions