Homestead_Kolb (3)---�.�
d��R CLAIM FOR HOMESTEAD PROPERTY TAX �� -��F RM
� ya` CREDIT/STANDARD DEDUCTION APR 1319�cao
`+�' State Form 5473 (R2/1-90)
'"�• INSTRUCTIONS: See reverse side lor liling instructions. ��� ,,��. �'Y�.,,�'S
CERTIFICATION. STATEMENT�Up1��R �
YEAR
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I(We) ���5(.1��!Y�1,�8..,�� . certify that on the 1 st day of March , 19 �
I(We) occupied as our principal place of residence the fol owing described real property for which a Homestead
Property Tax Credit is hereby claimed: I(We) owned . ❑ Are buying under contract
� Have a beneficial interest in the entity that is liable fo� the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where coniract
PROPERTY DESCRIPFION
� � Taxing DistyiC
Description nt � � � �, � _ /D
�r
If any portion of the residential structure or the land not exceeding one (i) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of ihe property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township
hereby certify the �above statements are irue. correci and
Address (Sireet. number. city. state
County
'ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD 4ALUE NON-RESIDENTIAL
VALUE
Land not ezceeding 1(one) acre immediately -
surrounding resfdential improvemenis (�)
Oiherland (2)
Total land - line (7 ) plus line (2) (3)
- Residential improvemenis - Dwelling (4) - - � � -
Garage (5)
Oiher improvements (6)
Total improvements - line (4) through 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
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 7 990 Pay 1991 7 991 Pay 1992 19 _ Pay 19 —
Lesser of 7/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser oi 7/2 Homesiead
Valuation or $2.500 Valuation or 52.000 Valuation or $1.500 Valuation or $1,500
Signature of Auditor Date Signed
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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IndiriJuals anJ nu:rieJ aouple� are limi�ed io one hoinesteaJ �andtnl dMunion. As the receipt of �hi3 dcductan breonre±
murc beneficial, thrrc is morc incentnr Ih�n e�er for honmteacl Raud Ilumrs�eacl frvuJ causes hi�her tac tills (ur all; therefwe.
HEA 1i13-'_O(19 requim u�pa.en who rceire thc haneste�J s�andard �kvluaion w.erity du� �hcy am cliciNe w rccei.e ihe
benefit ani tu pm�'idc aJAi�io�ul idrntityin_ infurmrtiun rn�tt.vn� �o allw' counq' Faemmrnt ro W.tte;. muniiw IwmeseaU
lilin��.'Ihis inlnrrtu�ion will he Aep1 nmtidenlial and can nnly tx: ateraceJ M1y nulhnriicJ ronnlc n(liciali'Ihe Ik7wnmrni nf
3367
Dennis A Kolb
364 Spore Drive
PRINCETON IN 47670-8968
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(numbcr nnd svett, city, smtc,
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Address (Numbcr and slm4 ciq', sule, und ZIP cuik)
Sccurity Tumbcr (lazt 5
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Tasna��er Name Prnpertc Addre�s
Kolb, Dennis A �
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L ` R? 130� 337 A
�, Prinre�onlN�i7670
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State Parcel tiumber Lesal Description
26-12-09-100-000.977-027 006-00977-00 PT W riW 9 210 3.7sa AC
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digits) � Ochcr (plcacc spccify in Part 4 bclox�)
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idersitmed cenifies, under penalty of perjury•, that the abo�•e and foregoing infoRnation is true and corrzct and that he or she is elieible to
lhe homeslead standard deduction on this property. Fach undersiened al;o understands that, by claiming additional homestead deductions
illy, he or she may be liable for back taYes and substan[ial financial penalties. �
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