Homestead_Kriege�a R�q
^ a CLAIM FOR HOMESTEAD PROPERTY TAX
s,��� CREDIT/STANDARD DEDUCTION
� � � Sta,e Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reve�se side /or7iling instructions.
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t�We) ���" . o� � 1'S QAktQ.�O� �= certify that on the 1 a of Mar , 7�
�j�) oycupied as our principal ace of re � ence the following described real propeny tor which a Homesiead Property Tau r dit i �f��� —5
iG I We owned � - �• UU
( ) ❑ Are buying under coniracl
❑ Have a beneticial interest in the entity that is liable for the property taxes on the property and thai owns the property or is buying under a contract.
If buying on contraci, Fee Simple owner's name
Recorder's oltice where contract is recortletl
County
CONTRAC7 RECORDED
districi
Rewrd numher
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Page
Parcel number Legal descrip on L
�n�ln���3�� .�1 �� �3"�^�I .�i�OB ��
It arry portion of ihe residential stmcwre or ihe land not exceeding one p) aae that immetliatey surrounds Ihat strucmre is usetl to protluce income, describe the use arM ponion
of Ihe pmperty utilized [o produce income.
PROPERTY OWNED BV CLA�MANT IN OTHER COUNTIES
Counry Township County
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��eby certity the above statements are true, correct and complete. signam e o� Ua� an� �
Address (number an sbeet. dry. sta(e. ZIP e)
Vr �$ l iC'�� t9 �� N C_c ToN ,( l��
TownShi—
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ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
� VAWE VALUE VAIUE VALUE
Land not exceeding 1(one) acre immediatety -
surmunding residential improvemenis. (��
Other land (p)
Totat land Qine 7 p/us line Z� (3) �
Dwelling .(4) � , �
Residential impmvements
Garage (5)
Other impmvemenis (6)
Total improvemenis (line 4 through lina � (7)
7otal value (line 3 p�s line 7� (g)
� I hereby Certify [he above i5 irue. Correct, and Signature of Assessor Date signed
complete.
.�ying action - Signature of Auditor Date signed
STANDARD
19 Pay19_
Lesser of 1l2 Homestead
Valuation or 52.000
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SignaWre o� Audi,or / � � � ,^ / I va�e�s� -c
�_—"� � M/wl �� y .QA� . _. .� '_ �
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
1777 _ _ . _ - -- - —
STa1EItMn1!N+�II'l�inl
PoR411A '
Individual. anJ marriN couple are limi�ed w nce home�teaJ �andaN deJu:iion. As the recript ol Jti� dedunion bttnnre�
morc beneficial, there u morr incentne th�n r�er for homateacl frauJ. Ilomrsttacl GauJ causes hi�her ia� bflls (ur all: therefore.
HEA 13i-1-7009 requim uaparm v�ho recei.c ihe hdnes�rad s�andard deJunion �o .eri(y �ha� �M1ey art eligiWe io rceei.e the
benefii aml w pnn'ide atWi�ional idemiipfnc infurmatwn nemvey �o alluw' counn� ememment �o Nner monitw homesu;xl
filim�s. Thii infarmaiion x�ill hr Aryw mntldauinl and nn nNy M• arccc¢A M1r awMmcJ coumy nBciul+.IThe Ikpannmi nf
Lucal Govcmmcm Fi�unc< will u.c �hi� iniortnazion W crcam twls tlu� �rill hdp camn� utTirials climimm humcs�aad fiaud.
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Taxoaver Name Prnpertc Add�ess
Krieg, Dale F/Barbara R �
RI Box41�Aa
- - ---- -' - /�i� '_ _ __ __' PrincctonlN47670 —' —_ -
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Dale F Kneg i
1350 S Metro Dr �
PRINCETON IN 47670-9308 State Parcel Number Leeal Descripiion
I'I"II"'I'll"I„'lll"'I,I""II'll"'I'tl"I'I1II"""III 26-11'13-300-001.314-027 006-01314-OOPTSW 13-2-111.405AC
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g AaArtss (numbcr hnd svcct, ciry, s�krc, and ZIP cadc) - --- --�
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Sccurily NumM (last i dieiu) Drivds Licensc/Statc ID Nmnbtt (last 5 digiLs
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e.4ddress (�umber and str<c4 city, siair, and "GIP cude)
1350 5. m�o OR� vc
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undersiened certifies, under penalty of perjury, that the above and foregoing infortnation is we and comct and that he or she is elieible [o
;e the homestead standard deduc�ion on this property. Each undersiened also understands �hat, by claimine additional homestead deductions
,-fuJly�he or she may be liable (or back taces and substantial financial penalties. I
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