Homestead_LavanwayCLAIM FOR HOMESTEAD PROPERTY TAX
- ' CREDIT/STANDARD DEDUCTION
t � Slate Form 5473 (RS I 10-01)
•w PresaiCed by fhe Department af Local Gwemment Finance
INSTRUCTIONS: See reverse side /or (ling instructions.
FORM
HC10
YEAR
I(We) �- certi t�Ri 1st d�4M 0
I(W pied as our prindpal pWce of residence ihe following described real property for which a Ho ea p�Cy� -Ts�he by imed
I(We) owned ❑ fve buying under contract
�l .�.J
�Have a benefidal interest in the entity that is liabie for the property taxes on Ne property and fhat owns the prop��r is bu�n��r a contrad.
If buying on conirap, Fee Simpie ownefs name
Remrdels aifice where contrad is remrded
County
c
N eny
of the
County
Tamsldp
ciasou cour�TV �,wn�n ;
Record number . Page
/�\ ! �I,Qqal,e�cription I Is Ne Pmperty in question: I
j}� V ❑ aeai oroaero ❑ h,cbne H«nu c�.c. o-,.,•n .
struc4�re w the land not esceedinp one (1) ace ihet immediatey wrtounds Nat swcNra is used b produce inmme, describe tlie uae end portbn
Ke intome.
I hereby certity the above statements are We, corred and complete.
Land not exceeding 1(one) acre immediatey
surtounding residential improvements.
Otherland
Tdal land (1/ne 1 plus line 2)
Dwelling
ResldenUal improvemenLs
Garege
Other improvements
Ttlal improvements (line 4 through line 6)
Tctal value (line 3 pha line n
I hereby certify the above is We, corred, and
complete.
Veiilyirg action - Sigfahua MlwdiWr
(�)
(2)
(3)
(4)
(5)
(6)
(�)
(8)
SignaNre otA55essor
Data signed
Date signed
"1��°'4 �.°"' �5T11NDARD:DEDUCTIONALLOWANCE�?��;x'R,..��.�=���&�?a�,�'�"
���-�-�''�3:.�"'�'`�,�.�'x
20_Pay20_
Lesser of 1/2 Homestead
Valuation or $6,000 $
SignaWreaffwditor ' • Datesigned ,
i : ]
Gibson County Auditor
101 N. Main SVeet
Princeton, IN 47670
•
"1 IRFAA�PFAFOFNISIA
IM'AL(qVEft\MEY! iINAV�IC61.1-lldl
Individuais and married roupla are limimd ro one homatrad standard �leduaioa As �e rereipt of this deduction 6ecoma
more bcncficial. Jicrc is morc inccntivc ihan e�xr for homcstead (aud. Homakad faud causes highe� u.i bills for all; therc(ore,
HEA 1344-?009 iequirts tazpayrn airo rcccn< thc homestcad sundard deducuon to ccrify chat thev are eli@ible to recenx thc
brncfi� and lo prm�idc additioatl idCnlifj'ing inCocmnlian nttcSSan' W allox� crnmry grn'cmm¢t fo better monitor homalwd
filings. Tlus information wili be lcpt confidcntial and can onty bc atttisud by authorizcd munty o3icials. The Ihparmirn; of
I.ocal Gm'ernmrnt Fnance will use this infornution W crtate tools that will helu counn� officials :limi��e homesead fiaud.
488 ,
� Alvah S Lavanway
Qers-r�— yoaq w 75..5
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� �h�I���Illi�nil�Illh�IIIII���i�li�iP����h�lnu����il�li��i�
- - - - - ��_
TaxpaverName � - -� LocationAddress
Lavanway, Alvah SlTamara A j
� ti�q� �.
cR �ss
PRINCETON N 47670
i
Il�lullllu�lll �II I III �III� �III�I�II�IIu�I1011�ll�lll�ll �III�II� ul
State Parcel Number Leqal D¢�scripti
r''86='1' I�00-004.133-027✓ROSE A LINDA 1 �
I 1'-+ 1 )
APR 2 7 2011
c.�.m�
GIBS N COUN Y AU TOR
This form MUST be re�urnec� to �ounty Auditor's office.
Please do NOT send this form back with your tax payment to the cou
Addiess (n�bcr �d sueet, city, sta[e, and ZIP code) .
� �J % � S S li�/lIiN•E't�6kii
enuiry N�ber (lut i digia> Ihivcrs Liccnulsuu ID N�bcr past s
/
a
S
Ihivcrs
��
5we
u property
�;f� i� raz+ a
Othcr (please specify in Pan 4
undersigned certifies, under penalty of pequry, tfiat the above and foregoing information is true and correct and tha[ 1
�e the homestead standard deduction on this property. Each undersigned also understands that, by claiming addirional
+fully, he or she may be liable for back ta�ces aud subs[antial financial penalties.
� �/� ) ��