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Homestead_Ledford,..^•.. a�''° �4 CLAIM FOR HOMESTEAD PROPERTY TAX ' CREDIT/STANDARD DEDUCTION � State Porm 5473 (R2 / 5-92) S �� ;.r. INSTRUCTIONS: See reverse side /or (iling instruc(ions. as our principal place of residence the following described FORM `, � YEAR a �O� � � P . L_.. .. 1� R ." (�P 2 91994 certify ihai on ih��,}�j�µlgrch, 19_ property tor which a Homestead Property Tax Credit is hereby claimed: �(We) owned ❑ Are buying under coniract Have a beneticial inieresi in the entiry that is liable for ihe property taxes on the property and thai owns the property or is buying under a contract. CONTRACT RECORDED - - . It buying on contracL Fee Simple owner's name �� . . Recorder's oHice where contract is recorded Record number Page number � C� o artion o� the S7 PROPERTY DESCRIPTION � TownSh;p� ^ Tazing diy�ic� (city, town. owi �` �--�Vll_P�_ ;� Legal description -b � � � � S� 3 1 1 c[ure or the land not exceetlinq one (7) acre that immediatety surmunds thai swcture to produce iMOme, tlescri6e the use and portion ASSESSOR USE ONLY TiiUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL VALUE VALUE VALUE VALUE Land nol exceeding 1(one) acre immedialely . surrounding residential improvements. (�� Oiherland (2) Total land (line 1 plus line 2� (3) ' Dwelling (4) , Resideniial improvemenis Garage (5) . Oiher improvemenis (6) Total improvements (line 4 Ihrough lina � (7) Total value (line 3 p�s line 7� (g) I hereby certify the above is lrue, correGt. and Signature of Assessor - Date signed complete. ntying action - Signa;ure ot Autlitor Date signed � 19_Pay79_ Lesser of 7l2 Homestead Valuation or 52.000 DEDUCTION ALLOWANCE 5 re of Autlitor . I Date signed "— � alA1EfM>I!!Jn�0.:/fwl � TRL\511rtERiORM:SIA .1��MI1�'E11B1�l1T1�.BMROlFAI.RA�\T�.4�v PU_MNf1IP0TT1lUEPM1W:YI(IFIqAICAM1'clYMIMfIN'A\fEl('VI.IS:-�I . Gibson County Auditor 101 N Main ' � ' � � � 1 • • � � • � • PRINCETON IN 47670 IndiciJuals and m�:ritti coupks a�c limi�ed to orc homeuead yandarJ JNu.�ion. As the ncript of thi_ dedunan bctomn morc benencial, there i. morc incrncnz Uun rc<r (ar humrsteacl frauJ. Ilamo�eaJ frauJ caus� higher tac bills tor all: thnefore. • HEA 13J�1-3(N19 requim �aipaycn who recei.e ihe hanesteeJ smndard Jnfuc�ian m.eri(y ihat tAey am cli�ible io meei.e �h. benefit an1 iu pnr'iJe a�klnional iJemiipina in(urmanun rnrr.mn� to allw' counq� grn'emmrnt tu bevei munitur humesteaU tilifqp. lhis informal�on will 6e AqM mnfidenlial anA can only h accrwu+l br amMri�rd rounty nIT¢ials�I lTe Ikpanment n( Loeal Gm'<nvnent Fi�u�rce will u.e this into'mation tu crcatr nvls Ou� �eill hdn iYw�mm �ffrial<dimi�i�e Mm�aead "kaud. 825 s/� Michael R/ Dana Lee Ledford - R3 Box 181 Princeton IN 47670-8511 I�I��II���i�ll��l���lll���l��l��l�l����ll���ll���illl���ll���l Taxpa�•rr Name o ene Adifress Ledford, Michael R/ Dana Lee �9�� N���( /���,�iur�r�� . � cctnn IN 37670 I State Parcel Number Legal Description 2605-31-400-002.139-027 006-02139-OO PT N SE 31 1 70 2297 AC _ ✓- - °'___ I- - - « � eiai Y�"I i�hac l �Ry e nddrzss �numocr un6 i¢aY, ci�y. su[c, and ZiP codrj �9/a �ld Pe�e�s � u � ,C��l � 7�ar�� in5 Addres (NUmbcr and strttS ciiy, statc. and ZIP cuJr) 9�0 �� 0/d �s %u, il Stturin-Numbcr (last 5 dieits) —_Dri�-crs LiccnsGS Lee a(e ID Nwnbcr (las� 5 digits) � � �/' __ Middle ��.� Fo,�.� � Snmc ai prop:�' a:Lres; — ~�OfN /. /V � �� �/ �U (pltau sptci( in Pan4 � 1�d�'D rd � �Sxme:tipmpenyadd�i � i�l�r�o�v, �N. �7� �d Othcr (plc�ic spcci(y in Pan 3 bclow) — — — �— G' undersitm�d certifies, under penalry o( perjury, that the abo��e and foregoing information is we and correct and that he or she is eligible to +e the homestead standard deduction on this propeny. Fach undersicned al;o undersiands that, by claiminc additional homes�ead deductions rfully, he or she may be liable (or back taxes and substantial financial penalties. I� /D .� :�- ��/