Homestead_Lewis.�•n•�, CLAIM FOR HOMESTEAD PROPERTY TA;
a yA ` CREDIT/STANDARD DEDUCTION
:� : _.: _
.� State Form 5473 (R2/1-90)
,' �°�• � INSTRUCTIONS: See reJerse side lor liling instructions.
I (We)
TION STATEMENT
FORM
HC10
d certify that on the 1 st day of March , 19 / �
�(We) occupied as our principal place of �si�r5�e the following described real property for which a Homestead
roperty Tax Credit is hereby claimOe� � ��e) owned ❑ Are buying under contract
�Have a beneficial interest in tite ��'at is liable for the property taxes on the property and that owns the
property or is buying it under a�i ct.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
PROPERTY D
Parcel Numbe� I L��escriptiqr�,� ^' � j.� '/ - �,I� �I, �I �
�o �- o a o �- oo w u v h �-
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion oi the property utilized to produc�ijr ���
�X/n � �.? '�(O � a�a� � �% 6 � °�"/� �� % `�'�,
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES P�IAY ? 1S9O
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
land noi exceeding 1(one) acre immediately ,
surrounding residential improvemenis (�)
Otherland (2)
Total land - line (7) plus line (2) (3)
Residential improvements Dwelling (4)
Garage (5)
Oiher improvements (6) �
Total improvements - line (4) ihrough 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 I 1990 Pay 1991 1997 Pay 1992
sser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homestead
Valuation or $2,500 Valuation or $2.000 Valuation or $1.500
Signature uditor
_�, p .
79—Pay 79_
Lesser of 1/2 Homestead
Valuation or �1,500
Date Signed
S.�-90
ID:
Abbev Moore
� Preparerof lhe Sala Disdosure fortn
'-Addre(Numberand5treet) .
Evansville. IN 47715
LSry, SmtG and7lPCade
Shcer 1- Name as appmrs on canve�vnce documen[
1984 E State Road 64
Addres (Numberand Sbee[)
_Princeton_IN 47670 �
Closer
TiNe
Trustworthv La
Compony
Seller 2- Name as appears an conveyanredocument
Address (Numberand Street)
llry, Sm[G and ZIPCode
i
E mail
Under� penalties of perjury, l hereby certify [ha[ this Sales Disclosure, to the best of my knowledge and belief, is true, correct
an cdmplete �equirQ �dby law, and is prepared in aaordance with f 6-1.�.5, "�I Prop rty Sales Discl'osure Act".
1/// ,° 7�u�f ��C �1V1, e '�Z�- �
noWreo Selle� "I I 5' naNreo Seller � IQ-'�l' I I
! �- �`� � '� ! �
and Street)
��►=.a
Address (NUmber and So-ee[J
mnveyoncedocument
TNE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIY DEDUCTIOYS i0R THIS PROPERTY. IDE,YfIFY ALL OF TNOSE TNAT APPLY.
Q � i. Will [his property be the buyer's primary
residence? Provide complete address of prima
residence, induding county:
►9��F c.St�+,�� ���
dd�¢f(NUmberandStrce[
V-� i c��� Ft�n ` y� �`I l, C.—i l�,l'�
Gry, SmteLPCOde lounry
� Q✓ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Addr� (A'umbrl ond Street)
Ciry, Smu LPCode Counry
❑./ ❑ 3. Homeste
"�— 4. Solar Energy Heating/Cooling
� Q S. Wind Power Device
� ❑✓ 6. Hydroelec[ric Power Device
❑ ❑� 7. Geothermal Energy Heating/C
� Q 8. Is this proper[y a residential r
� Q 9. Would you like [o receive tax:
property via e-mail? (Provide c
below. Please see instrucdons fi
Not available in a�u�i �_
c�lo �a /G -o?vo - .d��
. /.i �/!� � a iJO .
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knawledge and
and complete as required by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Proper[K Sales
Spouse informa[ion, Soc�l Security and Drivers License/Other numbers are not neces�ry if n9iFiome
���'��
g Device
property?
ten[s for this
t informatlon
re information.
7
� E-moil
ielief, is true, correct
Disclosure Ad". (No[e:
tead1Deduction is
I
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lPrtnredl,
Social5eruriry