Homestead_Madisoni
� d�n' ; CLAIM FOR HOMESTEAD PROPERTY TAX
i� " CREDIT/STANDARD DEDUCTION
��• State Form Sa73 (R2 / 5-92) �
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INSTRUCTIONS: See �everse side for �iling insfructions.
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FORM _YEAR
HC70
�_ ��_f _���(YJ[�,(�Y�� certify ihat on the lst day of March. 79_
�,upied as our i cipal place of reside e the following described real property for which a Homestead Property Tax Credii is hereby claimed:
� owned ❑ Are buying under coniract-
a beneficial interest in the entiry ihat is liable for the property taxes on ihe propeAy and thai owns ihe property or is buying under a contract.
It buying on conimcL Fee Simple owner's name ,.
Recortler's oflice where contract is recorded
County
Township
PROPERTY
'APR = 1 1996
Re num6er Page
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�%r u ber Legal de5cription
'b �_591- c�0 '
If any portion oi the residential strucmre or the land not enceeding one (1) aae that immetliatey surrounds that struaure is usetl m produce income, describe ihe use and portion
ot ihe pmperry utilized to produce income. .
Counry
PROPERTV OWNED BY CLAIMANT IN OTHER COUNTIES
=ertify ihe above siatements are irue, correci and complete. \,
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(number and streel. ciry, stare, ZIP wde) �
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ASSESSOR USE ONLY
Land not exceeding t �one) acre immediately
surrounding residential improvements.
Otherland
Total land (line 7 plus line Z�
Dwelling
Residential improvemenis
Garage
Other improvements
Total improvements Qine 4 lhrough line �
Total value (line 3 p�s line �
I hereby certify Ihe above is true, correct. and
complete.
Verifvinn artion - SionaWre of Auditor
19_Pay19_
Lesser oi tl2 Homestead
Valuation or 52.000
�
TRUE TAX
VALUE
(�)
(z)
(3)
I4)
(5)
(6)
I�)
(8)
Signature of Assessor
STANDARD
of claimant
ASSESSED
VALUE
5
. . i � : —'.
HOMESTEAD
VALUE
NON-RESIDENTIAL
VALUE
Date signetl
Date signed
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Gibson County Auditor
101 N. Main Street '
Princeton, IN 47670 ,
��� =FIL,ED�
--�� �� NOV 28°2011
— G�.n�
— GIBSON COUNTY AUDITOR
482 _
Stanley A I Mary A Madison
625 S Old SR 65
Princeton IN 47670
SGiEfORA1515f9(PJ/&10) ' TPF.�SL'FF3f00.NR1A
APPRq'FDBI$IVEHMRUOl�[CUUYtCgA .� Y0.FYA0m�YTEOtPMM.E�TOF�Lf'ALGO�'IA�MEYT4IN�V(£IC61.1-E33.1
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Individuals and martied muples are limimd ro one homutead standard deductioa As the receipt o( this deduction 6eromes
mort brneficial, thae is more incrnlive Ihan cvcr for homrnead Gaud. Homatead (2ud causcs hi�tt tax hills (or all; �erefore,
HEA 13M-2009 mquires ta�pa}crs wta recci�c thc homestcad standazd deduttian to cttify �hac thcy �vc cligiblc to r«eice the
brnefil and to prmide additional identiFying infortnntion ncccssary �o Wlow county gwenuncnl to Irencr monitor homestwd
filings. This infomution uill be kepl wnfidcntial and can only be acecssed W au[horized cowry oKtcials. The Departlnent af
I,acal Go�xrnment Firmnce x�ill use this infortnation ro crtate tools that will help counry' officials ellmirute homesiead fraud.
Taxpaver Name
Madison, Stanley A / P
Il�l�lll�ulll �III�I III �II
LocationAddress �
/ 470 W � �
�pRiNCETON IN 47670 �
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- , State Parcel Number Legal Description
26-11-16-100-003.591-027 PTNW1621130.3a4,4C D-17
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This form MUST be returned to County Auditor's office. ;
Please do NOT send this form back with your tax payment to the countj% treasurer.
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�cial Security Numbcr (lact 5 digits)
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LiccnsdState ID Numbcr (lan 5 digits)
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speci(y in Pan 4 hlow)
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i' �� !� �bove and foregoing infortnation is we and correct and that he cv she is eligible to
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� }ate Telephone
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