Homestead_MageeII
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
SIaM Form 5173 (R6 / 1-03)
P�amibed hY tlro Deparorant d Lotxl Govmnrt�mn Finaxe
�: INS7RUCTIONS: See ie�ersa aidf br�np iu6ucb'ont
FORM
HC10
YEAR
I(We) � `- 1 Vi cettifVlh3�on the 1st_aay of Mar 20= ,
I(V✓e) occu ' as our principal place of residence the following described real property for ich a HomestpN.ad�Pro�p_ert��C� ere daimed:
`-'T (We) owned ❑!ve buying under contract g �
��Have a benefidal interest in ihe entity that is liable (or the property taxes on ihe property and that owns lhe prop� Qr i�byyir�{i�er a contraU.
I( buyin9 om m�Vad, Fee Simple ownefs name
Recortfefs ofice where mnVact is recardeA
Counry
Tamship
/&c�IlyiryEer �� A��� I Legal descripGon
1( 1! '7'1' 1X
/v(J VO�U
If any ponion ol ihe residential sW cture w Ne Wnd no! ezceetling ona (1) ave Ihat
ot ihe property utiaeC to produce irKOme.
County
I hereby certify the above statements are W e, corred and complete.
�Adre-`�mber arwl sheet, cif}; siafe. Z1P tade) /�
'lZ e.1 $b 7L (o l CC. Yrin ['� �l).-�
GIBSON COUn�
Record number
Is ihe o�ooeM in
]
Paqe
I �roperty ❑ MobileHOmoII.C.6f.f-�
sunounds Ihat sWCture is used to produce income. describe the use antl portion
7oxnship
t
20 _ Pay 20 _
Lesser of 1/2 Homestead
_VAYBbon a 535.000
$
�%I[i_�..�!���1�� ' �
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
494
SIAtE iORM!J'l� IY` / YNI
'vn
iPFA511tlA f00.V :}�A
InJi��iJua� and muriN mupks arc limi�ed io ore hnme�eaJ �andaN AMunion. As ihe rereipi of ih& dMunion beconm_
mure benencial, iherc is morc incrntnx th�n r�er (or home�ead Bawi Ilom vead iraud cauxs hi�M tac �Oills tor all: therefore.
HEA IiJ-1-7009 requim u�pa.en w�ho receire ihe hwnes[ead s�andarJ dciluction io verify ihai �hry art eli¢ible �o rtcene fi.
benefi� aN lo p�m�ide adlitiowi identiiyin_ informatiun necn'vn� w allua counn� ganmmeni to beucr moniror Iwmes�eaJ
filinZ.�.. This infamution will be AryV mnlidemial and eyn only h acces¢d b�� authomd rounh' o1T¢iat�i The Ikpatlment nf
Local Gmcrmn<m FivMe will u�c this intormation W erca:e twls �hat will h:In caso� offirials <limiiurc Iam<et<aJ Fraud.
Tasparer Name
Magee, Steven P/ Priscilla A
Steven P/ Prisciila A Magee
R1 Box 61 Cc State Parcel NumAer
PrincetonlN 47670-9322
�i�n��iu�i���i�u�����n�i�nn��ni�i�n�i��ui�n�i�n���� 2Cr11-14-100-002.879-027
- ._ _ —_— . _ . . _' _' _ — __. __ _ —_ .—.� . _.
Prnoertc Address
�,�a sw �h; � c�w� �d
RI I3ux �1 Cc
Princeton 1\ -17670
�
Lesal Descrintion
006-02874-00 PT NN� 14 2 11 2.55 AC
D-1 I
' _ ____ _ __�.— _ — _ _ _
This form MUST be retumed to County Auditor's office. I
Please do NOT send this form back with your tax payment to the county treasurer.
l efm
��C.�'� ��i �.. .
e Address (number end sttnt, city, sute, and ZIP code)
dv ;a �w c�h;-� C�nv.r�l� �
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Same as
.���,� 1 R ...,.I ....� G��� - (Yl�Q��,=
g Address (Number and slree4 cil}'. s�aie, and ZIP wde)I l �$ame u p�openy addres,i I
n�C��7Gt �l�t� C.,v�i-t-� C�✓.f'G� l�c�i
al Sauriq� Numbcr (latt 5 d
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4
undersitmed certifies, under penalty of perjury�, that the abo�•e and foregoing infonnation is we and cotrzct and that he or siie is elieible to
:e the homesiead siandard deduction on this propeny. Each undersianed also unders�ands that, by claimine additional homei tead deductions
rfvlly, he or she may be liable for back taxes and subs�anrial financial penalties.
I $igneturc Date Tcicphcmc �
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