Homestead_Marx�--
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e�/ °" a CLAIM FOR HOMESTEAD PROPERTY TAX
i��': CREDIT/STANDARD DEDUCTION
.,�� ,` � Sta;e Fortn 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side lor filing instructions.
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�'<) eLilYlv`o/�—'�. � � l(�.n./� - � certify�/�I,snuiTa V/��p79�
e) occupied as our princi I place of residence the following described real.property for which a Homestead PropertyR9�61�tliN6�11e eby Gaimed:.
❑ I(We) owned ❑ Are buying under wntraci
❑ Have a beneticial interest in the entity that is liable for the property taxes on the property and that owns ihe propeny or is buying under a contract.
CONTRACTRECORDED �
It Wying on contraci. Fee Simple owner's name -, , . � .
Recorder's oHice where contract is recorded Record number • Page
PROPERTY
County
township)
Partel number Legal description
f�� - �0"10`� �" S � g - � -10 . � `f8' A� -
It any ponion of the residential simcWre or the land not exceetling one (7) aae that immediarety surrounds that structure is used to produce ircome. tlescribe the use and portion
of the property utilized to produce income.
CounTj
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township — Counry �— Township �_
rreby certify the above statemenis are irue, correct and complete.
Address (numberarrdstreef, ary, sfate, ZlPCOde) , � , ,
ASSESSOR USE ONLY , TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VAIUE. VALUE VAWE �
. Land not exceeding 7(one) acre immediately
surrounding residential improvements. (� � -
Oiherland (p)
Total land (line 1 pfus line 2� (3) �
Dwelling (4) - .
Residential improvements
Garage (5)
Other improvemenis (6)
Total improvements (Irne 4 through line � (7)
Total value (line 3 p�s line � (g)
I hereby certify ihe above i5 Irue, Correct, and Signamre of Assesmr Date si9netl
wmplete.
� ' yng action - Signawre ol Auditor Date signed
I !
79_Pay19_
Lesser of tl2 Homestead
Valuation or 52.000
STANDARD DEDUCTION
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I:�V�"�
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Gibson Caunly Auditor
101 N Main
PRINCETON IN 47670
Steven J Marx ,,, yS�"
286 E 150 s �'— �
Princeton IN 47670.927'.
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[TiR FOR\I ��'M III_' /tiMl
YAL%RIBFD BT
lPFA5UAE0.fURVSIn ,
InJn�iduals anJ ma:riN couplo are limiinl io ore homeuead �andaN �-durtion..4s ihe receip� ol� u JNuction become�
morc benencial, thrre is morc incencn< dun e�er for homraiead frdud. Ilome�eaJ Batai cauus higM Ia`ibills (ur all; thertfore.
HEA 13�l3-?009 requims uapasen who recei�e �he hanestcaJ smndard �tviuction m.eri(y �lut [hey ye�elieiNe �o mcene tFe
benefi� aN �o pnw�ide :rYlitional iJentiiyi� Iniwminan mrc��n� ro aliw' counn Fv.�rmment to betmr rmmiror homeseaJ
tilin_y. This informaiion x�ill M Aqv mnlidentinl anA can only he arre_ �ed by au�Mried cnunly nffitia�s.'ITt Ik�unn�i of
Local Gwarmn<m PinaM< will u.e this iniormation m crcam nvlx that x�ill heln mmrv af&ials diminve Mxn�u�nd fiand
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Ta�narer Name
Marx, Steven J
/ State Parcel Number
26-12-18-403-000 J04-027
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� 14incclon IN 47670
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Leeal Descril tion
006-00704-00 PT S�18 2 10 .48 AC
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Owner I First Middle Lut
5fit v ev� J (ul ��c
. � i¢ Addrcac (number md itreel. <iry. stale, and ZIP code) � Seme ss propem oddlcsi �� ---- --
t^'o (3ox at� I�e� c��o+� � �7
Social Security Numbrr (last 5 digits) Dri��er's Licrnu/Siate ID Nmnber (lui 5 digits) Otha (ple�se specify in I'art 4 below)
$
e First Middle I I.ast
�N�
Mailint Addrcss (NUmbcr enJ rirttL rii)', sWlc, nnd LIP coJc) � Same u propeny adthesi I
___ Social Securirv.Numbcc�lau 5 digi�s) -- Chivcrs�LiMnsdS!a:c ID Nwitc �(lasi 5 uigiti) - Othtr jpiwx +pccify'inPaz[ 4 y�low) I. �..
Swe
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Each undersiened certifies, under penalry u( pequry•, that the above and foregoing infortnatiun is true and correct and that he or sh�e is elieible to
recei��e the homes�ead standard deduction on this property. Fach undersiened al>o understands that, by claiming additional homeslead deductions
unlawfully, he or she may be liable for back tares and substantial financial penalties.
O�.�ner 1 Signe e UnL^ Tdephmt
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S Si�amre Vyte Telcphonc '
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