Homestead_McCandlessar•��, CLAIM FOR HOMESTEAD PROPERTY TAX �
�x: - y ': CREDIT/STANDARD DEDUCTION �
:� State Form 5473 (R2/1-90)
�' '°�• � INSTRUCTIONS: See reverse side for filing instiuctions.
CERTIFICATION STATEMENT
FORM
HC10 -
I(We)v ���'��-e.�n-+dtx�.�y certify that on the 1 st day of March , 19 �O
�We) occupied as ou rincipal place of residence the following described real property for which a Homestead
Property Tax Credit is fiereby ctaimed: ❑ I(We) owned ❑ Are buying under contract
�Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where coniract is recorded . Record Number Page
?ROPERTY DESCRIPTION
Township
�O lo — U` � 0 lo`l —O D �_..,,� ..,..� S E � O— a— I C� ��. °
If any portion of theresidential structure or the land not exceeding one (1),acre that immedi�jgly �r�g that struc-
ture is used to produce.income describe the use and portion of the property utilized to prodi5t§ i�cbm�'�
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTI
ASSESSOR USE ONLY •TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not ezceeding 7(one) acre immediately
surrounding residential improvemenis (�)
Other land (z)
Tolal land - line (t) plus line (2) (3)
Resideniial improvements Dwelling (4) .
Garage (5)
Oiher improvemenis (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 1990 Pay 7 991 1997 Pay 7 992 7 9— Pay 7 9—
��Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,500 Valuation or $2,000 Valuation or $1,500 Valuation or $1,500
Signature of Auditor Date Signed`,
Gibson Counry Auditor
101 N Main
� PRINCETON IN 47670
•`
3437
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f110.>1
Individua� and imrrinf coupka are limimd io orc homc�eaJ sandaN d:�lu.�ion. As the rttripi ol �his Aeduction becomes
merc benencial, thrr< i. more incrntne tlun ecer (or homes�eazl fnud Iiomesmad fiauJ cau.4s hicher tm bilis tur all: �hertfae.
HEA li�li-?IXW requiro �a�pa�en who rcei.e iM1e hanes�eeJ standard dcyfunion m veri(v iMi they am elieiNe io recei.c tlre
benefii arxt iu prw'ide aJelitional iArntiiyin¢ inturmmiun �:es'vrv ro allw' counn� gu�'emment ro bnrcr'moniror humenesJ
filin��. Ihis in(armaiion will M Ary�l rrnf.deNial anA nn nnly h: atmanl M awharizeJ rnuny� o�i'mials. IThr IkTanmem of
Lueal Gm'<mmem Fifu�rce will u.e this intortnanon W cr<atc twle �hm �rill h:ln camev otTciaL. eliminar< humes�eaJ frauJ.
Brad R/ Brenda L McCandless
3438 E 50 S
Princeton IN 47670.8873
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Taxpaver Name
McCandless, Brad R/ Brenda L
State Parcel Number
2fr12-10-400-002.067-027 008-02067-00 PT E
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ig Address (number und stree[, city, state, end ZIP code) - � -- �Same as propeM addreci �� �
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cvl $ecuriry' Numbn (last i digiu) Driva's License/Sute ID Numbrr (lasi 5 di�its) Other (plcue specif,v iv 1'an 4 below)
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im Address (Number and �Yree4 rii)'. s�a�e, and LIP caie) �Same us pmyeny adJress
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idersitmed certifies, under penalty of perjury�, that the above and foregoing infortnatiun is We and correct and that he or she is elieible to
the homestead standard deduclion on this property. Each undersi¢ned alio undzrsiands that, by claiming additional homeslead deductions
dly, he or she may be liable for back taues :u�d substanrial financial penalties.
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