Homestead_McConnell�^� � CLAIM FOR HOMESTEAD PROPERTY TAX
��!� CREDIT/STANDARD DEDUCTION
�,,�� State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reveae side /or tiling instmctions.
FORM
HC70
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YEAR
3
I IWe) �_(Z� \ 11 . � I I I C l�"�`� � ify [hat on,,,111 yyythe t day of March, 79�
��) oc pied as our principal place of residence the-following described real.property for which a Hom . ery,���sTereby claimed:
r' I(We) owned ❑ Are buying under contract �_ � .
AUDI
❑ Have a beneficial interest in the entity that is liable for ihe property taxes on the property and ihat owns ihe property or is buying under a contract.
. CONTRACT RECORDED � �
( If buyinq on contract. Fee Simpie owner's name . ' , � '
Recorder's oHice where contract is rewrded Record number Page
County
fown, tov}vship) �
ao(�-o�aa�{ . I-�- .-��'�- N� ►�a-�o I.I4a..��
If any potlion of the res'Wential simcwre or the land not exceeding one (71 acre ihat immediatety surwunds that s[rucNre is used to protluce income, describe the use and portion
of the property utilized to produce income.
� PROPERTY OWNED�BY ClA1MANT IN OTHEfl COUNTIES
Coun�y Township Coun�y
�
�eby certify the above statemenis are true, correct and complete. Signature of aaimant
I
Adtlress (number and slree(. ciry, sfare. LP code)
�i %I !1 Z �O X ZS 2 [T Qiel �C�?mJ�% i� 4
Township
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE, VALUE VALUE VALUE
Land not exceeding t(one) acre immediately
surrounding residential improvements. (�)
Otherland (2) �
Total land (line 1 plus line � (3)
Dwelling (4)
Residential improvements .
Garage (5) �� -
Other impmvements (6) �
Total improvements (line 4 through line � (7) �
Total value (line 3 p�s line � (g) I
I hereby cehify the above is true, CArrect, and Signature of Assessor Date signetl
complete. �
�rying action - SignaWre of Auditor Date signed
19 Pay19_
Lesser of t/2 Homestead
Valuation or 52,000
SignaWre otAutlitor
STANDARD
S
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
3481
SUR iqlM!J W IIL'/�.MI
V YR(�.'E11 BY [�.\TE B0�0.O
mr.�suauruavsu
IndividuaL. anJ mu�iN coupl� are limiied to onc hnmeMeaJ yandvJ AcJunion. As �he rcceipi oi �hii dnluctinn hcrn�es
merc beneficial, thrrr is more incen[nn Ilun ner for homcsteacl fnuJ. I Iomdir�d $ainl cau?e� hi�M uc bills for all: drc¢for<.
HE.\ Ii4J-7IX19 requim u�pa;crs v:ho rttcive �he hwncs�eaJ standard JeJuniun iu .cri(y tlu� chey am eligiNe �o mcene thc
benefi� aml Io pnw'idr a�kliiiunal iJemiiying iniormanun necttuan• ro alluw' ewnp' grnemmem m beuer� moniror humcs�eaJ
filin��.'Ihis inln(ma�ion will M kryw eemtldential and nn nnly M. aaae..cd Fy awMrized rounry� o0icials fhe Ueynnrem nf
Imal Gmcmmrnt RvMC wfll u this intormation w i�rca:c ¢ds Uu1 mill F.:In camn ot&ial. elimi m homc*icml traud.
Patrick R McConnell
692 S Deer Haven Dr
Princeton IN 47670.8852
�i��i��iu�i�������i���n�������ii�ii�i�iu�i����ini�i�i��i��
Taspaver Neme
McConnell, Palrick R
State Parcel Number
26-12-15-100-001224-027
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I First
��q T-,ei � �2 R Y� a�l o
g Address (number end �nett, ciry, sfate, and ZIP code)
� 9a s. .p�e �cq v� .p �e �
Stturily Numbn (last i dieils) Drivcr's Liceose/Sute ID Nmnber Qazl 5 di�its)
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�/A I
Addrtv (Number anJ strcc4 ciiy, s�a�c, and "LlP coJe)
5 digics) � Dri��cfs Licensc/Siatc ID Nwnbcr (I,ti;t 5
Rr? Ibx?�3'L
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Princaon IN a7670 1�
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Le�al Description
006-01224-00 PT NW� 15 2 10 1.142 AC
C-1
� /Y1 C�'-eJ,��/ �z� �
� Snmc at property oddmss "
�r.✓c�,J i�l y �G I 9 d
Other (pleue sptcif in Pan 4 below�) �
Other (plcasc
� Same :u prupeny add�r's
Each undersigned certifies, under penalty of perjury�, that the aboae and foregoing informutiun is we and colrect and that he or s6e is eliefble to
receive the homeslead standard deduction on this property. Each undersi¢ned al>o unders�ands that, by claimin¢ additional homestead deductions
unlawfully, he or she may� be liable for back taces and substanrial financial penalties. I
Owner 1$ignzvue Datt Tclephprc �
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