Homestead_McConnell (2)Y`�� CLAIM FOR HOMESTEAD PROPERTY TAX
i� CREDIT/STANDARD DEDUCTION
�,�` Sute Form 5473 (R2 / 5�92)
�m
INSTRUCTIONS: See reverse side lor liling instructions.
FORM
HC10
YEAR
�IWe) �d� ��—�� V i I��✓ll�Jl�(U certifythato�i 1��ytlyb�Ch.79_
�e) occupied as our principal place of residence ihe tollowing desc�roperty for which a Homestead Property Tax Credit�s hereby daimed:
/� i �
LJ I(we) owned ❑ Are buying under contract 1 , f �' r/
,,tt�� . 6
❑ Have a beneficial interest in the entiry thai is liable for the property taxes on the property and that owns t� oiOOeA�oriS�ikiyLng�un�r`A"(`� raa.
• �vIBS6N COUi+I i 11UUI�Oti
.- : . . �. : .. CONTRACTRECORDED, . _.,, . .,. , , ..: - �. � ''.; . ` - .-._;.�- -
If buyirg om m�iract, Fee Simple owner's name
Recortler's o9ice where contract is recortle0 Recortl number Page
PROPERTY
Tawnship
ral /� )l� � W U �O �o I �egai oesqlp,lq{1 � C � a �- a —/ L/ / • �� 7 �
i J�i V
tl any portion of the residentlal sVUCture or the land noi exceeding one (1) aae Ihat immediatety sunounds Nat sirucNre is used to produce irqome,
of the properry utilizetl to protluce inmma.
the use and portion
' PROPERTY OWNED BY CLAItdANTJN OTHER COUNTIES�
Counry Township Counry Township
�reby certity the above statements are irue, correct and complete. S" n ure of Gaima
s nu . erarrdSbeeL�tate,7/PCOd
7
I
�� ASSESSOR USE ONLY TRUETAJC ASSESSED HOMESTEAD NON-RESIDENTIAL-
. VALUE VALUE VALUE VALUE ��
Land noi ezceeding 1(one) acre immediately � °
surrounding residential improvemenis. (�) ��
Other land (2) � .
vf
Total land (line 7 plus line 2� (3�
Dwelling (4) � . • - �
Residential improvements
Garage (5) � -
Oiher improvements (6) �
Tolal improvements Qine 4 through line � (7)
7ota1 value Qine 3 p�s line � �g)
I hereby Certify ihe abOVe i5 Irue, fArreCt, and Signature ol Assessor Date signed
complete.
�nryirg action - SgnaNre ot Auditor Date si9ned
79_Pay19_ I
Lesser ot 1l2 Homestead
Valuation or 52.000 S
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
1281
�IAiE 1DRM �!M �R'/ f�Ml
iPlANIFA(ORMYIA
Indi�9duals anJ ma:riN couples are limittd io ore homc3ead ua�MaN Jttlu.�ion. A.. �he rcceip� of tN; deduaion beconre�
mere benencial, there is morc incrntnx Oun e�er for hunx..teazl (raud. I loma�eal frauJ causes hi�her tac hills (or all; thzrefwe.
HEA 13�13-?(MW requim la�pasm v'ho rrccive Ihe hanes�caJ smndard dedunion to rcrili� Ihat they art clieiMc lo mceiee Ihe
benefit aN m pnr�idr a�Wnional identiiyine Infurmation nttr.vn to allw' counn� grn'emment eo bevei munimr Iwmcctt.xl
filin�. This in(nrmaiinn x�ill he {.ery mnlidemial and e�n nnly h� xcex+eJ 6. amhnrized cm�m�� nf7iciaii:'I'he Ikpannrcni nf
Lucal Gmemmem Fiw�rc< �vill uw thi� inturma:ion ro cr<atr Wuls �ha� w911 h:In iwnn� officiaLs dimirem hum<sirad (mud.
Todd G/ Debra J McConnell
2394 E 350 S
Princeton IN 47670-8738
���n��ni�i��u�in���ni�u�i�ui�n��i�n�i�i�ni�u��in��
Taznacer N•rme
McConnell, Todd G/ Debra J
State Parcel NumAer
26-12-28-400-000.870-027
�
Owncr I First N
%�➢1S C�
ig Add�s (m�mber and streeL city. stete, and'L�Y cotie) ' --- - �
a39�' C 35a S P,�/�re��J z�/
Social Sccurity Numbcr (las� 5 digits) Drivei s Liceme/Stale ID Nmnbrr (lau 5 digits) Other (�
�-�
��BRA I S
e Addms (Number anJ sym4 ��}'. suie, and "LIP code)
a�3g� � 3�a s P�ei�cETO.v r,✓
Scvurip� Numbcr (las� 5 digits) Drivds LiccnsdStaic ID Numbcr Qa;c 5 digi[s) Other (plc
��- / �
Z3 �i�-1
Nincemn
35o S
OOCrW870-00 PT E SE 28 2 10 4.439 AC
D-10 I
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witi�a — _
70
in Part
'e G'o,v,Y�l�
�, P��n. �da�,
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tndersiened certifies, under penalty of perjury�, [hat the above and foregoing information is we and cortect and that he or sFie is elit;ible to
e the homestead standard deduction on this pmpeny. Each undersiened al>o unders�ands that, by claiming additional home��tead deductions
fully, he or she may be liable for back taxes and substantial financial penalties. I
I Sienatwc � n Date Tel<phme �
sp�[ure
0
4-7- t �
y-7 ia
� � �/