Homestead_McEllhineyCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
- } CREDIT/STANDARD DEDUCTION HCio
` t State Fortn 5C73 (R8l 7-07)
Prescribed by Ihe Department at Local Govemment FinarKe
INSTRUCTIONS: See rawrse side (or filing insLuc6ons.
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I(We) occupied as our prindpal place of residence th fo owing described real property fa
certifY Uwt�n tFje �I�QSf March, ZO_
a Homestead P�roperty Tac Credit is hereby daimed:
❑ I(We) owned ❑ Are bu�ring under contract
' Have a benefidal interest in the entity Mat is Iiable for the property taxes on the property and tha� owns the
If Wy'vig on oonVaq, Fee Simple amefs imme
Recortlefs office whera conUaC ia recwtled
Caunty
Tdmship
Taring district (ci(y, (own. township)
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Record number
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Page
� �� 1 I� I�� ,`(/ �"� I d✓�U / I Is Na P�� a Real �PrapertY ❑ Mohile Home (/C 6-7.1-n
11 arry portian o1 tM residential sWClure w ihe WM nIX exceedirg orre (7 ) acre that immedialely wrtounds Iha� stn�ctura is used b produce Nmme, descnba Ure use and portion
of Ihe P�oPertY ulilized to produce income.
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... . . : . .
Counry Tonnship County Tavnship
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I hereby certify Uie above statements ara true, correct and complete. �9n ' d maM � J
Address (numberard sGeeL city, siefe nd ZlPCrotle) [� �( T //
I- l..J ✓ i� C ! fir �s-i1/ 't / C�
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Land not ex�rg 1 (orre) aae immediatety � - ' . � � . .
surtoundingresidentialimprovements. ��) " �-,• . . � �
Other land (Z� _ -
Tdal IafM (I'me 7 plus line � (3�
. .y � , _ ; . . .
Residenfial improvements aMnualy �Iling (4) - ,
Assessed Mobile / ManufacWred Home . , : -
Garage �5� - . ' . ' .
Other improvements (g) - °.. _
.r'�
TUaI improvements ((me 4 through li�re 6) (7�
Tdal vatue (line 3 pAs liire n (g�
I hereby Ceftify the ebove i5 We, CorteC, end SignaWre of Pssessor Date signed (mmN, day. yae�
canplete.
veityirg aam - sprmwre a nudnw Date signed (mmfh, daY. Y�A
pay 20 _
��serof 12
Homestead Valuation
a
45,000 for 2007 pay 2008 42,000 for 2070 pay 2011
44.000 tor 2008 pay 2009 41.000 for 2011 pay 2012 $
43,000 for 2009 pay 2070 40,000 payable afler 2012
SignaWreof�tor Da�e signed (month. day,
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NiP(�.'EOBY51\TE6fMRDMXR4.\T�.!O.`� PAFAWUm�Yt11CUFYAR1�ViOFIIXaLCA\'cII.VMkTTiP':4CEIC41.1�-�.1
Gibson County Auditor
101 NMain ' �' � � � 1 � • � � • � •
PRINCETON IN 47670 Indiciduals and muriN couplo are limi�ed �o ore home�caJ �andaN Jedu.iion. As ihe receipt of ihu Jedunbn becomes
more beneficial, thrre is morc incenmx than ecer (or Aomorcad fraud. Homottacl fmuJ causcs hi�her ta� bills (or all: thertfae.
� ����� HEA 13Ji-?I%19 requ'ves uxpa.en �ho recei.e ihe hanesc.ad sunda�d dntuc�ion m veri(y �ha� �hey ye eli=iNe �o rtYenc �e
benefit sni to p�a'ide afJiiional identiiyin_ infurma�wn �xcn-vrr �o alluw' counry gm'emmrnt m beuer munitor homarcad
nlinN�_ ltiis in(ormaiion x�ill br Aery mnliCential and can nnl}' Lx acm: sed by audarizN eounn nffieiuls.'fM1e Ik7iannrcm of
Laeal Cm�emment Fivm�e � ll uac this miormation m cream teuls that will heln munm ufficiak dimir�nm hnmezrcad fraud.
APR 9 zU1u
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GIBSON COUNTY AUDITOR
535
Taxparer Name Prnpertc Address
McEllhiney Michael L Sr/Mary L
58? S Pineview DR
Princcton 1\ ; 7670
Michael L McElihiney Sr.
582 S Pineview DR
� PRINCETON IN 47670-8134 State Parcel Number Leeal Descriptian
26-11-15-100-004.259-027 PINEViEW 8
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This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
Addrtss (number and itreeL city, sm[e, end ZIP codc)
dc,�rs
$
Firs[
� 2 �Ouis�
��; Address (N ber and �vaL ciiy, sta�e, and ZIP cude)
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undersiened certifies, under penalty of perjury, that the above and furegoing infortnation is we and wrtect and that he or sie is elieible to
�e the homestead standard deduction on this propeny. Each undersi¢ned al>o understands that, by claiming additional homestead deductions
fitlly, he or she may be liable for back taxes and substantial financial penalties.
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