Homestead_Overton,�� � CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
'� J State Fortn 5473 (RS / 70-07)
���� Prescribed by ihe Departmen� of Local Govemment Finance
INSTRUCTIONS: See reverse side for (ling insfrucfions.
FORM x� -� YEAR
_cio ' O ��..
F EB 14 2002
�IWe) `e U rt �51%�ofMarc11:F201
n�iN� r ..�..•—
I(We) occupie as our princi al place of residence lhe following descnbed real pmperty for which a Homeste P�r,t$�eb�`iac�Credil is hereby Gaimed:
❑ I(VJe) o ed Me buying under wniracl
' Have a benefidal interesl in the en6ty that is liable for the property taxes on lhe property and that owns the pmperty or is buying under a contract.
rfi'�'�a-���=� �=�y�n:r"�,n,�tia°'-'.-`_#3a.;.x�:`w�.�:.'�.i��:CONTRACT.�RECORDED-arR"s�:?.f'''.:"-'rwr'�"y'>.. =r ` .r.y' Y: "
.__ . .. .r._ r ... .... � . .*�
If buyinq on conVad, Fee Simple owners name
Recordefs ofice where conUad is recor0ed Record number Page
Counry
Parcel number
Tamship
Legal
If any portion ol �he residenlial sWcWra w the Wnd not
ol iha property uUlized to produce income.
Taing distpcl (fit), tpyyn, tOwnship)
Is ihe property in questian:
� A G�°�/b ❑ Real property ❑ AAObile Homo Q.C. 67.7-7)
(7) acre Ihat immetliatety sunounds that swcture is used to produce income, desaibe the use and ponion
��a`.0 °��,'�.�-�-�;�=ta.�.� ��.=�.w�`PROP.ERTY;0INNEUIBY'CL'AIMANT IN OTHER'COUNTIES ��,..?_�� ^}°��+£�„�:}:.4`-� -��:.� k?�,�'',`_".`
County Tavnship Counry Tavnship
I hereby cerlify the above statements are We, covect and wmplete. Signawre ot claimant
�Addrew (num6er and sfreet, ciry, state, ZlPcode)
�;^ -3�s.��s.-a���'sz'§'` rY �x c`.£ . � - .r .. ,�„_ .. .. y � .
�,�����"�,�,ASSESSOR��USE ONLY "'y}`�.� �'.� ;� TRUE TAX y� �- ASSESSED VALUE �+HOMESTEAD �C ��iNON-RESIDENTIAL{�4�, %�.
'� `�`-�i�=.a�st.-�-%�S',=.��:'.,�r��t�".4°e.,.:s-��VAL.UE-..::az..��:�AT..t00YeOFT7V��.y�VALl1Ef��.�*.a.,r`arL°;;VALU��o.�`afs'FtS�
Land not exceeding 7(one) aae immediatety :'� `��'.; �' °r' ��" sg�-.��.� � r� 'y ",
surtounding residential improvements. (� � �������`3 E,?;-�!r�
,:� � >—��vt•` �
Otherland �Z) ac�,:��'.>'�;,,:�r, �c
:�: a�#1'".; ;-� `y2'y,f
-r>xv.�: 4`..._ ,_.3
Tolal land (line 1 plus line 2) (3)
�� ���•��•' '��t� £"� �J�'Y
Dwelling (4) v J`txs d'"� ��-' �?s 'fµ y-
Residential improvemenis '�'�"�Q`���'G'''L` ���'�'��E
�-a��������°j� ..'�',s�s,��i:
.�.�-
arage (5) +� a c�, �r �+�SS -
�"..`4 t:`.�a:`"�r��`::�:�..S:X-:.,�
� �_�.-�+- - -
""��4T '?l "'R'��e 4�_
Other improvements (6) � , �;r,_ �,F„
=>�-.� i�=�3: . '
Tdal improvements (line 4 fhrough line 6) (��
TUaI value (line 3 plus line � (g)
I hereby certify the above is We, corteG, and Signamre alASSeswr Date signed
complete.
Verifying action - Signature of Auditor Date s'gned
�C.��.`�.e�t�°���::.�'�ir�N����''i'_��`,�..f �STANDARD:DEDUCTIONALCOWANCE s°�`-:a<"�t,4�-:�»�u� �L�";i.��`:��F.�'arji�r;s-r �-'�,
.._ x'.a�, l�.v..:_:.
20_Pay20_
lesser of 72 Homestead
' Valuatlon or $6.000 S
I Si9naWreolAUditor Datesigned
�,
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
SIAlEM0.\IJ)WIIC'/u+�l
TMfASUAERf00.Ni¢IA
PAfsfW PmBI" Rlf DEPMMEY!(F LIX:LL G[n_0.4MfAi f W�NCF.ICH.��L'-1.1
InJi��iJuaLc anJ marriN coupks are limittd to onc homeueaJ �tandaN �-dunion. As �he reccipt ot �h� dc0uttion bttonres
more beneficial, therc u more incenm< than ecer (or homesttacl fnud Hamnrrad fraud cauxs hi�her ta� bills for all: therefore.
HEA I;4-4-]009 requim taapacen who receire �hc hanesteed smndard dNunion m veriiy �hn �hey am elieiNe m mcei.e �he
benef.� an1 ro p�m�ide addi�ional idemiiyfnc fnfortnatiun nemsaro ro aliw' counry ea'rmmrnt w Y.ner moniror twmrs�e:d
lilin�. This infarmation will he 1ery contidential and an only M accesseJ by awMrvN county o7icials. TLe De�unnrcnt af
I.ceal Gwcmm<nt Fiwntt �vill u.< this in(ormation m crtatt tmle that will hcln munrc orFcial< diminnm Mmcmad (mud.
_ Taxpaver Nrme Prnoert�� Address
Overton, Jerry UTeresa L
— ����� Ra Sandy Rid_c fstates �. 1
1L �.J _YLJ - `f
� 1'rinccmn IR 47670
sss APR g ZUtU ���� �p
�d.
Jerry L Overton �-y� �i" \`}',
R4 Box 124 p'�s� ���r�, State Parcel NumAer Leeal Descri��tion "
PRINCETON IN 47670-Sj�1Q N COUNTY AUbITb�
II II III I III I�" il II ill I IIIII 26-ii-�5-�oi-ooi.soi-o2� U06-U7601-OOSAND'fRIDGEESTSECA
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This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county t:reasurer.
�� �
Owner 1 F'irst MidNc ' Laz1
�.r r L O v�e,t�f n
�g Addl¢i (nu ber m�d strett. city, smte, end ZIP code) � Snme ns pmperty oddlev �
g � S �1/�i'f2. �.r?U�^� �� �y-i�'?C'Q.`fOY� .�h ��l��Q
$
Spo�uc First MidJk �, Last
��Y- �.Sa- �. O V21'� �O r�
Mailing Address (Number and str<e� ci�}', siate, and ZIP cuik) � Sarne as pmpeny addres�
loS ! S h/1� � � �u-+"�h !�'c�, f Y-inee��-o n � `�'�� �
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Each undersi5med czrtifies, under penalty of pepury�, that the above and foregoing information is we and correct and that he or she is eligible to
receive the homestead standard deduction on ihis property. Each undersigned also undemands that, by claiming additional home;tead deductions
unlawfully, he or she may be liable for back tases and substanrial financial penalties. �
Owner $ignsnue Datc 'Pelephone '.
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