HomeMy WebLinkAboutHomestead_Parnelled�� Y CLAIM FOR HOMESTEAD PROPERTY TAX
}��= CREDIT/STANDARD DEDUCTION
.��, fq ;,��� SWte Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side 7or liling instructions. _. /1 ,L �
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, � - � CER ATION STATEMENT . '
e) _ _ . T �• certify that on the 7 st day ot March. 19�
__) occupied our principa I ce of residence th Ilowing described real property for which a Homestead Property Tax Credit is hereby Gaimed:
I(We) owned ❑ Are buying under conhaci .
Have a beneficial inierest in ihe entity thai is liable for the property taxes on the property and that owns the property or is buying under a contract.
CONTRACT RECORDED � �
It buying On con�ratt, Pee Simple owner's name � .
Recorders oflice where contract is recorded ReCOrd number Page
County
PROPERTY DESCflIPTION �
Ta�cing dislrict (aty. town, Iownship)
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Parcel number Legal desai tion
ooc�-oro9�-o0 �-�-SE 5-�-�o s.�fa a.�-
It any portion oi Ihe resitlential stmcwre or ihe land not exceeding one (7) acre that immetliately surmuntls t�at siructure is used to produce i�ome, descnbe Ne use antl portion
of Ne pmperty utilizetl ro praduce income.
ASSESSOR USE ONLY TRUE TAl( ASSESSED HOMESTEAD NON-fiESIDENTIAL
VALUE VALUE VALUE VALUE
Land not ezceeding 7(one) acre immediately
surrounding residential improvements. (�)
O.her land (p)
Total land (line 1 plus line 2� (3�
Dwelling (4)
Residential improvements
Garage (5) �
Other improvements (6)
Total impmvements Qine 4 through line � (7)
Total value (line 3 p�s line 7� (g)
1 hereby Certify ihe above is irUe, correGt, and SignaWre otASSessor Date signetl
complete. �
�u�g action - Signature of Autlitor Date signed
19_Pay19_
Lesser of 1/2 Homestead
Valuation or 52.000
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� . rurzrowevseert�is�m �� � rnvas�wn
Gibson County Auditor
101 N. Main Street
Princeton, IN 47670
2263
.Individuals and rttarrial muples are limited m one hnmeccead� standard deduc[ion. As the receiyt o1'this deduciion becomes
, morc brneficial, ihere is mote inttntire than r�xr for homestead Cnud. Homesitad Gaud wuscs hi�ttt lax hiI1S for all; thcreGiC,
° HEA 1344-?IX19 rcquires taipayers who receive thc homesiead standard deductian to �rrify that lhey ive eligible In rttei�i �du
brnefit az�d to pro.ide additional idrnlifi�ng information neceswy b allow counry govemmrnl b lietter monitor hoaatend
- - filings. lttis information xill be kcp[�confidrntial and.can only be accessed by au�horiud tounry offitials. 7'he Ikparmirnt of
. I,acal Gm�emmrnt Fi¢nce will use this information m create [ools that will helo counn� officials eiimi'ate homestead faud.
Taxpaver Name
Parnell, Ralph E Jr / Lucy C
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727 E TAFT TOWN RD
PRINCETON IN 47670
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Ralph E/ �ucy C Parnell Jr. ' Ilul�lll ulll ull�l ull III Iu1011�ll II�II �II�II�III �II�I�II�I II �Ilullull I�I II IIII
127 E Taft Town Rd - ' ` � � -
Princeton IN 47670
� State Parcel Number �- Leqal Description
= 26-12-OS400-001.091-027./ PT SE 5 210 5.42 AC: C-1
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� FILEI�� ;
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MAY 2 0 2011 �.
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This form MUST be returned t�,�g��m,���roR's office. ;:
Please do NOT send this form back with your tax payment to the county treasurer.
Address (n/v�ber and strce4 city�, statc, �a'nd ZIP codc)�
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. Security N�bcr last 5
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>> Address (Number d
I Sccuriry Number (last 5
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undersigned certifies,.under penalty of perjury, that the above and foregoing infortnation is we and correc[ and that tie or she is eligible to
✓e the homestead standard deduction on this,property. Fach undersigned also understands that, by claiming additional�'homestead deductions
vfully, he or she may be liable for back taxes and substantial financial penalqes. . . -
I Si�ature
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