Homestead_Phelpsaa ^'n ; CLAIM FOR HOMESTEAD PROPERTY TAX
_��'� CREDIT/STANDARD DEDUCTION
�=.� State Porm 5473 (R2 / 5-92)
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INSTRUCTIONS: See reveise side toi liling instructions.
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AUG 16 5996
� "ve) 1 �-' �J�LT YIQ:L_�__t�_ � �y t�����'6YRf'atcli. 19
��cupied as our princip I place of residence ihe following described real prop for which a Homestead Pro Tax Credit is hereby Gaimed:
�(We) owned ❑ -Are buying under contract . - - �
❑ Have a beneficial interest in the entity thai is liable for the property taxes on ihe property and thai owns ihe property or is buying under a contract.
. CONTRACTRECORDED " - ,
It buying on contract. Fee Simple owner's name . � . .
ReCOrder's oftice where Contract is recorded Record number Page
Gounry
PROPERTY DESCRIP710N
� Tacirg distritt (ary. town, township)
Parcqel �number c ^� Legal desc �ation r c
/N �n- �l O'� oC.. %J,f C.' S C_ 1�o - o� -/� ..3.4.G
If any portion of the resitlen;ial structure or the lantl not exceeding one (1) aae that immediatey surtounds that simcture is used to produce income, desaibe Ihe use and portion
of t�e property utilizetl to proauce income.
ASSESSOR USE ONLY TRUE TAX ASSESSED FIOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential impmvements. (�)
Other land (p) I
Total land (line 7 plus line 2� (3)
. Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6)
7otal improvements (line 4 +hrough line � (7)
Total value (line 3 p�s line 7) (g)
I hereby Certify the above is ime. CorreCt, and Signature of Assessor Da;e signed
complete.
�(ying action - Sgnature ot Audiror � Date signetl
STANDARD
79 _ Pay 79 _ I
Lesser of 7/2 Homeslead
Valuation or $2.000 S
ot Audl;or
�
� - ^R
Gibson County Auditor
101 N Main
PRINCETON IN 47670
561
SIAiEf00.M!)W�R:/
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1RF.�SIIRERPo0.M.3-�A
InJividuaL and m�rried coupks arc limi�ed �o oce homc.mad uandaN A.wlunion. As �hc rcceipt ol �hi:: deduction bcconres
more benaficial. thrrc is more incentne Ihan rcer (er homesmsl fqud. Ilomnttad frawi causes hieM ta� t�ills for all: thert;ae.
HEA G-ti-?IN19 requim ta�paren x�ho rtteice IM1e hanes�:aJ standaN JNuc�ion m.erily ihat �hey are eligiMe to mcei.e the
benefit ani ro p'a'idr ad�iitio�ul idemii��in_ in(ormation neces'vry to allw� rounn' grn'emmrn� �o Nrt;� moni�or homesreaJ
t51in�. This in(ormvion will Ae {,ryw confdeniial and can only !e arcessed by authoriud rnwn� o�cial:: "fAe Ikparinmm of
1_ural Gm'emmrnt Fivnce ��ill ust this iniortnaM1On W aream [wls �hID x'ill h:In counrv ulTicial. dimini�c homntcaA fnud.
Lionel R / Laquita.D.Pheins
-�a-�s�. �_ -_� i93t s .3SocJ
PnncetonlN 47670-8158
�i�n��ni�i��n�u����in�n�in���i�i�i�n�in��nu����u��
Tasna��er Name Prnnem� Address \
Phelps, Lionel R/ Laquita D � f j/ S �SO GJ
Fitzgerald �
-R"�ZSD-
Princemn IN�47670
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State Parcel tiumAer Leeal Descrintion
26-11-16-400-001.812-027 � 6-07812-00 PT E SE 16 2 11 3.00 AC
f� D-17
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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 ti
ner 1 Firstl
� ; o��.� ��-a
�g Address (numbcr und svcct, city, sta�c, and ZIP codc)
315 350� P�;���,�� yN L
�
L.ar-�,v,.:�Co� I �o,.c�e_.c��.
lailine Address (NUmbcr and slrec4 ciiy, siate, and Z[P cale)
1a31 S 35oh( Pc-�rce.�-'roc� yN 47�'70
ociai Securiry� Numbtt (last 5 digits) Drivcrs Limn.u/Sta[c ID Nwnbcr (la.� 5 dieits)
Ph�� e 5
Sume as pmperty oddles.
Ph��ps
� Sune u pmpeny addtos
�
undersigned certifits, under penalry of perjury, [hat the above and foregoing information is we and correc� and that he or slie is elieible ro
�e the homestead standard deduction on this propeny. Each undersi¢ned also undentands that, by claimin¢ additional home�tead deductions
✓fully, he or she may be liable for back taxes and substantial financial penalties. 1
'I Signennc lhic Telcphone �
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