Homestead_Pleiss��,•� �
ea ' g- CLAIM FOR HOMESTEAD PROPERTY TAX
;��I"s CREDIT/STANDARD DEDUCTION
' State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side /or7iling instructions.
�0��'y YEAR
a'� -l-,
MAY 5 1993
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I(We) q2J i' . p certify that on the 1st day of March, 19�J
�e) oceupied a ur principal place of residence ihe foll ing described real property for which a Homestead Property Tax Credit is hereby claimed:
,_, I(We) owned ❑ Are buyinq under contract .
0 Have a beneficial interest in the entity that is liable for ihe property taxes on the property and ihat owns the property or is buying under a coniract..
CONTRACT�RECORDED . _ �
If buying on contraci, Fee Simple owner's name ,
Recorder's ofliCe where Contract is recorded Record number Page
PROPERTY
County
lownship)
Parcel number legal description
�(9 -�8a� �� 3-a-�� 5� ���
If any portion of the residenUal strucmre or the lantl not ezceetling one (7) aae ihat immediatety surwunds that s[mcNre is used to produce irimme, describe Ne use arW porlion
ot the pmperty ufilized to protluce income.
PROPERTY OWNED BV CLAIMANT IN OTHER COUNTIES
TownShip County
-
certify the above siatements are true, correct and complete. Sigiacur+e of daima�� \
(number and streel, ary, s(ate, ZIP code)
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE.
ILand not exceeding 1(one) acre immediately
surrounding residential improvements. ���
� Oiherland (p)
Total land (line 1 plus line � (3)
Dwelling (4) � �
Resideniial improvements -
Garage �5)
Other improvemenis (6)
Total improvements Qine 4 through lina � (7)
Total value (line 3 pbs line 7) (g)
I hereby Certify the above is INe. CorreCt, and Sgnamre ot Assessor Date signed
complete.
Verifyirg action � Signature of Audi;or Dare signetl
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
�SiR f00..N!)'l�lti/!�MI
TPFAS�IIIlR Po0.V :}��
�A[YROTBY iIR OE�MIYF.`+�OF LQAL CA�'cAVt R.T iO:nYCE M�I.1= `-! 1
fndividuals and mar�icJ couplea arc limitcd io onc homeacaJ �andaN deduninn. As ihe �eceipt ol tltit dcdunion bttromes
more beneficial, therc is morc incenme than ecer (or honmttaJ fnuJ. I lomdtea(I fiauJ cau�s hi�her tac bflls tor all; ihertfa<.
HEA 133i-2IXl9 requim uaprcrs who receire �he hanestcaJ smndxJ JeJuction w.erily tM� �hey are.:litiNc io mcei•c ihe
brnefi� aN tu pnxiJe :ukliiiowl iJentifi�inc infurmanun nm.sarr to allw� cwnrc grnrmmeni to Nerer muniror humeste:d
filin��_ Iliis inlmma�ion will M Ae�M conlidemial and can only M accec�cA hy awMrimd rounh' nIT¢ial:.'1'hr Depanmem nf
Local Gor<mm<m Fiiuirce �vill u.e this infortnanun tu aream m.rL that will hcln munn� offiriaL.� dimiram Ixrmestead "hauJ.
Gary Lee / Carolea Jean Pleiss
R 3 Box 244
Princeton IN 47670-8566
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TaxoaverName
Pleiss, Gary Lee / Carolea Jean
�30.
IState Parcel Number Leeal Descrintion
I'I'I"I'I 26-11-03-400-000.829-027 OOCr00829-OOFTSEi 2113.79AC
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Owna 1 � tirst Middle I LaSt
Lr q r y �e 2 � 1-{ � S S
e Addn.ss (numbcr dnd iucct. ciry. statc, and LIP codeJ— - � " — --' �� '—'-- ' ' '�' Snme u �pmpertrsddm�— '� � ' "
a��SS LJ !U� � �nee -n
Social Securiry Number (lazt 5 diei�s) Ihivers Lic<nse/5ute ID Nmnber (lu� 5 digiL) Oiher (pieaze specify in Pan 4 below) I
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Spou;e Fiat Middle � I l.ast
� �4-c; le� ��an pl.�i ss
Mailine Addttv (Number and sirttL cii}', smle, and ZfI' cale) � S:une as pmpeny addrc.-a, I
��S (� �OD lv
Social Security Number �laci 5 digi�s) Drivers License/S [c ID Number (la;t 5 digits) Otha (plcue s{kx:ify in Part 4 Mlow)
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Each undersit,med cenifies, under penalry of pepury•, that the abo��e and foregoing information is we and correct and that he or she is elieible to
recei��e the homestead siandard deduclion on this properly. Each undersiened al;o understands that, by claiming additional homeslead deductions
unlau-fully, he or she may be liable for back taces and substantial financial penalties.
Owna 1 Signavae Ihte 1'elephonc
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