HomeMy WebLinkAboutHomestead_Pollocks,..,,,�
e��' ; CLAIM FOR HOMESTEAD PROPERTY TAX .
i��': CREDIT/STANDARD DEDUCTION
�;;,� State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side for7iling instructions.
FO YEAR
HC1
OCT 1 51996
� . . . - � � -- -- . .
�"ve) . V aY)CAt.K-� _ - certify that on the 7 st da7�t���
�) occupi s our principal place ot residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
�We) owned ❑ Are buying under contract � .
L7 Have a beneticial interest in ihe entity ihat is liable tor the property taxes on the property and that owns the property or is buying.under a contract.
- - � � - - � CONTRACT RECORDED ,. " - � � � '
It buying on wn[raa. Fee Simple owner's name ' � - . .
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Recorder's oNice where contract is recorded Record number Page
PROPEFiTV
Coumy
fownship)
Parcel number Legal descnp
t`�(o-c�3(�9l c� Q-�-10 �{.3��4e
tl any portion of Ne residenual sWCture or ihe Wntl not exc etling one (1) ave tha� immediatety surrounds that structure is used ro produce income, describe Ne use and porlion
ot ihe pwperry utilized to produce inmme.
PROPERTY OWNED BY CIAIMANT IN OTHER COUNTIES �
Counry Township Counry — Towns„�—
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certify ihe above statements are true, correct and complete. Signacure o� aimam
Address (num6er antl streeC ciry, sfare. ZIP mde)
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ASSESSOR USE ONLY TAUE TAX ASSESSED HOMESTEAD NON-RESIDENTtAL, .
� .VALUE VALUE VAIUE VALUE
Land not exceeding 7(one) acre immediately
surrounding residential improvemenis. (�) - � - -
Otherland (p) ' '
Total land (line 1 plus line 2� (3)
Dwelling (4) . �
Residential improvements �
Garage (5)
Other impmvements (6) - -
Total improvements (line 4 through line � (7) ,
7otal value (line 3 pbs line 7� . �g�
I hereby ceniiy the above is true, correct, and Signamre ot nssessor oaie signed
complete.
—'�ing action - Signature of Autliror Date signed �
Gibson Counly Auditor
101 N Main
PRINCETON IN 47670
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1794
�litEFORtl!)wIR'/f+Nl IRfASURFAiORMZIA
Individual> anJ inxriN coupb arc limi¢d w nre homc�teaJ yandaN �duaion. A> Ne rcreipt of this dnlunion 6econres
merc beneficial, thrrc is morc incrntne dun r�er for honmieael Gaud. Ilomr��eaJ faud causes higher ta� bflis fur all; Iherefore.
HEA 13+1-?009 rcquim uapa.en xho rcccirc ihc hanestcad smndard JNuction in rcri(y dut they art elreiNc to rccene ih.
benefii aN ro prtn�iJe :ulJiiioiul iJcntii��inc infurm�r,un nemvn� to allw� vounn� gmrmment ro betrtr munitor humesreaJ
fili�,�. lliic in(ormmion ..�ill be Arry amlidemial and can nnly h: acrosed 6y aNMrircd rounty o0i[ialt Thr IApanmem of
Iw�cal Govcmmrnt Piv�rce ��fil u.< rhis infomwfio� [o .�ma:c [wls �hm will h:lp rounro ofAcial, dimiw�c homcsmad haud.
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Taxnacer Name Pruprrtc Add�ess
Pollock, Jackie K/ Quinith S ,/` �
3� 7 d��:� lt- l PD E/'rs�
R-�-H�.:Z't ���.
Princeton IN'7670
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Jackie K/ Quinith S Pollock
354 S 180 E State Parcel Number Leeal Descrip ion
Princeton IN 47670.8964 —
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Addrcss (NUmber and sveet, cily, SiWle, end ZIY cak)
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xurity Num (lact 5 digicc) Drivtt's Licrnsd5iatc ID �mnber (la,i
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undersigned certifies, under penalty of perjury, [hat the above and foregoing informatiun is we and correct and that he c: �sfic is elieible to
:e the homeslead s�andard deduction on this property. Each undersiened al;o undersmnds thaL by claiming additional homestead deductions
rfolly, he or she may be liable for back taxes and substannal financial penalties. �
1 Si�uwre �/ � �%� Iht. 7'elephonc /