Homestead_Pressleye� �"� � CLAIM FOR HOMESTEAD PROPERTY TAX
i%��� CREDIT/STANDARD DEDUCTION
.�.�:;��� Su;e Form 5473 (R2 / 5-92) _
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INSTRUCTIONS: See ieverse side !or 7iling instructians.
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occupied as our principal place of residence the following described
FORM YEAR
H�,o 9y
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� certify tha t e lst d of � rch. 79
for which a Homestead Pmperty a r i��arined:
1
I(We) owned ❑ Are buying under con�ract
Have a beneficial interesi in the entiry that is liable for the property taxes on the propeny and ihat owns the property or is buying under a contract.
. CONTRACT RECORDED - . - . �
IE Wyirg on contract, Fee Simple owner's name � � --
Fecorders oHice where conuact is remrtletl Record number � Page
PROPERTY
County
Parcel number Legal i li�^ �-' �
Qa(q - QC.U�U i� ��� ��"�'� � �. ma� AC�
If any portion of the resitlential stmcwre or the land not exceeding one (71 aae thai immediatety surrounds ihat strucNre is used to protluce income, tlescnbe the use and ponion
ot the property utilizetl to produce inwme.
� ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediatety
surrounding residential improvements. (�)
Oiherland (p)
Total land (line J plus line Z� (3)
Dwelling (4) �
Residential improvements
Garage (5)
Other improvemenis (6)
Total improvements (line 4 through line � (7) � I
Total value (line 3 p�s line � (g) -
I hereby certify ihe above is ime, CArreCt, and Signature at Assessor Date signetl
complete.
Wing action - Signature of Auditor Date signed
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, . �r.
Gibson County Auditor `
101 N Main
PRINCETON IN 47670
56�
�l\iE f00.M �)KIM: / MYI
I
MASIIIGlOR.Y'SIA
� PAf�iFIBm�TTROEPMIMLY�(iLQALCA�PIl4MIA'Iill:l\CF.ICbI.l-1-�.1
IndividuaL aud ms:rinl rnupla a�e limiitd to ore homeuesd �andaN 4-Auttion. As �he receip� ol �hi� dadunion 6ecome�
more bemficial, thrre i> morc incentnc tlun rcer for home>teazl fnud. Ilomnteal (aW causes higher tac bills for all: the¢fore.
HE.\ I31J-2009 requim uapa.en w�ho rccive ihe hanes�ead cu��rd �tdunion �o �rri(y dui i6ey me eliciNe to recei.e ihc
benePo ani to p�w'id< :xlditional idenfiiyinc iniwmanun nmrs'.in io allw� cwnn' ga'rmmem co beua, monitor homrsttaU
fili�,�. lliis in(armaiion will M Arn mn�ideNial and can only h arcecseJ by aulfqrivtd rounry olTmialsi The Ikpannrcn� of
Wcal Gov<rmncN Finance will ¢.c Ihis iniortnation m ueam mols Out will hcln munn� ntT 'aic diminv� hmm�a�ad fia��d
Tuxpever Nnme
Pressley, David A/ Lisa G
Propertc Address
7 ;
�Ka I�x �i4
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Princcton I\ 37670
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David A/ Lisa G Pressley L Oo �-(o � I� i � �
�. �_._�,� � aZ `j s ou„ tc�n �
Princeton IN 47670-8150 State Parcel tiumber � � Lesal Descriation
I I II I II I I II I I II I I I' I II I �I I 26-11"16-400-000.590-027/ OOG0059400 PLESA�T HILL 5
i u ni i n n� u� n nii � i i ni n� i iu u ✓ 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 treasurer.
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Ou�nn 1 First Middlc i LaSt
t7av�� F�A2aN P2Ess�EY
�; Addmss (number end strtxt, city, stete, end ZIP code) � Same a� pmpem addres; j
�a�� 5- �l�aJt M ��l �2 �tic� r� y�67o �
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Spous First A1iddle Last
Lis2 �a� �essl �
Mailin2 Address (Number and svtt6 ciq�, state, and "LIP cale) � Same as pmpmy adNess � -
;a�4 s. i��'� M; ti c72 P,�iNc� s�v v7��a '
Social Sau �
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Each undersigned certifies, under penalty of perjury, that the abo�•e and foregoing infocmation is trve and cotrect and that he or she is eligible to
receive the homestead standard deduction on this property. Each undersi¢ned also understands that, by claiming additional homestead deductions
unlawfully; he o: she may 6e liable for back taxes and substanrinl financial penalties. �
Owner 1 $ignaturc Uatc l�clephone
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