HomeMy WebLinkAboutHomestead_Pritchett`� �n YEAR
4 t CLAIM FOR HOMESTEAD PROPERTY TAX FORM �
- � � CREDIT/STANDARD DEDUCTION HCio
t.•. � State Fortn Sa73 (RS / 10-01 � �N{ �� ...{{{{{{���---�����' 1
Prescribed by Ihe Department of Local Govemmeni Finance �{„� �� �.
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INSTRUCTIONS: See reverse side lor liling insfructions. }1
s'�.�`'.'�?u�f�'�?_., �'r%rna�."�:._.f'_.}•, �,,,-_;:-i'�:.CERTI.ICATION-STA7EMENT:'r_ . �.a-;-f�-"-y ''" `" V"IA �';... . .
u\ . . . . . . . ._. . . __ . .�_. _ .'. '. .
��e) ceAify Ihat,��% `th�e 1st day f Ma�R}h,, 2'0 �%
I(We) octupied as our principal place of residence lhe following described real property for which a Homestead Prop�y�c�,beieoq�aai��
❑ I(VJe) owned ❑ Are buying under contract �d GIBSON COUN1 � nUDIiOH
�4ave a benefidal interes� in the enliry that is liabie for the property taxes on Ihe property and that owns the property or is buying under a wntract.
If buying on conVaa, Fee Simplo owneYS name
Remrders oifice where contraIX is recorded
Tavnship
� �
7a�ing
� —/� . � 3
Rewrd number
Is ihe Property in quwtion:
" ❑ Real D�opeM � �dcbde
Page
I( any ponian of 1he residential sW cture w the land not exceeding one (1 � aae ihat immediatety wrrounds that swclure is used to produce income, describe Ihe use and portion
of Ihe properry utilized to produce inwme.
County
Township
I hereby certify ihe above statements are We, wrreq and complete.
� strref, s(ale. ZlPcode)
�; �B� v 9i_L
County
���
Tavnship
�� + '�`"'� ��'""`�����' �ffi�'FF ti ? �'fTRUE TAX�s�l' ,� ASSESSED VALUE re OMESTEAD'�' ��s-3�NON�-RESIDENTIAL '-r�"�ii
'� � �YASSESSOR�USEONLY��`�f;.�i� -�� ��,y�VE`.�"� �F` AT.t00YeOFTTY �'-'iVAL'UEt's�YG��,. ��`}�'���VALUEj$�S�"��._`
i.� +�.N.-,a}kv8_��'_..�tt15�.,.1 iYttx� r�....,� ....M.. � 'At..�._ ...,e.. Y
Land not exceeding 7(one) aae immediately a '� s�, "`3' %;
surrounding residential improvemenis. (�� �,�"'��L .�;���K��
r. �_ . ,.
"��'nt�yE��r��5�
Other land (2) �h�na � � � �- �q
.����
T�al land (line 7 plus line 2) (g�
`�r � �:r ?jt: �`�`^���`' -+'"
Dwelling (4) �-�IR� ��.�° t�� ��'"��`� 'S
Residential improvements _ ,
`���#f �,__ :.
Gara e ( � �r �Y. a.. .;j;ir�:>
9 5 �� .l� ' �..,
't,n x:6+�_e.t... �xe�.?k...;i�i_��
'y_. K4'?� � s
S,y-'?��`��.' f'
Other improvements � (6) "s }� � ��?s
+_ ��3'7-r�"."=:�k�-.?':
Tatal improvemenLS (line 4 through line 6) (7)
TUaI value (line 3 phs line n (g)
I hereby certify ihe above is We, conect, and Signa2ure o� assessor oa�e siqned
complete.
Veritying action - Signature o(Auditor Date sgned
� . z r ��� w-3�'-s. �* s.'�- r t^si:-se r�r..� �rxu- _
' �'�'t. ��`.=`r .�� "�7d�- �}x.�� �-:_.`_�__'.�-�`STANDARD'DEDUCTION'ALCOWANCE �'....,re�;v�.?.��-ta,'�-a � -:r• �r° . - 8: ' . : �
�— v.
20_Pay20_
Lesser of 1!2 Homestead .
aluaGon or 56,000 5
5' aWr fAudh D e ed
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Gibson Caunty Auditor
101 N Main
PRINCETON IN 47670
al\tEflIAY�1!MIR=/�WI
I'iPf�FFA IORV YIA
LidiriJuaLc and marrieJ toupks a�c limi�ed io onc homeucaJ sundaN ANuction. As ihe recripi oi Nis �JNunion becm�es
mure beneficial, there is morc incenmx Oun e�er icr homesteaJ fraud Ilomesead fraud causrs higher ta� 6ilis for all; there(ae.
HEA I+�-1-?O(19 rarryims taiparm v�ho receive �hc hnnes�cad siandard �kvluction m.e�il'y tiwt they me elieiNc to reaei.�e ihe
benefit aml io pnn'ide mMliUUnal identii�'ir_ infomunun imr:'vrr �o allw' counq' ga'rmmem ro bener munimr homcs�cad
filin�,�. Iliic informa�inn will br {.ryu cnntidential anA can only h� acae:.M Fy amhnrircA counir ofT¢i�als. Thr Ikpanment o(
Loeal Gw<mment Fi�uMC \rill ua [his in(ormmfun tu crcatc [wle ihat will hdn cvunn' ufficiaLa dimivlc IwmcslcaJ hauJ.
1378
Richard A / Charletta Pritchett
�� ti 3.� /� 6b a c�
PrincetonlN 47670-8409
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$auriry Number (last 5 dieiu) Uriver's License/Swte IU Numbe
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F�R�
g Addres (NUmber and 51mL cilp, slale, and "LIP cale)
Sccurin• Numbcr (last 5
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T•rxpa��er Neme
Pritchett, Richard A / Charletta &
Georg
93� n! ��E o �
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Princc�an IN V7670
State Parcel Number Lesal Descriplion
2611-OS400-003.997-027 OOCr03997-00 PT SE i 217 .93 AC
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mmwe �J'/"� I ( �
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- " - . . '. Swne m prupcm' oddn.v— _
n�io» l
� Sune ac pmperty add�as
spccif� in Part 4 bciow�)
undesigned certifies, under penalty of pepury, that the above and foregoing infortnation is we and correct and that he or s3e is elieible w
�e lhe homestead siandard deduciion on ihis property. Each undzrsi¢ned al>o understands that, by claiming additional home>tead deductions
+fully, he or she may be liable for back taCes and substanrial financial penalties. I
�1 Sibmanue _ Utte 7'clephone �
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