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�°� CLAIM FOR HOMESTEAD PROPERTY TAX
s,��': CREDITISTANDARD DEDUCTION
',�:;,'�� Sute Form Sa73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side 7or liling instructions.
O�IM � YEAR
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�e) 7///[i�fT����_�./.u. —�/�,[S�'K � •. certify�that on the 1st day of March, 19_
a) occupied as our principal ace of residencq�e following described real property torwhich a Homestead Property Tax Credit is hereby Gaimed:
L, I(We) owned ❑ Are buying under contract .
❑ Have a beneticial interest in the entity ihat is liable for the propeny taxes on ihe property and that owns ihe property or is buying under a contract.
CONTRACT RECORDED
It buying on contract, Pee Simple owner's name . , ,
Recorder's ottice where contraa is recorded Record number Page
County
- Ci/lo%3=00 I Q %/t
�n of Ne resitlentiai strucwre or Ne lantl not
rny utilized to produce income.
PROPERTY
W
one (7) aue
Ta<ing tlistrict (ciry, rown, rownship)
that siructure is used to protluce income, tlescribe ihe use and ponion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township Counry
e iry�e, correct and complete. Sgnamre o� c�aimam
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ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
land not exceeding 7(one) acre immediately
surrounding residential improvements. (�) �
Oiherland (Z) �
� 7otal land (line 1 plus line Z� (3) I
Dwelling (4) �
Residential improvements
Garage (g� .
Other improvements � (6) �
Total improvemenis (line a through lina � (7) ��
Total value (line 3 p�s line � (g� I
I hereby cenify the above is irue. Correct, and Signature of Assessor oate siqnea
complete.
g action - Sgnature of Auditor Date signed
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_ STANDARD DEDUCTION AILOWANCE
79_Pay19_ .
Lesser of 7l2 Homestead
IJ Valuation or 52.000 S
Signamre of Autlimr Date signed
Gibson County Auditor
101 N Main
�PRINCETON IN 47670
I
904
ll\iE f00.\I ��K10. /!WI :��1SUlFR!»0.M'�9i�A
A��RtwEfiBTS��TE&IVNOfM�[i�:Tt.vh �ViNHm�Yi11fD[PMTfEYi(FWALC�0.YNOttiQ:A�tEMb1.1�L'J.I
InJiviJuaLc and inarrieJ roupic. are limitcd to ore home3cad AandaN J:Aunion. As thr rtteipt of ihis Jedunion beconrea
morc beneficial, thrre is morc inern[nc dun r�er (or homestraA fnud. Ilomestead fiaud eauxs hicher h� bills (or all: thertfare.
HEA G13-?IX19 «quim u�pa�en �ho receive �he hanes�md sundarJ dedunion �o rerify ilut �hey are elieiNe to mcei.e �M1e
benefi� aN ro pn�'iJr a�M7itiunal idrnGiring infurmatian necrxsary ro allw� counn' gaemmrnt to Ntrcr moniror IqmeS�eaJ
hlinf�. This info�maiinn aill br Ayv contidnuial and nn onl�� M arm�ed b� aulhorized rowtly o(Ticialc. The Depanmem o(
Locol Gm<mmrn� Fimnce will u.e this in(ormation W creme [wls thit �riil h:Ip counq� off¢ial> elfminde homeaead freud.
Michael F/ Cathy L Raber
2579 W 50 S
Princeton IN 47670-8125
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T��pacer Name Pruoertc Addre�s
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Raber, Michael F/ Calhy L �
Ri Hot 1�8
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Princeton I\ ;7670�
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State Parcel NumAer _- / Leeal Description
26-11-15-202-001.615-0 // ��1675-00 SANDI' RIDGE EST SEC A
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aartv �numoer ond suctY, ciry. smm.-anti ZiP codcj ` .-
I Sccurity Numba flast 5 digiu) Drivds Littnse/Siate IU Number (la.l 5 di
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Addras (Number and stree�, ciiy, s�a�e, and "LIP cale)
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�u propeny midrt �>,
undersigned certifies, under penalty of perjury�, that the abo�•e and foregoing infurtnation is we and colrect and that he or she is elieibte to
: e the homestead standard deduction on this propeny. Each undersigned al;o understands that, by daiming additional hom�estead deductions
+fully, lye or�he may j�e Ij, ble for back taxes and substantial financial penalties. �
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