Homestead_RainsGibson County Auditor
101 N Main
PRINCETON IN 47670
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APR 2 3 �U�U
_ ciIBSO�p�N� q�BITOR
1343
Kenneth E & Ladonna Rains
2342 E SR 64
Princeton IN 47670
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IndiriduaLc anJ rtu:riN coupks are IimiteJ to onc Iromatnd �a`MaN �L�-dunion. As �he �ecerpt ot tlu� dedurtion bcconre..
murc beneficial. there is morc irrcmme tlun aer (or homrstead treud. flomrsead $aud causes hi�hcr tac bills tor all: thertfore.
HEA li�-i-?0119 requires tai�u.en who recei�e the hwnesma� stavda�d dNuction ro.erify that they sre eligible io meene ihe
benePo anl ro pnxiJe additiowl iJentiiyin_ iniorm�r,on Mcr.aarc �o allw.� counn� em�emmmt ro Nner mmitur homes�caJ
m��.,. m�� ��ro�����, xill M Aery conlidrntial anJ c�n only tx avae: •zA by awhomcd counq oTcink. The Ikpannunt of
Local Gwernnem fi`um�c ��ili u.e Ihis infortnuion tu ttca:c uul� iha� w'ill h:ip cwntt ol$tiaLs clim nam homc9caJ fiaud.
Taxoarer Name
Rains. Kenneth E & Ladonna
R ? l3ot�I?31 1/ �
RincetonlAV�7670 _y
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State Parcel Number Lesal Descril tion
« 2C>12-16 -200-OOL558-027 006-0155&00 PT NEj 16 2 10 .405 AC
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This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county
urer.
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Owna I � First MidNe I Lasi
�cn n e�l- �� r ��,' � S
�iE Addrtv (number nnd ivcct, city, state. and ZIP codc) � Same a� pmperty add� I
oC 3�� -i- tt.z c G n,' �� � f� n �L n) �/ G 70
SocelSecurity Numbcr (lan 5 diciu) Ikiver's Littnx/Sute IU Number (Lss� 5 digiL) O�hcr (please specif in Pan 4 below) I
e First h1iddlc ( Last
/�G�oR�� �dGJ� "F:ns
Mailine Address (Numbcr and 9reel, cilq, slak,:md "LIP cak) �$une ati pmpeny addms+ i
�3 y.2 -f S� t� �/ G Pr: , —�� ��76 7d
Social
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Each undersigned cerrifies, under penalty of pequry, [hat the abovt and foregoing infortnation is trve and correct and that he or she is elieible to
receive the homesiead siandard deduction on this properly. Each undersi¢ned al;o understands that, by claiming additional homes�ead deductions
unlawfully, he or she may be liable (or back taxes and substantial financial penalties. I
Owner I$i atwe � l�IC Telephone �
7� � ' �//i3/� � ( ��� ) .
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.••T • CLAIM FOR HOMESTEAD PROPERTY TAX
aY�°r '
s� y ; CREDIT/STANDARD DEDUCTION
����� StateForm 5473 (R2/1-90)
INSTRUCTIONS: See reverse side for liling inst�uctions.
CERTIFICATION STATE
FORM
HC10
I(We) f� QJWY�'v �/ �Q v�t)V`�'� �cer y that on the t�ay of March , 19 �
I(We) occupied as our principal place of residence the fo ing described real property for which a Homestead
.iperty Tax Credit is hereby claimed: I(We) owned ❑ Are buying under contract
°' Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
� property or is buying it under a contract.
CONTRACT RECORDED
If buying on contract, Fee Simple Owner's Name
Recorder's ofiice where contraci is recorded
PROPERTY
Counq� � Township
XaSc� I Numbg`L �. -n� Legal De�cnpEwn �1
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Record
If any portion of ihe residential struciure orlhe land not exceeding one (t) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE � NON-RESIDENTIAL ��: �
VALUE
Land not exceeding 1(one) acre immediately -
surrounding resideniial improvements (�)
Otherland (2) �
Total land - line (1) plus line (2) (3)
Residential improvemenis Dwelling (4) '
Garage (5)
Olher improvements (6)
Total improvemenis - Iine (4) ihrough line (6) (7) �� ��( � �
Total value - line (3) plus line (.7) (8) �� � �� �u�
I hereby certify ihe above is irue, Signature of Assesor 3 c 1990 Date Signed
correct, and complete .I l I I_
Verifying Action - Signature of Auditor Date Signed
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1989 Pay 1990
;ser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser of 7/2 Homestead
� i � Valuation or $2,000
! 1II
1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homesiead
Valuation or $1,500 Valuation or $1,500
of Auditor^ l �I �,�' +^ I Rate Signed
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