HomeMy WebLinkAboutHomestead_RavelletteCLAIM FOR HOMESTEAD PROPERTY TAX FortM YEAR
�� ' CREDIT/STANDARD DEDUCTION HCto
t � StaU Form 5473 (RS / 1D-01)
�µ Prescribed by the Departrnerit o( Local Govemment F"uunce
INSTRUCTIONS: See reverse side for filing insfructions.
I(We) \ J�X/1X.1 V\ � U� O � IA �L�.��(__X �LiC�jf��yyrti(y thal on the 1st day of March, 20_
I(Wry�ccupied as our principal place of residence the following described real property for which a Homestead Property T�c Credit is hereby daimed:
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�I I(We) owned ❑ Ne buying under contract
ii. �-�
Hava a benefidal interest in Ne endry that is liable for the property taxes on the property and that own �pr�e�or is tD1Nng uif�re e contrad.
If byMg on contrad. Fee Simple owners name
office where contraa is recorded
Counry
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�
r p egal tlescriptbn Is Ne property in quesUOn: '
�-03 q 0 � � 11� M� /� 1rJ / 5-1—/ / ❑ ao� o.oaom ❑ r.w�ua Homo p.c. bi. �-n .
N any ponion o/ Me residentlal atructure w the land nd ezceedinp one (1 J ave tAet immediatery wrtounds that swdure is used W protluce income, desaibe the uaa enC portbn
of �he property ulil¢ed tn produce irrooma.
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20_Pay20_
Lesser of 1f2 Homestead
Valuatian or $6,000 $
Sgnahue of Audtor ' Date signed
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GibsonCountyAuditor • � � 1 ' � ' �
101 N. Main St2el �ndividuals and married muplcc are limited m one Aomccread standald deduction. As ;he receipt af this dnluctian becomes
- Pnnceton,IN 47670 '
more heneficial, iherc is more incrn�ive tlw� n�er for homcsiead fmud. Homestcad faud uuses higher !ax bills far all; therefom.
HFA 1344-?009 fequim tazpayxrs airo rcccn�c thc homcsicad s'andard deducrion eo �erify ihae they :uc eligible ro mceive the
� bcncfil and to prmidc additionel idrntifi'ing in(ormntion nttessan' lo allax' couvty gm'<mment io liener monitor homestead
filings. lltis information xill be kept canfideniial and ean only be attessed by authorizcd wunrv off,'cials. The [kpartlnrnt of
I.ocal Grnxmmrnt Finance w�ill `se this infortna[ion to c�wte tools tha[ witl help counry officials elimi�tate hvmestead fiaud.
FILE ' ' �
�
— Taxpaver Name Location Address
MAY 4 2011
, • .. . C;`J.n�, " V
1906 ' •
- - �GIBSON COUNTY AU�ITOR
Alan R Ravellette
3421 W 50 S
PRINCETON IN 47670-8138
iii��inipi�Ill��il�iPilln�liliui�ii�lu�illi���nii�iiy���i
Ravellette, Alan R/Neta P
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3az, w scl s
PRINCETON IN 47670
II�I�III��III �II �I �III �II I��III �I�II�II��II�II�IIII�I�I�I II
State Parcel Number Leqai
26-11-15-100-003.988-027�PT NW NW 152 77
This form MUST be returned to County Auditor's o�ce.
Please do NOT send this form back with your tax payment to the cou
ailing Addsss (number and strec4 ciry, stau, and ZIP codc)
35'� i c�/ .s� s P.�.�
urity N�ber (lasi 5 digits) Drivels Licrnsd5tate m N�bcr (U
�
Address (Number and strcet city, state, and 7.IP code)
Drivets License/$tau ID
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ac property address
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an� �i�
[�i7�
AC D-17
treasurer.
pecify in Part 4 bclow)
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;pttify in Part j bclow)
undersigned certifies, under penalty of perjury, that Ihe above and Coregoing infortna[ion is we and correct and that he or she is eligible ro
� e the homestead standard deducrion on ihis properry. Each undersigned also understands that, by claiming additional ��homestead deductions
vfully, he or she may be liable for back taxes and substantial financial penalties.
. � g��� pate Telephone
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