Homestead_Riedford��_��., CLAIM FOR HOMESTEAD PROPERTYTAX FORM
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;;'""°;' � CREDIT/STANDARD DEDUCTION ��� HC10
� ;�. State.Form 5473 (R2/1-90) ��
INSTRUCTIONS� S d for filin �nstr ctions
. ee reverse s� e g, u 1/
CERTIFICATION STATEMENT � �
I(We) I I I� l�nS� y( .��a.Y �•\��ClCa1,� certify that on the 1st day of March , 19 � �
�Ve) occupied as our principal place of residence ihe following described real property for which a Homestead
Property Tax Credit is hereby claimed: t..�t"�) 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 oifice where contract is recorded Record Number Page
PROPERTY DESCRIPTION
Taxin�Qjsyicy (City, town, township)
Parce�l N� m OI ��� I Legal Descripiion �� � �� O ��
9- , �w y �o-a-►� 80.so�+c �a
If any portion of the residential siructure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income. OrT 3 l �99�
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County �_ Township , County
certify the above statements are irue, correct and ( Signature �Gj Jl � r%) �
jVQ.(/ `Cn�.t�J`
�(Siree number, city state and ZIP code) (
a, ��k�lo� lad (�dx2S9 `h���c_�a-,,� ,.,�� �F7(a�n
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
' VALUE
Land not exceeding i(one) acre immediately �
surrounding residential improvements (�)
Otherland (2)
Total land - line (1) plus line (2) (3)
Residential improvemenis Dwelling (4) '
Garage (5)
Oiher improvemenis (6)
Total improvements - line (4) lhrough line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
� Lesser of 1/2 Homestead
Valuation or $2,500
Signature oi Auditor n
1990 Pay 1991
Lesser of t/2 Homestead
i i � Valuation or $2,000
�
1991 Pay 1992 19—Pay 79—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $1,500 Valuation or $1,500
Date Signed
�.. . �i _U�^
Gibson County Auditor
101 N Main
PRINCETON IN 47670
– —_'917 �
Michael R/ Gail A f
2950 E Top Hat Rd
Princeton IN 47670
I�I��II���l�ll��l���llis
InJiciduaL. and rtu:riN coupkti are limi�cd �o oce homc�eaJ �andartl JcAunion. As ihe rccctip� ot �his�dcdunion beconre�
morc beneficial. iherc i> morc incenmr Ihan e�rr for M1omes�ead Gaud. Home'mad fraud causes hicher taz bflls for all; Iherefae.
HEA 1 i4q-2009 rcquves uspacers who receire �A< Iamestead sundard dttiuction m.eri(y ttut e6ey are elicide m meci.e the
benefii ani tu p�w'ide addfifonal identiirin_ inWrmanun Mce.-vrv to allw' cwnrv gm'emmrnt to beeter muniror homareaU
filiny�. Ifiis info�maiion xill M Aryw crnfideminl anJ can onlp h: accesseJ 6p amharived counry� o(ficiulsJThe Ikpanmem ol
Local Gm'emmem Fivcee ��ill mc [his intormation ro ercatt twis that will h;ip epmn• ofSciaL. dimi�Ve M�me.Jexl fraud.
� � � � • � —
Tasnaver Neme Prnpertc Addre�s
Ried(ord, Michael R/ Gail A I
az �30. ?ss
I
Princeton IN d7670
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State Parcel Number Leeal Des
2612-10-300-001.661-027�oos-o1661-0o PT
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1 First nfiddl
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� Addmss (numbcr and strm. <iry, sutc. andZlV2odc) — - — - " � -- � —
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tso E To Na+ r2d Pr�ncpfon� s�v 4��,�0
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e Address (Number and svee4 �q'. sWle, and "LIP cak) �$ame ati propem adJrcti
aA50 E T�P Fiui� R.d Pr� nce ta n� ,�-N 4�m70
Stturiry Numbcr (last 5 diei�s) Drivers Licensc/Sta[e ID Nwnbcr (laie 5 digits) Other (plcase speci(y in Pan 4 below)
10210 80AC
undersismed certifies, under penalty of pequq�, that the abo��e and foregoing infurmation is true and wrtect and that he or sfie is eligible to
:e the homestead standard deduction on this property. Fach undersegned also unders�ands that, by claimin� additional homee.ead deductions
�-fully, he or she may be liable for back taYes :md substantial financial penalties. I
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