HomeMy WebLinkAboutHomestead_Riley (6)Gibson County Auditor
101 N Main
PRINCETON IN 47670
•�'IL.,�D
�
APR 2 9 ZO10
OIBSON,C U � AuaITOR
�S
�liiE TR\I!!!MIP`l�anl
I1NFASUAFJI W0.M 11A
il�[ DEt.VIiHEYIf1F LpaL fM'cLY�.'T fV:A\CE IC�I.1-"A �
IndiviJuaL. anJ rturritd couplrs are limi¢d �o onc home�eaJ &andaN JeJunion. As iht receipi ol �hi� dnlunion bcromes
morc benefitial. therc i� more incentnr dun e�er (or homuteael frawl. Ilomra�ead fraW causes higher �n tills (or all: theretar.
HEA 13�fi-?qM requves uxp��en who r�ceire tM1c hanesieed s�andard JNunion in veri(y tha� iher ue eligiNe io recei.r �he
brnefii aN ro pnxidc a�kliliowl idemiirin_ iniurmanon necr'vrr io allw� counro gu.�rmmenl tu benej muniror IwmesmMf
filint,�.'lliis in(ormalinn will M Aryv mn�idemial anA tan nnlp R arcr_�ed bp aulMriinl romn�� olfici:Js. The IXranmem nf
i
Weal Guvemmem Pi�um�e ��ill ma �his infortnation m create LLxdn that �eill h;lp cvunp' officials climmve humen�caJ haud.
Jackie / Linda D Riley
1461 E 200 N
Princeton IN 47670-8647
���u��u��i��u�iu����n�n�u��in�n��in����nin��i�u��
�
�ndersigned czrtifies, under penalty of perjury•, that the above and foregoing infurtnation is we and co�rect and that he or stre is eligible to
e the homestead standard deduciion on this property. Each undersi¢ned also undemands that, by claiming additionai homestead deductions
Si�)F
l� �Q
,i �
•�<�.
CLAIM FOR HOMESTEAD P.ROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R2 / S92)
INSTRUCTIONS: See reverse side !or (ling instructions.
FORM
HC70
YEAR
y�i glunder a coniract.
CONTRACT RECORDEO
If buying on convaci, Fee Simple owners name � GIBSON COU" TY .4UDI
Recorders office where canVac[ is recortled , Fecortl number Page
PROPERTY DESCRIPTION
Counry Tovmship Taaing district " �hiy �
/l.�i/V
Parcelnumber Legaldescnpti n !/ ^�Q
Q� -� �' S� - �- �� T o�0
If any ponion of Ihe resitlential structure or the land not ezceeding one (1) acre [hat immediately surrounds ihat sWCture is used to protluce income, descnbe Ne use and portion of
ihe property util¢etl to pro0uce income.
PROPERTY OWNED BY CLAIMANT IN OTHEH COUNTRIES
Counry Tovmship Counry Township
Sig ' re o daimant
ereby certify the above statements are true, correct and complete. �
dress (number and streel, ciry, slale, ZIP codeJ
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
land not exceeding 1(one) acre immediately (� �
surrounding resideniial improvemenis.
Otherland (2)
Total land (line 7 plus line 2) (3)
Dwelling (4)
Residential improvements
Garage (5) �
Other improvements (6) . -
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certity the above is irue, wrtect, and Signawre of Assesor Daie signetl .
complete.
Veritying ac6on - Signature of Auditor Date signetl I
� STANDARD DEDUCTION AILOWANCE
19_ Pay 19 _
Lesser of 7/2 Homestead r�
Vatuation or 52.000
Signa[ure of itor Date sign
(�3-/2-oi