Homestead_Riley (7)❑
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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IndiriJuaL. and m�:ried aouples are IimilM io onc homn¢ad �aiMaN Aedu.�ion. As thx rettipt of O�is deduction hcomes
mo¢ benencfal, thrre is more incrnrne th�n ecer (or homesrcad fraud. Ilomesracl fraud taass higher ta�I6ills for all: thertfat.
HEA 13+1-?W9 requircs Uxpaycn x�ho recei.�e ihe hanes�eaJ sundard �vluction to veri(y tMi thry are�elieiNe to reaene ihe
benefii an1 ro pmcidr aJJitional identiiyinc in(ormmion ncees-vn� io aliw� counn gm�rmmrnt ro bet¢r moNCOr honxsmaJ
filin�.�. ITis informalion Mill M Aryu mnfidemial anA ran nN}' M: areciced M1y aWhorizeJ counl)' o(ficials_ The Ikpannrcm nf
Local Guvcnvncm fivm�c �� ill mc this mionnation �u crcau [mis iha� aill hdn camn� offtial> climinait homcsicml (ruuJ.
60
Ronald / Riley
8329 W 175 N
PrincetonlN 47670-8424
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T�xpaver Nam
Riley, Ronald /
State Parcel Nu
26-03-35-300-001
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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 treasurer.
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Add�s (number m�d �teeet, city, sute, and ZIP code)
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undersigned certifies, under penalty of perjury, that the above and foregoing infoRnation is we and correct and that he or she is elieible to
;e the homes�ead standard deduction on this propeny. Each undersi¢ned al;o undentands that, by claiming additional homesiead deductions
��fully, he or she may be liable !or back taxes and substantial financial penalties.
I Si�.maeure Uzte Tclephonc �.
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�YE n���
a�'° i CLAIM FOR HOMESTEAD PROPERTY TAX
iE��'� CREDIT/STANDARD DEDUCTION _
.�,-'� SWte Form 5c73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side 7or liling instructions.
FORM � YEAR
. Kb�l 2 �99
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AUDITOR
.e 1- 1�Y4C.��(� " (,�„�_� lXJ � certify thai on the 7st day of March, 19�
i �r ) occupied as our principal place of residence the foliowing describedreal r perty for which a Homestead Property Tax Credit is hereby claimed:
I(We) owned ❑ Are buyin9 under wntract . . .
❑ Have a beneticial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a coniract.
CONTRACT RECORDED - � -
If buyinq on Contract. Fee Simple owner's name � . � . •'� -
+
Rewrder's ottice where contract is recorded � Record number Page
County u Townsttip
Parcel number Legal de;
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If any portion ot the residenUal s�mpure or the lantl not
ot the property utilized to produce income.
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DESCRIPTION
� I lanmg tllstnct (ciry, tmvn, fownsnip) . .
>� Sc.� �35—�- la � 43a-�-.
one (1) acre that immediatey surmunds ihat structure is used ro produce ircome. Cescnbe the use and ponion
OWNED 8Y CLAIMANT W�OTHER COUNTIES
certify the above statements are true, correci and complete. I 5 mr�aimam
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hum6er and sbeeG ciry, sfate, ZIP wde)
ASSESSOR USE ONLY TRUE TAX � ASSESSED HOMESTEAD .� NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediately '
surrounding resideniial improvemenis. (�)
Otherland (p)
7otal land pine 1 plus line 2� (g�
Owelling (4) -
Residential improvements .
Garage (5)
Other improvements (6) �
Total improvement5 (line 4 thiough line � (7)
Total value (line 3 p�s line 7� (g)
I hereby Certiiy the above is true, correci, and Signawre oi Assessor Date signed
mplete.
��,ying aaion - Signamre ot Autlitor Date signed
79_Pay79_
Lesser of tl2 Homestead
Valuation or 52,A00�
STANDARD DEDUCTION ALLOWANCE
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