Homestead_Roneya%���
; CLAIM FOR HOMESTEAD PROPERTY TAX
z'�� CREDIT/STANDARD DEDUCTION
�.,��� State Form 5473 jR2 / 5-92)
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INSTRUCTIONS: See reverse side !or 7iling instructions.
_ . H�-- YEAR
��. �.a_,_. �
; IVOV 2 9 1993
�"Ne) �QIi% /�,(c� C� � - cenify that on th253t�daT��via� h. 79
�:) occupied as our principal place of r s ence the following described real property for which a Homestead Property Tau Credit is hereby claimed:
❑ 1 (We) owned ❑ Are buying under contract � ,. . , ,
❑ Have a beneticial interesi in Ihe entity that is liable tor the property taxes on the property and that owns ihe property or is buying under a contraci.
. � CONTRACT RECORDED - � -
It buyirg on contracL Fee Simple owner's name . � � � � _� - -
Recorder's oMice where wntract is recortletl Record number Page
PROPERTY
Township
tawn.
number L ai tle I tion '
�-a-��/2c� ����" ../D%-�- La
bnion ot the resitlenUal stmcwre or the land not exceetlmg one (7 � aae that immetliatey surrounds that strucNre is usetl to produce income, describe ihe use arW portion
imperry utilizetl to pratluce income.
. . �a
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
� Township Counry Township
cenify ihe above statements are true, correct and complete.
(num6ei antl street. ciry. sfate. ZIP code)
! hoYi�ti �l�7ok,�
�6
Gaimant
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE � VALUE VALUE
Land noi exceeding 7(one) acre immediately
surrounding residential improvements. (��
Other land (p)
Total land Qine 1 plus line Z� (3)
Dwelling (4) .
Residential improvemenis
Garage (5)
Other improvemenis (6)
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
I hereby ceRify ihe above is true. corrett, and Signamre of Assessor Date signed -
complete.
�irg action - Synature of Autliror Date signed
. STANDARD DEDUCTION ALLOWANCE
79_Pay19_
Lesser of 7l2 Homesiead
Valuation or 52.000 S
Synature of Audi;or Dare signetl
Gibsan County Auditor
101 N Main
PRINCETON IN 47670
�I
884
Thomas D Roney
2740 N SR 65
Patoka IN 47666
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IndiriJuaL+ and inarriN coupie arc Iimi�N io onc hnmc�r_d sundaN dtluni�m. As the receipt ol �hiy dadunion bcconcen
morc beneficial, there is morc fncmmx than e�er far homesteyl fnud. Iiome��eyi f�auJ causes hi�hrr ta� 6ills iur all: thert(ure.
HEA I?i1-71N!9 requirn m�pa�m x�ho recCive Ihc hanesteaJ standard hvluction m verily IMt thcy are diciNe lo recei�e �he
benefi� an1 Io pnw'iJe aiLliGO�u1 iden;ifrin' in(urm�non mae.vey ro allw' cumn� gv:rmmrnt ro W.�rc� minimr Iwrt�eS�e:W
tilint�_ Thit inlo�mmion will Ar A� conO�.eNial and ean nnly fe acresseJ br aulhoried rnunly o(Iiaa.& 7Le Ikpannmm nf
I.ceal Govcmmcnt Finanm will u�c thfs iniormafion W crwtr uwls Uut x'iIl h:ln nwntY uffidal. dimfn;nc Iwmcstcad fnud.
IOuncr 1 Ffrst
�y oMkS
ig AUAress (numbcr und strett. ciry. sm�c, snti ZIP codcj
1` % `lD �
Social
��
Mailine Address (Number anJ su swlc, und "LIP coJe)
�
Sacial Stturirv Number (lazt 5 digirs) Dm�n's Liccnsc/Statc ID N�unbcr
_ _ ' '_ ' �— _— _ '�
r
Taxpa��er Name
Roney, Thomas D
Rllbx
Pamka IN
Stare Parcel Number Leeal Descri Ition
26-OS-40-107-000.217- 006-00217-00 PT LO(> 107 1 70 1.5557 AC
_' _ C 1
�;aNF_�
�p�oam �aa�s
5 dfgfls) O�her (pleau speaF m Yan 4 Oelow)
�
M�aai�
_ �-
� S�unc az pmpcny adJrts;
5 digits) Otficr (plcasc specify in Pan 4 bclow) .
.- � _ _
Each undersit,med cettifies, under penalty of perjury•, that the abo��e and foregoing information is tn�e and correct and that he or sT�e is eligible to
receive the homestead standard deduction on this property. Each undersigned al>o understands tha� by claiming additional home;tead deductions
unlawfull}', he or she may be liable �r back taxes and substantial financial penalties. I
n..��., i c�o„nn�r . / / Uatc Tcicphonc
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Tdcphone
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