Homestead_Scott (11)CLAIM FOR HOMESTEAD PROPERTY TAX FORM Y�R
- CREDIT/STANDARD DEDUCTION
` S7ate Fortn 5473 (R8l 7-07)
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Prescribed by Iha Departmeirt af Local Govemmenl Financa
INS7RUCTIONS: See /eosrse side /or filing ins6uc6ons.
. , � ,
II ��e� � certify Nat or���rch. 20_
I(We) occupied as our prindpal place of residence the following described real property for which a Homestead Tac d is eby daimed:
���1 COUN7Y qUD170R
❑ I(We) owned ❑ Are buying under contrad
�-lave a benefidal interest in the entity that is liable fw the property taxes on the property and ihat owns fhe property or is buying under a contract.
If brymg on contreq, Fae Simple o.meta nama
of6ce where conVad is recortlad
Counry
Tavnship
Parcd numbe� �egal descnpGon
o?!�-l1 _!D'366 -OaU. 5Ll _n:
H arry por6on of Ihe resideMial siructure a ihe Wnd nd exceedi
or u,a proPe�ry wazed m a�oduce income.
Recwd numDer
town,
Paqe
I Is tha plopertyjn Quesiion:
Nvieal property ❑ Modla Fbme (IC &7.1-n
(7) aae tha� immediatery wrtamds Ihal sinicture is used to produce'vuame, descnDe ihe use and portion
�t �' S k1 �o �a -/l � �
,_ , , . .. . .
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Land not exceedirg 1(orre) aae immediatey 1 s.. , r � �--� -�.
surtoundingresidentialimprovemenfs. ��) ��,,.����i,�,4�Y,.,% ,;,�-�.._
6F, t'^ _ `�.,. , .
om« �r�d �2) � _�= ` s � .;
� �� .�r . z :
Tdal land (line 1 plus line 2) �g)
,-�"`� y : ��, � t �
Dwellin9 (4) .�„«R '�,' "' .,� ,,;'i
ResidentialimprovementswMnualy � k;,_rs, a..,-�.µ_
Assessed Mobile / AAanufathired Home .=•� s . ".; � � �':=_4 �?� ,
��e �5� 9� %`• - r� ,
Ofher improvements (8) "`� �i. —a �:
Tdal improvements (I"me 4 through line 6) �7�
T�al value (line 3 plis Grre � �g�
i hereby cer6fy the abwe is We, cortect, afW Signawra of nssessw oate syned (monUr, aay. yea�
oomplete.
Vaifyirg adim - Signa4ue oi �tw Da1e signed (mon/h. daY• Y�/1
�.-� � � • •
P81' Z� — 45,000 for 2007 pay 2008 42.000 for 2010 pay 2071
Lesser of 12 qq.ppp for 2008 paY 2009 41.000 for 2011
Homestead ValuaSon paY 2012 $
« 43,000 for 2009 pay 2010 40,000 payable afler 2072
SignaWre of Fwditw Date sgned (monN, day yea�
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
•
1434
Walter Ryan Swtt
3137 SR 64 W
PRINCETON IN 47670
sivc �ow ��w iwi�...�
nFwcUauwxv �:n
l iP:A CEICH.LL'J.1 -
O�dividual> anJ marricJ mupla arc Ifmi�ed �o one home�eaJ �andaN deJunion. As ihe �ttrip� of �hii dWunion Fecomee
morc beneficial, �hrrc is nrorc incentnr than n<r (ar hamuceaJ fr�ud Ilomuttacl fmwl causes higher ta� tiills for all: therefore.
HEA 1341-20119 requim mapaym who receire Ihe hwnescaJ <�andarJ �kvluction m veri(y Ifu1 �hey are clieiMe w recenr �he
benefi� an1 to pnx'idr aMlitional identiiyinc in(urmatiun nceavn to alluw' cwnh• gaemmml tu berte� mmiror homrsttaJ
filim� . Ilii� inlurmninn will M Aryv mnlidenlial and can nnly M aare. ¢d hy amho�irN rnunl�� onitiall �fhe Depannmm nf
Local Govcmmem Fiwnee will u�e this info�mrtion [u a¢am hwis that wiil h:ln nwm� uffirials diminile Iwm<stcad IrauJ.
IO�.�n<r I First ^
VV q ��Pr v�i y�an
----ig AAdrzss �numUCr mld svcct."cirv, smtc: and Z[P cwlcj— - --- -
I
I�ct r �4 I
Address (Number and 91ee4 cil)', slale, nnd ZfI' cak)
Stturirv Numbcr (last 5 digia) Drivcr's LicensdStatc
/
� I -
speciCy in Pan 2 bclow)
D-1-77
mdersigned certifies, under penalty of pepury•, that the aboae and (uregoing infortnation is trve and cortect and that he or sh: is elieible to
e the homestead siandard deduction on �his property. 6ach undersi¢ned al>o understands that, by claiming addiiional homes,ead deductions
fully, he or s'he may be liable for back taYes and substantial financial penalties. �
I Sicnt4ve �� Uatc Tclephonc '
n
'�-11-�0 �