Homestead_Simpson/�
� -- ,�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
n
�,..re rtma,,.r, �� i n.w�
..rrrzorenarsraean.wor.w.oi�..n.m+ racv[wnmoxn¢ocnu�+rar
Indi��iduaL and married ooupks are IimitN io nrc homeaeaJ sandaN dMunioa As Ne �eceip[ oi �his aedunion becnme;
merc ben<ficial, there fe morc incmtne ttun c�er (or homesteml frdud IlomeaeaA faud caass higM u� billi tor all: thercfue.
HEA 13+i-10Q9 «quim uapacen who receice the Iwmes�eed s�anduJ dcvlue�ion to veri(y �lul thry are elieiMe lo mcene �he
benefi� and ro p�m�ide adAilfo�l iJrntiirin_ information nceessarv �o allw' cwnp� grn�rmmeni ro bnmr�muniror Mmesrc:vJ
(li�. llii� inlorma�ion x�ill be le� crn[dmtial and rvn only R acttsurl by awM�izeA rounq� o�Tiaial+.�The Ikparmxm of
Taxpa��er Neme
Kolb, Deborah E
1
--ttYl3ociF-B1
� �
Rinceton IN �17670
2a, � rii �so � 1
Deborah E Kolb
�
PRINCETON IN 47670-1230
�i�n��in�i��n�u����nuu��n�i�i������in���n���inn���
State Parcel NumAer
26-OS-28-300-001.130.027
�
;
1
Lesal Description
006-ON30-00 PT SW �28 1 10 105.8623 AC
C-7 Pt NW NW 33 1 70 15.009 AC
�
�
�
uver I First M�QOIe j
2e.bm�Q 1, �/Q��✓'� S.'h, p� o� !
��g Aadlest (riumucr and sucet. ciry. smce. and ZiP cude) ' ' . � a.wc d proper.�-a,'.,1r..�s _— �'- _
��ziG ���/aP l�� �i^r�nc� �(on Z n� � %� � �
;
/�m b 6 i�c. � l/'Q s�/
e Address (Number md stree4 ciq', stale, and ZlP cade)
Numbcr (lu; 5 digits) Drivcrs Licrnsc/Sta[c ID Nwnber (la;
_
c� � ,•r� �ci s B ,✓ �J �
� s�� � P�y�,� �a�
spccify in Pan 3 below�)
Each undersigned certifies, under penalty of pepury•, that the aboce and (oregoing infurmatiun is we and cortect and that he or sCie is elieible to
receive the homestead standard deduction on �his property. Each undersiened al;o understands that, by claiming additionai home;tead deductions
�
unlawfully, he or she may be liable Tor back taxes and substantial financial penalties. !
0..ner I Siennnec Ihu 7'clephonc �
Q D���-. ���a� ���/�, � �
.�r
a+°s'�hy CLAIM FOR HOMESTEAD�PROPERTY�TAX. �_ .
e v.
:�'� y : CREDIT/STANDARD DEDUCTION
� :' State Form 5473 (R2/1-90) •
�' �°�. � INSTRUCTIONS: See reverse side �or �iling instructions. ,�^
� i���
CERTIFICATION STATEMENT
I (We) �nA I� :.d (J�� �
Ne) occi7¢ied as our principal place of residence the following desci
roperty Tax Credit is hereby claimed: l�t'(We) owned
FORM
HC10
_I�-� a .
YEAR
90
of March , 19 9Q
real property forwhich a Homestead
� 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 contracL Fee Simple Owner's Name
Recorder;s office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
County
town,
�•
Om lo — o l l 30 — 00
rarcei rvwiiuei �ey i �n �� y �� �,� 6 .
[1C11e-�II 30 `/ � 8' 1-/0 '
1 a�y p ion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that•struc-
ture is used to produce income describe the use and portiori of the property utilized to produce income.
PROPERTY OWNED BY CLAIM
County Township _
�— •
certify ihe above statements are irue. correct and
Address
ASSESSOR�USE ONLY
state
IN OTHER COUNTIES -
y To
re
..� •- %,/ ' :��i ��'� � 2:�
v , .
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
VALUE
Landnotexceeding 1(one)acreimmediately - .
surrounding residential improvements (� 1 "
Oiherland (2) '
� Total land - line (7) plus line (2) (3)
Residential improvemenis _ Dwelling _ (4)
Garage (5)
Other improvements (6)
Total improvemenis - line (4) through 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
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
�—
Signature of Auditor �
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7991
Lesser of 1/2 Homestead
Valuation or $2,000
�
1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or �1,500 Valuation or $7,500
Date Signed
5aa-90