Homestead_Skelton,�� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
`� � State Fwm 5473 (R4 / &00)
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INSTRUCTIONS: See 2verse side �or filing instructions.
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SEP 12 2001
�(we) v � certity that on t� �{�g0p( �t4l+�120 AU�
I(VJe) pied as our principal place of 2sidence the following described real property for which a Homestead Property Tac Credit is hereby davned:
�(We) owned ❑ Are buying under contraG
iave a benefidal interesl in the entity lhat is liable for the property taxes on the property and lhat owns the property or is buying under a contract.
II btry'ug on contract, Fee Simpie ownefs name
Remrdefs office where contract is recorded
Counry
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Tpmship
Legal desc(iplion
Record number Page
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town, fownsbrp)
It arry palion ol Ne resitlenlial s Wcture w Ne Wnd `rot ezceeding me (1) acre t imme(d�iatey surtounds that struUUre is used ro pro0uce income, deunbe the use a�M porfion
ot the P�operty u6tized to produce income. � . � L � \ n � � '% •�. , ` �P • ' J��
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Gibson County Auditor
101 N. Main Street
Princeton,IN 47670
�FILEI�
— AP.R 0 6 'r_Q11
Individuals aud married muples are limited �o one lu�mestmd standard deductioa As ;he raeipc of this deduction 6cwmcs
mott brncficial, �here is mare inttntn�e �Fun e�cr for twmes�ead frnud. Homesttad (rzud uuscs highcc taz bills for all; chcrt(orc,
HFA 13M-2009 requim tacpa�srs wiro rtccice thc homcstead sundard deducuon �o �xri(y thac �hci are eligiblc ro recci�m thc
benefil and to prrn'idc addiiional idrnufying in(omaUOn necessary to allow� towty govcmmeni tc� bener monitor homestend
,filings. lhis intorm�cion will Ix kcpt confidcntial and can onty be accesud by awhorvcd wunn• aKirials. Thc Ucparu��rnc of
Lacal Gm�emmrnt Finance u�ill use this infortnarion m create rools that will hrlo counrv officials '-limi�ate homestead fraud.
— C.J.N� .
G�$ON COUNTY AUDITOR � . ' .
Donald W Skelton
� 689 N 275 W . - -
Princeton IN 47670-8570
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Taxpaver Name Location Address
Skelton, Donald W ,. �
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` / 689 N 27i W
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PRINCETON I�N 47670
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State ParcelNumber Leqal D,�scription
26-11-03-400-001.358-027 /PT SE 3 2 11 2.0o AC �
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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 coun�,ty treasurer.
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Mailing Addtcss (number and svcct, ciry, statc, and Z[P code)
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� �Mailing A�ddiess (i�umDer aud sveeC' ciry; statc and iil' cadcj -'�' �—.`. ' "°"—' _ ' '— . — ` �a Sarve as property adtlros-^" .•k�..' � =o..�, _
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, Fach undersigned certifies, under penalty of perjury, that [he above and foregoing infortnation is we and correct and that he or she is eligible to
receive the homestead standard deduction on ffiis property. Each undersigned also understands that, by claiming additional homestead deducrions
uzlawfully, he or she may be liable.for back [ares and substautial financial penalties� -. � � � _
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