Homestead_SlunderA ^'n
7 _ CLAIM FOR HOMESTEAD PROPERTY TAX
= CREDIT/STANDARD DEDUCTION
t.•. � Slate Form 5473 (RS / 10-01)
Presrribed by Ihe Depariment of Local Govemment Finance
INSTRUCTIONS: See reverse side /or �/ing instrucfions.
FORM ,Y\ YEAR
HC10
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I(We) O/W i' �.� rtify that e 1 ay of P.i2rch 20
I(We) occupied as our principal a of residence ihe (ollowing described real property (or which a Ho ,_ e,i �r pg _�i i �s _�e ,daimed:
❑ I(We) owned ❑ Ar 'ng under contract
�Have a benefidal interest in ihe entity that is liable for the property taxes on the property and that owns the property or is buying under a contracL .
If buying on conUad, Fee Simple ownefs name
VV(O �
If any portim of 1
� �e OroDeM ul
where mnVact is recorded
L
Township
��� �V'�JW ��
sWCture w Ne land noI exceeCing one
icei�ome.
the
aae that immetliatey wnounds
Record number � Page
in queslion:
�eal property ❑ Mobila Homo (!C. 61.7-�
4�re is used lo produce income, Cesuibe the use and portion
�� L�xf�"�� ��� �.�'. �";TRUETAX� ASSESSEU VALUE � HOMESTEAD�` NON=RESIDENTIAL� ��
_ �, �ASSESSDR�USE ONLY`���,�� L-�' s3�: , � � �!��� „���
��. 1a,,�.+� �� ,A�;p�-ry��,.��� �e�y�1lALUE�'�-�.�,�,.. RATx100%b,OF�TTV� VALl1Ef � � t �.. �VALUE.f;�,��
Land nol exceeding 1(one) acre immediatety f:.�`a'' "'��� j�i-yd��!;��$
surrounding residential improvements. �� � �:r ��'��,"� F,�'���; n'+ „� �
Other land ` � T� �
�Z� ° � �. �
TUaI land (line 7 plus line 2) (g�
..,�Z���; . fYy- Y r,f-� :. "n-�'$'�hnYR'..-'^
i�
Dwelling (4) ..
Residential improvemenLS ^� �' �
} 't.4,�°'.. :---uy�-.-"�
Garage 5� � � u
(5) •�7'n��''aY�i��� ��e�
5�:�. TY
Other improvements (6) is'���i-'.;�;%`'�, ��,�
��4."�Yi�Hea1:�..
Total improvements (line 4 through line 6) �7�
Tdal value (line 3 plia line n (g�
I hereby ceAify Ihe above is We, correct, and Signawre otnssessor oate signed
complela.
Verifying acl'an - SignaWre oflwditor Date signed
20_Pay20_
Leuerof 1f2 Homestead
�/pluation or $6.000
3
=o a-�a-
Gibson County Audilor
101 N Main
PRINCETON IN 47670
338
SIA£�ORM!!K�.�'/�w�
Af�R[T'E1111Y �T�IE BlNRDMM���i\'i�.!nv
IRlS(NBEII BT PIE UE�MMEYI OF
'1RFASIIRFA10M147-L�
IndiviJuals and im:riN coupl� are limittd m orc homc�eaJ aandaN deduc�ion. AS thz retcipt ol �his deduc�ian bttmre�
mure beneficfal, thrre is morr incenme dnn rcer (or homesmtti frauJ. Honx�leaJ frauJ causes higher tac biils fur aIC therefae.
HEA IS�13-?IX19 requim uxpaycrs who reeci.e ihe tromes�ceJ standard dNuc�ion tn .criPo ihai iher' ae cliciMe to rccci.e �h.
benent aN m pnxide a�kiitimul iJmtiiyin¢ in(urmauun �mmssary ro aliw� counp' gm'emment �o Yner'moniror homes:ead
filin�,�.'Ihis in(o`m.uion will M le�M mnliucMial anA can only h: arve_ uA Fy autMri�d counp' nRciali �'I'he Ikpatlnrcni nf
Lacal Guvcmmcm Piiunm �� ill u.c �his iniurmaziun m crcam tmis Ou� will hdn nwncv uft �iaL. dimiwic hcrmcucad fiaud.
Danny L/ Susan Y Slunder ���� � I
R3 Box 287 D '�/ iV
PrincetonlN 47670� `�
Oaner 1
�A��
ig Addi¢s (numDer wa io-
��ys t✓
Taxpaver Name Prnpern� Address
Slunder, Danny L/ Susan Y �
R3 Fk�t 2F�
on IN.`7670
_ _ i
� '-- =� — 1 � - � ---
State Parcel NumAer Leeal Descriplion �
2603-35-300-003.532-027 006-03532-00 PT SW 35 1 12 7.00 AC
D-1-18
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nrs� nuu r
.� �.�,�i� s,� �.� r� �� '
Y.smre.andZircodej _ _.. ._' —_ _ _— _, __. 'rl °� �ryyropc:y:.d�N,_'—' — ,. _"". ' _
�/.S/t% ��� C� P/�d'f� 1/!/. L`f 7C� 7l� �
Driver's License/Slate IU Nmnber Qaz� 5 digiB) Oiher (plcsse sptci(,v in Pan 4 below�)
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Addrcss (Number and svee4 ciq', sta�e, and ZIP codc)
Stturirv Numbcr (lan 5
� Same :ti pmperty addrcs:
5 digi�s) � O[M1cr (plcnse spcciF in Part e y�low�)
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a
undersigned cerrifies, under penalty of pepury�, that the abo�•z and foreboing infortnation is we and correct and that he or sHe is zlieible to
;e the homestead siandard deduction on this propeny. Each undzrsigned al;o undemands that, by claiming additional home:tead deductions
✓fully, he or she may be liable for back taces and substantial financial penal[ies. �
� 1 Si nue Ih�c Telephmc
�Ql�^�l_�iC(�• 0 �/S/�o/J '�/ ;.
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