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Homestead_Smith— — --�-- ���p•, CLAIM FOR HOMESTEAD PROPERTY TAX x�" y ' CREDIT/STANDARD DEDUCTION ' State Form 5473 (R2/1-90) ''°;° �� INSTRUCTIONS: See reverse side for filing instructions. R FORM YEAR `\ a � CERTIFICATION STATEMENT JAN 3.0 19�`� � I(We) ��� .C> /��"–�Q,h; ����rtify that on the 1�praf in�'aTr�` !(We) occupied as o�ncipal place of residence the follo g described real property fdtwFi�ch a Homestead � Property Tax Credit is hereby claimed: I(We) owned ❑ 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 RECOR on coniract. Fee Simple Owner's Name Recorder's office where contract is recorded PROPERTY DESC County/J i �7 �- Record Number If any portion of ihe residential structure or the land not exceeding one (7 ) acre that immediately surrou ture is used to produce income describe the use and portion of the property utilized to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES Page that struc- ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL VALUE Land noi exceeding 1(one) acre immediately surrounding residential improvemen[s i�) Otherland (2) Total land - line (7) plus line (2) (3) � Residential improvemeMS � Dwelling - (4) - � - - — - � Garage (5) Other improvemenis (6) Total improvements - line (4) ihrough 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 7989 Pay 1990 sser of t/2 Homestead Valuation or $2,500 w Sig nature � Audiror STANDARD DEDUCTION ALLOWANCE 1990 Pay 1991 1997 Pay 7 992 7 9— Pay 19 — Lesser of 7/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead Valuation or $2,000 Valuation or 51,500 Valuation or 57,500 Date ��cri� Gibson County Auditor 101 N Main PRINCETON IN 47670 � Mner 1 �I� �I��D APR 9 ZU�U �°�'a � GIBSON COUNfiY AUDIiA� 2158 SlnlE FDR4 AY+IIC/ f+r'1 :PFASUAE0.I00.N Tl.� tndiciJuaL anJ m�;riN couples are IimitN to oce homcucaJ uandaN ANuciioa As �he �mtip� ol �his dcdunion brcomcs murc bcneficial, thrrc ix morr incrntire rtwn e�er (or M1omestemcl Gaud IlumesraJ iraud causes higher ta� bilfs tur all: therefore. HEA 13+1-'_01!9 requim uapa�en who receire the hwnesteaJ slandarJ �kvlunion in .�erify dullhey are eli�iNe m maeicr ihe b<nefii aml �o p�m�idc aJJiiion�l idenuiyin_ fnfomiauan nem-vn �o allw' counn� em'emmem tu berter moniror homesuaJ lil'un� ."Ihic infamutinn will M Aery mnlidwial and r.m nnl�� h� accez.nl Fy awM�ixd mnny� o(frivi�.'fEr Ikpannmm nf Local Gmarmncm FifuM< xill uac this intomution [u crcacc ¢vls that will h:lp �vunn ufficials climi�a lomcqcad haud. •�� �� � — TaspaverName Prnnert��Addiess � Smith, Alan B/ Melanie A � 14-41 �.i �'�SO � y , ,,_� „1 I'rincclon IN;7670 I I Alan B/Melanie A Smith ; :��-i4�Fi �.1 35o E Princeton IN 47670-8930 State Parcel Number LeQal Descriotton I�I��II���I�II��I���III���I��I�I�I����II�II����I��I���II���III Zs-�2-O�-20a001.79s-027 p�b-01795-OOFTNE :1270 .75AC i � I � � ►�1 3� E � �elan'� � _ I A Nailin� .Addros (Number anJ stlee4 city, stale, und "LIP coJe) . I�I-4�1 � 3So C P2'��ko�,1�J �i'-161� iociai �m'�-�h ' ,, _ m� a� �m�,� �,.�: - E - i �peci(y in Pan 4 below�) � � � �,'�-w� ? � �me as pmpeny addrese ' I � �ncci& in Part 4 bclow9 1 �dersiymed certifies, under penalry of perjury•. [hat the above and foregoing informetiun is we and correct and th�t he or sh { is eGeible to the homesiead siandard deduction on this property. Each undersiened al;o undentands that, by claiming additional homestcad deductions dly, he or s�e may be liable for back taxes�und substantial financial penalties. � � 3� Datc y-�- I b (�