HomeMy WebLinkAboutHomestead_Smith (30),..^•�
a�/':` ; CLAIM FOR HOMESTEAD PROPERTY TAX
s��= CREDIT/STANDARD DEDUCTION
i
� Sta;e Form 5473 (R2 / 5-92)
�ieG'
INSTRUCT/ONS: See reverse side /ar liling instructions.
FORM
HC10
�' �
i . � T11TT�111
I(We) _ _ certify ihat e stftlay c�
e) occupied as �r rincipal place of residence ihe tollowing described�real property for which a Homestead Prop Ta Crgdi e b cl ed:
�J 1 (We) owned ❑ Are, buying under coniract� . . � . nn� � ; �nn�
{�l� JJ
❑ Have a beneticial interest in the entity ihat is liable for ihe property taxes on the property and that owns ihe property or s buying under a contract.
If buying on con;rad, Fee Simple owner's name
Counry
tl any ponion of
of the property i
CONTRACTRECORDED .
num6er � Page
" PROPERTY DESC N -
Township Tax" g dis .' t fc �. to ownshi . �- , �
Legal tlescrip:i n
, ' /� // .
strucmre or the lantl not exceetling one (tl aae Ihai immediatety surwunds iha[ stnxWre is usetl to protluce income, descnbe the use and portion
�ce inmme. �
PROPERTY OWNED BV CLAIMANT IN OTHER COUNTIES
Tovmship County Township
certify the above statements are tme, correct and complete.
(number and ���eet, ciry, stare. ZIP code)
i �. �T., 'a'_l 1 �r .n r O �n .
` ASSESSOR USE ONLY
Land not exceeding t �one) acre immediatety
surrounding residential improvements.
Otherland
Total land (line 1 plus line Z�
Dwelling
Resideniial improvements
Garage
Other improvements
Total improvemenis (line 4 Ihrough line �
Totai value (line 3 p�s line 7)
I hereby certify the above is irue, correct, and
complete.
��q attion - SynaWre of Audimr
79_Pay79_
Lesser ot ll2 Homestead
Valuation or 52,000
,
TRUE TAX
VALUE
of claima�t
�-1�! y� (n � 0
Ill
(Z)
(3)
(4)
(5)
(6)
1�l
18)
Signawre oi Assessor
E
ASSESSED I HOMESTEAD
VALUE VALUE
�
NON-RESIDENTIAL
VALUE
Dare signed
Date signetl
SignaWre o� Autli; � uace s o
9..�.e�,ra— -J,� - - -
�--, - - �
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
Terry R/ Carrie R Smith
1634 N 100 W '�
Princeton IN 47670-8541
I�I��Ii���l�ll��l���ill���l�rl
sure roaM!�w �x_ i..�.r
InJividuaL. and mvricd coupla arc limi¢d io onc homcucad azndaN JNu.�ion. As ihe «ceip� ol �ti> dNuctinn bccomes
more beneficial, therc is mwe incrntne rhan ec<r for homesiead fnuJ. Iloma:eal fiaW causes hi�M �a� bilLs iur all: thereforc.
HEA Ii1i-30f19 mquvn uxpren v:ho reeire ihe hanesicad standard JcAuciion �o veril'y tlui tAey are eli�iMe to meei.e the
benefii anJ ro pnn'ide a�YJiiimul idrntiiyim_ in(wmation riea�s�n �o allux' counp� goremment �o beurr ,nuni�or Iqmes�eaJ
filin��.'ILis infamatinn will he Aepl con�idenlial anJ can only h� accr: eeA M1� aulhoriecA rounry' ofTicials. Thr Depannrem nl
Lueal Gw<nvnem PieuMC xiil u e this iniomutivn m cr<a:r muls �ha� will h:lp counrv uffrials eliminart homest<ad fiauJ.
��� �� � —
T�ipa��erName PropertcAddress
Smith, Terry R/ Carrie R �y i
I�I��I��I���II��II��I��I���III
1 First ^
"Te. f' r U � �v
State Parcel NumAer
26-04-36-400-001.599-027
�_ R36ux?'I
\ Princemn IN -0�7670
)
/ �
�
Le�al Descriplion
006-0159300 PT S 36 1 11 3.05 AC
o� {
!
Middle
�(1'� 1�
�g Atlamss (number ond-stren, city. stere, and ZIP code) - - - �-&ume a, prapcm' oLd�;
.n3�1 1� lOo vJ �,�c-,, r e e-�r, T�-1 �-I�1 lp-� O
I Scivrily Vumbe� (last 5 dieia) Ihiver's Lice2�e/5utc IU Nmnber (lail 5 di�its) Oiher (plcuc specify in Pan 4 below)
� �r'f I 2, � .
ine.addrcss (Number and stm1, Ny, state, and ZIP cude)
ls`3 y}�.! � o� �.'� �� r� ��uY,
M�aai� � �
m�
1-L�e u pmpeny add'¢;
'r� 1� �� �
Ochcr (plcasc
Fach undersiened certifies, under penalty of pequry•, that the abo��e and foregoing infortnation is hve and correct and that he or stie is elieible to
receive the homesiead standard deduction on this property. Each undersi¢ned also understands that, by claiming additional home;itead deductions
unlawfully, he or shz may be liable for back �axes and substanhal financial penahies. �
O�.nn I Si�nnc Uatc 7'elephonc +
4 �`
(�