HomeMy WebLinkAboutHomestead_Stephenson��R� , CLAIM FOR HOMESTEAD PROPERTY TAX
- � = CREDIT/STANDARD DEDUCTION
� •1• � State Form 5473 (RS / 10-0t )
Presaibed by the Department ot Local Govemment Finance
INSTRUCTIONS: See reverse side /or (ling instructions.
FORM " YEAR
H�,a Q3 �
�
I (We) / �-7 ' � of Marchr�0_
i
I(VJe) o upied as our principal ace oi residence the following described real pmperty for which a Ho e e d Pro' �edit]s,heieb daimec
❑� owned ❑ Ne buying under wniract C,IBSON CfOUtd7 r AUDITGR �
:Have a benefidal interest in the en6ty that is liable for the property taxes on lhe property and �hat owns the property or is buying under a wntract.
It buying on conlrad, Fee Simple owner's name
Remrdefs oifice where contracl is recorded
s.�.,r� ,�-
F-�.�'��rw:.��?��.��.,'.Y:{2'�-?�°r�+.`.z'§el�t-.��.q .%�`'F.r1.� m
County Taxnship
Par I n m r Legal deunpGon
�!� -pC�7gn - .3-z-�L
If any porlion o1 Ne residential sW qure w Ne land not exceeding one (1) aae that
of the property utilized tn produce income.
Record number � Page
Is ihe pro quesUon:
���Real Dmperty ❑ Mobile Homo (I.C. 67J-7)
iunds Ihat sWCture is used b pmduce income, desaiba the uu antl portion
��- � t�AS5ES50R USE OjNLY��'���' ��tiRUE TFJC��n ASSESSEDYACUE '�' HOMESTEAD a, ° NON�-RESIOENTIAL�s�''�,$� 5
���S—.R.s� �-�.�n,��. �,���.,.+, �'. f- VAILUE+f`�.'4'�` `AT.�700%OFTN� � �:VALUEt'i .�ww�y�VALUEr��,�:: `�'
'�u_'�+'�t . _..:r...,��:. a,+:....,. '��,...�., `�. �`��. s�.r.t:�
Land not exceeding 1(one) acre immediately ' ii"T�T" ,�: . ° <:'�-.�yt�
� �� �' �-
surrounding residential improvements. ��� ��' y���,e�� !�: i:_�'-
1. �fv.�x`�'=...
Otherland ( � �� "'��
Z ;F�'�sr�+_
..: sr�.0 ....vs__
Total land (line 1 plus line 2) (g�
Dwelling (4) .� � ��'!�'�c���q�s"�"'� �:; �
Residential improvemenLs r-����a>�- '�-�
Garage (5� '������ . �.��� s
�� ���
. s_o'.' T�a
Other improvements (6) �<„�`� °.'x�.� �`�'�-f :�
i . � �S �-' .' � i' i ° 'f a c . � _
Tdal improvemenLs (line 4 through line 6) (�)
Tdal value (line 3 phs line � (g)
I hereby certify the above is We, coned, and Sgnature ofnsssessor Date signed
complele.
Verifying aclion - Signature of Fwditor Date syned
. _' _ �. s+. :, r t" X � „�- szs '
� �'���. t��,. ��: `��• �9�`?'�'�'uSTANDAR�;DEDUCTION'ALCOWANCE..s=�ei!`�1,.�,f�=�s�-�"`-�'-:ki���.����
��:...� .
� 20_Pay20_
°1 Lesser of 72 Homestead
ValuaGon or $6,000 S
Synawra of fwdnw �ate signed
° a�
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
361
nc cueuwnwzu
�rva.xen
IndiciJuaL< and myrinf coupks are limittd to ore homeuead �aodazd dedunion. As �he recatipt of �his deducYan beconrcs
mom beneficial, thrrc is morc imrnme than �er for homn�<ad frdud. Homeseael fiaud causes hi�hrr Iac biIls for all: ihertfae.
HET IiA-1-2IX19 requims ucpe.m x�ho receive the hwnestceJ standard dvlunion �u vrriiv �hat th<y are eligiNe io mcene the
benefii and w p�m•ide additional iJentiiyinc information nemvn� to alluu� counrc ememmrnt m bener moniror honxsteacl
filin�n. Thiz in(omuiion w�ill be F.ept mnfdeniial anA ren nnly he acresseJ 6r wilwrieeJ aouny� officials.'fM1e Ikpanmene of
Lunl Gwemmem Pimirce will ux �his in(orma:ion W�rcah twis tMt �cill hdp cvmn� offirials dimiwte homateaJ freud.
•�� �• � —
Taxpa�•er Name Propert�• Address
Stephenson, Larry R/Paula �� g N a i S Zc�
�'--0�—
Prince�on I� 47670
Larry R Stephenson ��S �
�- � ?9 N
PRINCETON IN 47670-8569
�i�ii��ii��i��ii�ni���i�i�n�ii�i�u��i������������i�nn�i��
State Parcel NumAer Lesal Description
2611-03-400-000.780-027 oacroo780-00 PT NW : E 3 211 t 0.008 AC
This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county tr�;asurer.
�ARR�(
R A�i
t Addras (number nnd �aeee, city, Smtc, and ZIP codc) � —
Z 9 /1� � 25 �✓ 1"Riiur�ic�v ; Siv
/V1 �u��-�
Address (Numbcr and strec4 �p', su�c, and ZIF cuJr) �
'r�1 /(/ � ?'S �✓ �ei.YC,Ero�v, ��v
:
/ � ��
Sr� P H �k5onr
Same as propem add`¢;
�?� 7D
J�T.Ei°f�,c�/s o.�
, Same az pmperty ad +uas
� 7� 70
cify in Pan 4 bclow)
undersiened cerrifies, under penalry of pequry, that the aboae and foregoing infortnation is true and corrzct and that he or she is eligible to
�e the homesiead s[andard deduction on this property. Hach undersigned al;o understands that, by claiming additional homestead deductions
-fully, he or she may be liable for back taxes and substaniial financial penalties.
�� //a