Homestead_Stewart (8)� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slate Fortn 5673 (RB / 7-07)
��.� Prescnbed try Na Depanment d Laal Gwemment Finance
INSTRUCTIONS: See ieverse side lor filing inst�uc6'ons.
� FORM
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YEAR
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��e) �cMtify a on the 7 st day of March, 20_
I(We) oaupied as our prinapal place ot residence the following described real propeAy for which a Homestead Prope/rlty`Tmc Gedit is hereby daimed:
n.I (We) owned ❑ Are buying under contrad �%6N^ �°' '�p�
, Have a henefiaal interest in the entiry ihat is liable for ihe property taxes on the property and ihaGo�vpsJtCeyp�pe�y}or�is bur�g under a contrad.
IC�
If Grymg om m�Vac� Fee Simple ownefs rmme
RecordNa otfice where conUaq is recwded
Counry Twmship
Tacing district (city, to.m. famshiP)
Recwd number � Pape
Pa number legal descnplion Is �he property in queslion:
-�S-3DD-m4• 369 E� ❑ R�� ��,� ❑ Mobile Fbme (IC 6-7.1-n
If airy portion of the resideMial suuclure w Iha land nd exceedirg orre (7 ) acre Ihat im�ately surtounds that stnuwre is umd m produce incortre, descnbe ihe use erW portion
of ihe property tNGzetl to produce incwne.
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County Tavnship County Twrnship
I hereby certify U�e above sfatemenLS a2 We, correct and complete. Si re oi a�
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"' ress ( 6er aM s6eeC aty. 9ate. an0 LP code)
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Land not ex�fg 1(orre) aae immediatey � - ' � . -
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wrtoundirg residential improvements. ' � .
Otherlarxl (2) -
Tdal land (line 7 plus line 2) (g)
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Residential improvements or Mnualty ���ing (4) -
Assessed Mobile / ManufacWred Home ' � . . .
Ga2ge �g� - .� - � . .. �
Other improvements (6) '. � �?-; ..
Tdal improvements (1"me 4 through �rre 6) ��)
kial value (line 3 phs Gne � �g�
I hereby certity the above is We, correct, and sgnawre ofAssess« Da�e signee (montn, day, yea�
canplete.
Veifyirg adion - SipnaNre of Auditor Date signed (mmth. OaY• Y�)
Lesserof 12
Homestead Valuation
a
Signature of P�d'itor
45,000 for 2007 pay 2008 42,000 for 2010 pay 207 7
44.000 for 2008 pay 2009 41.000 for 2017 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2072
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Gibsoro. County Auditor
101 N Main
PRINCETON IN 47670
1895
�IAR RMN �1YwIR'l NI+1
TRf1SIlAGP (00.N 31A
InJinduals anJ imrticrl coupla arc IimilN io one hnmc�nJ �tandaN �4-Auniun. A> �he rttrip� ol �hi: daluninn bcconrcs
more beneficial, thrre i. morc incenme Uun r�er (or humntead fnuJ. Hommead fiaW auxs hi�Mr tai hills for ail: thrn(nr.
HEA I;Si-11%!9 requim uapacers x�ho recei.c ihe hanesieaJ xtandarJ aktluctiun u� .erity �hat ihey are cliciNe io mcene �hc
brnefit anJ ro pnxidc aJJitional iJrniifyinc in(urmuuon Mce.vry to alba� coumy gwemmeni tu b:[¢7 muniror honxs�e:x1
filim�_ This inlomution xill he I.qx conliilemial anA nn only tr. acce: ceJ hr amlrorirN coumy n�<iaL•� "ITe Ikpanmvn nf
lucal Gm'<rmnrn� Fi�u�rce �cill ux �his iniortnation w irw:c ntils �ha� will h:ln rnmn ufTicials dimini�e Mmnmad iraud.
Levi M Stewart
1376 S 350 W
Princeton IN 47670.8159
I�I��II���I�II��I���III���I��I����II�I�I�I�I��I���I�II��II���I
owna � r'�rst
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i_ AOEress �numbcr and svcc4 city; smtc, and ZI r code�
Srcurify Numbc� jlazt i dicils)
slrce4 ��y, smle, and ZIP cwk)
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nnber (lai� 5 dicits)
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Taspa�•er Namr ru ertc Address
Stewart, Levi M ��
% 3�� S 350 �;J
Princclon IN'47670
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State Parcel Number Leeal Descrintion
26-11-15-300-004.369-027 /p �5�85soo PT SWi 15 2 11 3.3a AC
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Oihcr (plcue specify in Pan 4 belax�)
:u pmpem adarea�,
Numbcr Qas� S digils) � Oihcr (plcasc spccify in Part 3 bciow)
mdersiLmed certities�under penalry of perjury-tfiat tne above and to�e�oing�iniurin5tibn �is we and corrzct anH that he or slie is elitiitile [o � �
e the homeslead standard deduction on this property. Each undersigned al;o undersiands that, by claiming additional home.itead deductions
fully, he or she may be liable for back taees and substantial financial penalties.
1 Sienature / / . Uete 7'cleohone �
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