HomeMy WebLinkAboutHomestead_StockerCLAIM FOR HOMESTEAD PROPERT( TAX
CREDIT/STANDARD DEDUCTION
t Siata Fortn 5473 (R6 / 4-03)
Presaibed by the Departmeiri W Lxal Gwemment Finance
INSTRUCTIONS: See 2verse side lor filing instruUions.
,
. .� ;���T��. . .
� ��
FOR� EAR _
H�i o
MAR 2 2001
� �e) �� rtify tFF�'B&��i rsEMe�bA'Ma't1�IT�R .
I(We) occupied as our principal pta of residence lhe following described real property tor which a Homestead Property Tac Credil is hereby daimed:
�I(We) owned ❑ Are buying under contract
Have a benefidal interest in the entity ihat is liable (or the property taxes on the property and that owns ihe property or is buying under a wntract.
If buying om m�trad, Fee Simple owners name
Remrdefs olfice where conVacl is recordeE
County
7o.vnship
Pa��� � �i\�1 b'CJLDLe��7 /( 11 /�O �
���Q
I( any portion o( the residential sWCWra w �he Wnd nol exceedinp one (1) aae t�at immediate:
ot ihe properry uWized to produce income.
�Q,�.e�,0 � c�G-�a-i�-�c�^c�.O�G-oa�
County
Tavnship
I hereby certi(y ihe above statements are We, wvect and complete.
arM street, city, state, ZlP code)
disirict
Coumy
al
Record number � Page
township)
iqueslion:
Real property ❑ Mobile Homo (I.C. 61.1-n
ire is usetl W produce income, desaibe Ne use and porUw�
� �°' -`!r��'��`r� ""`'�"��'�'�'�� ��- '�'TRUETAX� f ASSESSEDVALUE �HOMESTEAD�� ° h''s�%+N N-YRES�DENTIALr"�,�s
9�-r _'� ASSESSOR�l1SE ONLY � �,�{�
z��'-�``'c+i`�:K.?�??��F4€6,G�.St_"�.R�"....5.a �� �� z�-"'i VALUE«.S �.�t.�`,' e�"f , AT.100%'OFTTV�r ���VALl1E,�� ���'�ilry'-.t.:q.VALUE'.�^u+� S".�'i?!
Land not exceeding 1(one) acre immediately -'?�^`;` �r" �,- � 7!Yq
surrounding residen6al improvemenls. %r , M •
�� � ,iE��'�'�����
Other land (Z) �.��'�'� ._���"«�.'-�- �`q�
kF:`-.. .:;:,�?'t�
Tdal land (line 1 plus line 2) (3)
Dwelling (4) "�'~��'� �� "`��
�Residentlal improvemenLS or Mnually '�-�^�± ��``��'���� ,. ��'�
Pssessed Mobi�e / ManufaGUred Home Garage 5 tr,. €�p`��i �' • �'
( ) ;1`�"` '`�����
��y ,�: ` -.,.,..t �
��S�Y:G �„ ..!�
Other improvements (6) ��'�T�'.^��.��
�., :s.t.° : .., e: .
TUaI improvements (line 4 through line 6) (�)
Tctal value (line 3 plis line n (g)
I hereby certi(y �he above is We, cortetl, and Signature ofAssessor Dale signed
comp�ete.
Verilyirg action - SignaNre oflwdimr Date signeC
\J
GibsorvCounty Auditor
101 N Main
FRINCETON IN 47670
Willard P Stocker `
1915 E SR 64
PRINCETON IN 47670
wncr I
i�i,�la�� �
'ig Address (numbcr er
( i/� �,
uial Securily Number (las'.
- � -
�
S�laro✓� I L,
ie Addre4 (�umbcr md svecl city, swm, und "LIP c )
%�ls� �f�- �.�y
I ��G � '
'_ .- — � Same a, propcm add�,
O�ha (plesse specify in Pan 4
S� �-�'
17) Same ati pmperty addre5i
��'�hc��n Ze✓ `�7�7a
Ou� 5 digits) Othcr (plc�sc spccify in Part 4 bclow�)
undersitmed certifies, under penalry of pequry•, that the above and foregoing infurmation is true and cotrect and that he or
•e the homestead standard deduction on this property. Each undzrsiened al;o underslands that, by claiming additional hom
�fully, he or she may bz liable for back taxes and substaniial financial penalties.
/I�Sienewc Ua�c 1'clephmc