HomeMy WebLinkAboutHomestead_Strange�a n�� -
e� k CLAIM FOR HOMESTEAD PROPERTY TAX �
;��= CREDIT/STANDARD DEDUCTION �
'.,,�., �� State Porm 5473 (R2 / 5-92)
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INSTRUCTIONS: See �everse side for liling instructions.
FORM 1'EAR
HC10
. r _ � �� -. .. - ��� - � � . QERTIFICATI �STATtmcrvi - ° -��;� •
I (We) - certify,that on t
��) occupied as our principal place of residence the following described real property for ch a Homestead Properry
IU I�We) owned ❑ Are buying under coniract � . . �
❑ Have a benefiaal mterest in the entiry that is liable for ihe property taxes on the property and ihat owns ihe o f �� ny er a co act/%
.. . . G•ac.: d' �'J� �-� !/
. ... ';.dTOR��
� - . � � ' � � CONTRACT RECORDED� - - � - - - �"
If buying an wniract,�Fee Simple owner's name' _ , � _ . �'
Recortler's office where contract is remrded Record number Page
- � - � . � � PROPERTY DESCRIPTION � - ' � � �
County , � Township � � . � - TaYing districi (ciry, towq rownship) _ -
P�ycel numbe- �I � � � Legal description ' n /� /� � �
�V � (��Vd�
It any ponion ot ihe residential simcwre or the land not exceeding one (7) acre [hat immediatey surrounds ihat struciure is used to produce income, sc
ot the pwperry milized ro produce inwme. -
" � � -PROPERTY OWNED�BY CLAIMANT IN OTHER COUNTIES � - � "
Coumy Township County Township
�eby certity the above statements are true, correct and complete. Signamre o� ciaima
Atldress (number and street, city, state, ZIP code)
�he use and portion
� ASSESSOR USE ONLV _ TRUE TAX ��_ ASSESSED HOMESTEAD NON-RESIDENTIAC
. . - .VALUE VALUE VALUE VALUE . -
Land not exceeding 7(one) acre immediately � .
surrounding residential improvements. (� � � � � -
Otherland � (p) � �
7otal land (line 1 plus line Z� (3) �
Dwelling (4) . - ' - .
Residential improvements
Garage (5) _ � �
Other improvements . (6) . � -
Total improvements (line 4 through line b] (7)
Total value (line 3 p�s line � (g) - �
I hereby Certify lhe above i5 [rue, correct; and Signamre of Assessor Date signed .
complete. �
Varity{�g action - Signature of Audimr � Date signed
� - . � STANDARD DEDUCTION ALLOWANCE - � -
. 19_Pay79_
Lesser of 1/2 Homestead
Valuation or 52.000 S �
Sgnature of Auditor . Date signed
' Gibs�n Caunty Auditor
101 N Main
PRINCETON IN 47670
565
SIAiE
IRF.�SURERlO0.411A
:IiN'M't'EIC61.1-$:-.�.1
InJiviJuals and nu:rieJ muplec are Iimi�M lo oce hnmeaead sundaN dNuaion. ds �he �ttripi ot ihi:: deductan beconxs
more beneficial, thrre u more inrenm< �han ncr (or homnteaA fraud Hom vrsl fiaud caass hi�her u� tills (or all: the�efae.
HEA GJ-t-3009 rcquim uxpa.en who recei.c the hanestead sundard �rfuciion w.eri(y �hat tM1e� are elieiNe m reaei�e �he
benefii am7 to pm��iJe a�Witional iJemfi�'inc infumiatiun nece.'vn� to allw' counrc ga'emment to beim� moniror honxsteaJ
61ine. This informa�im will 6e F,eM confdrniial and can only h arce�xJ 6. aWhnrixd rounh� ofHaiuls The Ik7unmem of
Local Gm'ertvnem FinaM'< ��ill u.e �his iniormation W uwu tw6 that will h:!o eounn� offwiaLs dimin.ne Iromestcad fiaud.
Michael R/ Rebecca S Strange
R4 Box 198
PrincetonlN 47670-8150
�i�u��n��i��n�ni���ni�n�nn��i�i�i��nn���nu��i��n�
Tazoaver Name
Strange, Michael R/ Rebecca S
Propem� Address
Ri F3or I98 1^V
'�l'
Nrinceton I\ ;7670
State Parcel Number Leeal Description
26-11-16-400-003.172-0 PLESANT HILL 29/30!31
D-17
This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
�� �
�wna I First Middl< Last
� I C H A E C. � A 1J ST �/� IJL� u�
�g Address (number end snmt, city. sta�e. and ZI P code) �me as pmpeny nddrev
�i�S% S, LaoKuo�f �Tl�� �IZi
Social
Spouu First Middlc Last
�tD1�LCti 5....L_ S�-��0.�J � �
Mailin� .4ddress (Number and slttt4 rily, SWIe, and'LIP code) � Same az pmperty addros ;
lasl 5. L�o`C�w� mo.:,� j-c.�, � �. : � c
Social Stturity Number (lace 5 dicits) DmxYs Liccnsef5ta�e ID Niunber (lat� 5 digits) Other (plqsc specify in Part 4 below) �
- �
Each undersitmed certifies, under penalty of perjury, that the abo��e and foregoing infortnatiun is we and coirzct and that he or sl�e'is elieible to
receive the homestead standard deduction on this property. Fach undersi¢ned al>o understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
Owner I Signe4uc Dete
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