HomeMy WebLinkAboutHomestead_Carnahan""" CLAIM FOR HOMESTEAD PROPERTY TAX
i, ._ STANDARD / SUPPLEMENTAL DEDUCTION
SUie Fartn 5473 (R72 / 6�05)
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HC70 •
JAN 14 2011 .
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�NTY AUDITOR
I(We) cerlify thal I(we) ocdipied as my (our) pnnapal
place of residence or am (are) buying the following de 'bed real propeAy for which a Homesiead Property Tax Standard Deduclion is hereby daimed
under contraG on Ihe date �his applintion is filed, (tlate o/filing): �
�I (We) own ❑ Am (are) buying under recorded contract
❑ Am (are) entiUed [o ocwpy as a tenant-stockholder of a cooperative housing corporation
� Have a beneficial interesl in the Wst or the right to occupy the property under the terms of a quali(ed personal residence Wst
•• � •
Name d da'vnani (kgal reme) //�� L �, �� �
' lL Q�C►—n/
Sodal Sedrtity nu�8v ol daPnarrc � fne d9�) ��6ce(� !� � tion // � ype� I�� ��i'll
.
Sodal Seauiry rn�mba o( daimant's spouse (las! frva d'gGS) Drivers Gcenu / Identificatlon / Other numCer Isvtig State
ot dairtmm's spouse (last �ive dJgits)
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II buying om m�trac4 Fee Simpie ownefs riame
Recortlers ofice where mnUad is recardetl Remrd numDer Page
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Counly Tovmship Ta�onB ..a (WY. Mwn. townshiP)
Parminumber LegaltlesciD� Isihe mpertyfnqu�tion:
Rnal ProDenY ❑ AnnuaM assessed mod'le homc ilC &7.7-71
tt any portion of Ihe msitlential swGwe or Na land not exceetling me (1) aae that unmeCiatety surtou ds that sVUC9ne is used tn p�o0uoe income, Eesmibe Ne use and porEOn
w ma w�aem wraea m woa� ��.
� �-./�-a�/-�.3-Oa/.oSLa_o��
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Caunry Tawnship. ' Counh Townslilp
I hereby certify the above statemenis are we, corteG and complete. Signatu(e oi dai �
Pdtlress (number arid sbeet, rity, afste. aM ZIP code) � ,
J� t'7 � M t iQ SB �.1 S�;
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Land not exceeding t(one) acre immediately � �`��°P�,wb°.s- .��
aurtoundin resitlentialim mvements. ��) �`.�„` `' ?��;;-=-q�,-�'��"��^�
Olher land (2) i�.�'�°'�+r i
�_ s�,
Total land (line 1 plus line � (3) '
Dweliing (4) '*y"'������ r��
ResldentialimprovemenborMnually %� k :`.g'"'��-�=a'�°sa-
Aasessed Mobtle / Manufactured Home Garage 5 ,'�$-''.`.�. �'�*'� "' `�- `�"-rz'zY.`� ,
( ) u�t� � a��-'..�..��'�a`�s�r:'b.^�
r �`�, r�;;�a"�'�
Other improvemenb (6) �g:`y,��?„_..k`��i
7od1 impmvemenb (line I Niough line � � (7)
Todl value (!(ne7 pflc Ilne � (B)
I hereby certify the above is We, correct, Sig'awra otASSessor . Date signea (month, Cay, yera�
and complet¢.
VeihPn9 acUOn - Si9naNre o( �tv Date siqned (month. tlaY. Y��)
� � ' � . - � . . • . � . '
20 pay 20 _ Lesser of 60% of Ne assessed value o/ the homestead or $45,000
No(uiNStarMwg any oNerpmvisUn, Ne sum o/ the detluct'ons proWded in IC 61.1-12 to e mo6i7e fpme ihaf is $ '
rot escessetl es resl property or to a manNacfured hortie Net's naf assessed es ieal popeily maY not exmeE
onBhaH (7/21 N Na asussed velue N Ne rtp0➢e home w m3nu/acturetl hwx.
Signature of Audltw Date signed (monlh. daY. Y�/)
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Gibson County Auditor
101 N. Main Sireet
Princeton, IN 47670
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APR 9 20f2
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,�j6SON COUNTY AUDITOR
� 753
.L:n rzliq U}rvil �yei
6�e
Indicidua6 anJ mv�iid eauplr. are limi�nl ro o:ic honxsc:W suux4�rd JeAucliun. A> Itt rttcipt o(;hi� d�vlucliun bccomn
morc bcncfict�l. Ih�n is morc ir.ccnti�c Ihsn crcr Inr hom:>�cad Gaud. 4ancxcad GauJ cau�n nichcr tati bill> ibr �II; dnrc(on.
I1EA Gi4-]0114 rcQUir.�s u�pa)en v?w reccivc :ht homr>�cad .iandarJ drJuc�iun m verif�' tha� they am eligiMr m rcctin the
barcfi� anA �o pnxiJc aidiiional idrnufi�im_ ir.li�rma�ion �w:cs>an� �o alWu' munt�� goccmrtKm to hntcr mmi�or homcacaJ
filinu. Thi infomutim wili M AcYv cmfiJential and can onk br a rr...rd Frv amhurized counq' olNcial>. The Dtpanmem of
Lecal Gonrrnkm linancc ���ill u.e �hi: m(ortnmion m crta�r irol� :hat xill hrin eounrv ntLcials dimin�tc Mmc�cad Inud.
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Taxuaver Name Location Address �
Carnahan, Charles RlSandra G o
HU9h05 Z�7 E EMERSON ST
PRINCETON IN 47670
Charles R Camahan/ Sandra G Hughes
217 E Emerson
PRINCETON IN 47670-1803
����'�����I��I�'I�I��I'll��ll�ll�"'lll'I�II�"�III'I�I��'I�II���
II�I�III��III ull�l Ilull� II �III�I�IIII��II�II�III �Il�l�ll�lllul IIull�l�ll I� II
State Parcel Number Leqal Description
26-12-07-203-001.042-028 OLD PLAN 55 PTI56 PT
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
I FiFtl
2.rioA.r�•,
�, Addrtss (number and svee4 city, sm:<, and ZIP code)
itturiry' Numbe: Qast i digiti) Dnvers Licrnx/5
`
First
� ndd�s (�umber znd s:reei, ciiy, siam. and 7.IP code)
fD �7mnb�r IIa:S digis)
Numbcr Qast i digi6) � Drirds Licrnx/Stam ID
Middle
v �cs
ame as propem� addxss
Other (Plrasc ap:cify ir, Pan 4 bclrnv)
� Su�e
Middle
� Samc as pmpcny addsss
Other (pleasc specify ir. Par:4 Mlowj
undersiened certifies, under penalty of perjury, that the above and fore=oing infortnation is tn,e and cortect and tha� he or she is eligible to
re the homestead standarcl deduction on this properly. Each undersienecl also understands lhat, by daimine additional homestead deductions
;(ully, he or she may be liable for bacA ta�ces and subsian�ial financial penalties.
I Sig�uNre Date Tdcphu�c
q n or �r � u_4_i� (�
s��ure
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