Homestead_Carroll (4)STAiEiORM
P0.FSCNIOID
litFASITFR {00.M TSIA
Gibson County Auditor � � � � � � � . �
101 N. Main SVeet ��dividuals and married mupla are limiced m ane homescead siandvd deduaioa As the receipt of this deductian becomes
Princeton, IN 47670 more beneficial, ihac is rtwrc inceoti�c Ilwi nxr (or hamestmd (nud. Homcs�ead Gaud cauus N¢htt Iu bills (or all; thert(ore,
� ��� �� HEA 134i-?009 rcqnires tupaytrs who rcccrv<�Ihc hmnestead standard deductian to �rrify that chty are elieiblc to rccenr the
brnefil and to prm'idc addilimul idrntifying infortnation neccssary b ellow� ca�nty gm�emmenl Io bener momtor homateed
j filings. This infortnation xill be kept wnfidcn[ial and can only bc acccsud by autLorizcd wunty officials. Thc Dcparmren� of
;1...,1 _;i,,,1 _. I,ocal Grn�emmrnt Fin�nce will use Ihis information [o crea[e tools ihat wiil help cawry officials eliminate homesiead fmud.
pr-? i e �,.,
C.9,
OIBBON COUNTY AUD T0�
827
Taxpaver Name
Carroil, William J/Karina E
Location Address
e
316 W MULBERRY.
PRINCETON IN 47670
Wlliam J Carroll r I II�I�III�I�III II I�II II� II �IIII�IIII��II�II�II�III�II �II �IIII��II IIQI�II I�III
316 W Mulberry
PRINCETON IN 47670-2344
�I'I'�����I���"I���I"���III��"I"I�I�I'I'll�'�'��I��I"I�II��' StateParcel Number Leqal Descriation
26-12-07-303-000.11602�Hn�LS 2ND 24 PT
This form MUST be r�turned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
,
�1Rt'°�l �, �� 2Abe-i�h
� Mailing Addms (number and strcc�, city, state, and ZIP code) � �
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� Social Savriry N�bcr (last 5 digits) � Dtivc�'s LicenselSiate ID N�mbcr (lazi 5 digia) � �
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Samc as propeny addras
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Ottcr (pleau Specify in Pan 4 below)
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Drivds Liccnsc/Stau m Numbcr (last 5 digits)
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undersigned certifies, under penaliy of pequry, that ihe above and foregoing infortcxtion is we and cortect and that he or she is eligible to
�e the homestead standard deducrion on this.property. Each undersigned also undecstands that, by claiming addiponal homestead deducnons
+fully, he or she may be liable for back ta�ces and substantial fmancial penalties. �
1 i�anue � � Date . Telephone � . _ ,..
�T\.t/�.6. : l ('� M..Q� Q U �lo � l (' ` � � � ) ([�
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CLAIM FOR HOMESTEAD PROPERTYTAX
CREDIT/STANDARD DEDUCTION
t Stata Form 5473 (R6 / 4-03)
Presaibed by ihe Department of Local Govemment Finance
INSTRUCTIONS: Se�ieverse side forWing instnections.
... �:.s..�e�ar. . .
FORM
HC10
c,✓,
�� YEAR
I (VJe) � :. � Y , ,- . �. /� (/ .� - . _ certify lhat oalhe 75t day of March, 20
I(We) occupied as our principal place of residence the f 'ng described real property (or which a Homestead Property ac" jre�t is U eby Gaimed:
❑ I(We) owned ❑ Are buying undercontre GIBSON COUNTY AUDITOR
� Have a benefidal interest in lhe en6ty that is liable for the property taxes on the property and fhal owns lhe property or is buying under a contract.
I( buying on conVact, Fee Simple owners name
Recordefs olfice whera wnVact
Toxnship
7aing
Record number � Page
Pa�¢I rWrpper� I Legal e ripUq� /� � ^ 1'C_] I Is the pro�queslion:
1 1 �-1 / ! �-�
l/ I/ Y Y LlL L eal property ❑ Mobile Homo (I.C. 6f. f4)
If any portion of Na resitlential sW cture or the Wnd not exceeding one (1) aae that immediatey wrtounds ihat swaure is used b produce income, desaibe the use antl portian
of the y�operry utiizeA tu produce income.
V./i%/ d A. /%' �
/ wK:u'
�G -�a-� � �3v3 -�. irG -��
a- _."��,� .�"�y^.�•-,��-`x. �,Y, _ . ey�s�, .y, o� .�.-wtzs - v+.' r �-.e�,.. _ . .
''�-� .�""�*-�ASSESSOR USE ONLY��=" �. i�,�STRUE TAX�r, ASSESSED�VALUE �HOMESTEAD�` �' k' NON�-RESf�ENT1AL ��+�tF
z'�a��>�.L.-�T.sx��'.8�i 7��:..s����..'9z.. 's�s.'"a.VALUE�Y� �: � AT.100%'OFiTTV�u �51VALUE,,;�� t`.��.."�t.-I�yVAL:UE�ri��:1�
Land not exceeding 1(one) acre immediately s'�, �t a�t '�`� �, c:�� g+;ip
surrounding residential improvementa (�) � ��'���` z^-��"w�3��
u t �c_� "z�.
Otherland ���`���.,�-� Y�
(z) '����'�Y
4Prvj. .y�}
Tdal land (line 1 plus line 2) (3�
'"i...1, YayT "� ��:��h
Dwelling (4) �'��, ''>t� �a � �
�ResidentialfmprovementsorMnualty ��"�`'�,�''^�.��-i:;s..� � ="�`��
Pssessed Mobile / Manufadured Home Garage 5 �:��: ����'c'
( ) �,�y �� 6� ,� � � ;��
1_Jr,a._�✓.ti�;?:� .Zp�:.i1
Otherimprovements (6) c�'��"-`t'7 i
a ���,��
Tdal improvements (line 4 through Irne 6) (�)
TUaI value (line 3 pl,s line � (g)
I hereby certi(y Ihe above is W e, corred, and Signature ofASSessor Dale signed
complete.
Verifying aclpn - Signature oflwditor Date signed
20_Pay20_
Le>ser of 1/2 Homestead
vaivanon w E35.000
8
Datesgn�d, /`�
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