Homestead_CasonCLAIM FOR HOMESTEAD PROPERNTAX
CREDITISTANDARD DEDUCTION
� Stste Form 5473 (R6 / a-03)
Presuibed hy Na Department of Local Govemment Finance
INSTRUCTIONS: See 2verse side for filing instruUions.
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FORM � YEAR _
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-`�?!.F -c_z.ti� ^..i�E�:�2-i.- -t...�4'�=s'� -.�.'�ra�--_�CERTIFICATION STATEMENT�. i'.�i•'*'"�`- �_.a='� t'[�!'S.?`�"��, '' .
I(We) cenify that or�uted�Cd�of Wlarch, 20
I(We) occupied as our principal pl o sidence th lowing escribed real property for which a Homestead Pro ��c��dl[l� ��aimed
�,--/) GI��S�
I (We) owned ❑ Are buying under contract
Have a benefidal interest in the entity that is liable for the property taxes on the property and Uiat owns the property or is buying under a contraU.
I( buying on contrad, Fee Simple ownefs name
conVattiSrecorded
Counry
Tormship
Parcel number L i d cri li
���-a�yay-c� �..�f��
I( any portim of NB residenUal SW cture w NB land n �ceeding ane (1) aae lhat
ol tha plop� to produce iMOme.
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�G ia-oQ-,�/-�9/. �a�Dae"'
County
I hereby cerlify the above statements are We, cortect and complete.
rdress (num6er ond sbeef, ciry, stale, Z/Pcode) �
Record number
(uty, fown, township)
i� me
Paqe
I �eal proPerry ❑ Mobile Homo Q.Q 61J-7)
wnountls Ihat sw ure is used to produce income, desuibe Na use antl partion
Counly
SignaWre ql claimant
20_Pay20_
Lesser W tr2 Homestead
va�uanon or E35.000
3
IDala si�ned �
L J
Gibson County Auditor
101 N Main
PRINCETON IN 47670
3319
�IARlf10.M!� W 11L'/ fdl
nr.�cuunwx�s�n
IndiviJuals anJ ma:�iN mupks are Iimi�M io om hmneMeaJ sandaN J,^dunion. As �he �eceip� of Ihu Jalunion beconu:
more brmncial. �here i� morc incrntne dun mer (or homsteaJ Gam1. Ilama�ead ffaul causa higher tai bili> for all: therefore.
HEA liti-30(19 «qdues ta�paven xho rmive Ihe hanestcad s�nndvd JNuction m.erily �Mt th<y am eliciNc w recei.e the
brnefit ami ro pmvidr additio�ul idemiirim_� Iniurmauon n.man• io allw' cwnp� �w.rmmem �o beucr muniror hom��sreaA
filin��. This in(a�ma�iw xill be I.ep mnfidauial and ren nnly M arcesuJ Ar awMriiN enwuy n(Ticiais.'fTe Ihpannrent o(
I.ueal Gwcmmcm Fifu�rce ��ill wc this in:ormacion w trca:c mule �hat will h:Ip cqmn' utTxials eliminam home�tead fiaud.
. � � � � �
Taxpaver Name Prooem� Address
Cason, Jerry / Jessica
_ _ Jer_ry Cason . - - - - — - - -
129 S Adams
PRINCETON IN 47670-2205
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1
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Address (number and ;tcm, cirv, sutc, nnd
$ecurity Number (lan 5
Addre.ss (humber and 5tree4 any, smte, and "LIP coJe)
Sccurity Numbcr (lazt t digitsl
State Parcel Number
�t 26-12-OS-301-001.a24-028
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1 Number (la�t 5 di:iL)
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129 S Adams S7'
1'rinceton IN d7670
Lesal Description �
079-01424-00 HIGHLAND HOME 25
,� ( r rl 'V
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� �amc us pmperty od'mccs—
�n� c� 7l� 7�
Jeise spetify in Pan 4 bclow)
� Sum<:u pfapem aAJrtss
spccify in Pan 4 bclow�)
undetsi�.med certifies, under penalry o( pequry�, that the abo�•e and foregoing infortnation is true and correct and that he or she is elieible to
,e the homestead standard deduction on this property. Each undersiened also understands thai, by claiming additional homestead deductions
Jfully, he or she may be liable for 6ack taxes and substannal financial penalties.
I Si�menue Uev^ Telephone
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r Signa[ure Uztc Telcphofrc
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