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MASUACR fO0.V SIA
Gibson County Auditor ' - : __-, , , .__.___._...._' _.'_. , ' . _._.._,.........�.�.,__,..-�_
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fi� T N IN��� �i��������aL. anJ mvriN muple� are limi�cd �o onc homestead �undaN �L�luc�ion. As �he rtteipi ot ihi� dedunan brcomes �
u o
a� marc beneficial, therc is morc incrnm�e rhan aer (or homesteml fraud. Ilomeiteazl fmud causes higher tac bills tw all: thercfore.
� HEA li�ti-?IX19 requvn ta�p��ers xho receire ihc hanesieaJ standard akrfunion m verify ihat ihcy are elieiWe w mcrne �he
benefi� anf to p'a'ide aJdilipiul iJentit��in� in(urmatwn nem'vry to allw' coun)� ga'rmment ro Y.�2r moniror humeseaU
APR 1 �� �U lU filima. This infomuiinn will br Aryw canlidrntial aml c�n onk h acrecuJ Ap autMriuvl couniy nlTcials. The Ik�nnmm of
Local Gm'<rmnem Fi`u�rce will u.e Ihfs intortw[iun W awte U+ols tlut �cill help eqmty ofitials eliminate hpnenexl naud.
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� GIBSON COUNTY AUOITOF
11$8
Joseph C Cochran
502 S Stormont
PRINCETON IN 47670-2526
�i�u��n��i��n�n����u�n�i�i�i�iu�i����n��nin�i��i�u�
Taznerer Neme Prnnert�� Address
Cochran, Joseph
SO? S S�ortnont $l'
Princcmn 1\ i7670
State Parcel NumAer Leeal Description
x 26-12-07-404-000.391-028 01&00391-00 MONROE HOMES 14
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.
�� �
O.��na I First Afiddlc Lau
JOSEPH CHRISTIAN COCHRA[V
�g Address (number wd sveec, city, sinte, and ZIP code) � Snme ac pmperty addmsi
502 S. STORMONT ST. 47670 PRINCETON, ZN.
Social $ecurity Yumba (last i dieiLC) Driv�r's Littnse/Slate IU Number (la�t 5 digiB) Other (pleasc speciCy in Part 4 bdow)
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Each undenigned certifies, under penalry of pzrjury, that the above and foregoing infortnation is true and wrtzct and that he or she is elieible to
recei�•e the homesiead standard deduction on this property. Each undersicned al;o understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substzntial financial penalties.
Owna 1 SiEnxauc Da�c Tcicphonc
C - -t� �
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Y CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fwm 5473 (RB / 4-03)
Prestribed by the Departmenl of Local Govemment Finance
INSTRUCTIONS: See reverse side 70� /iling instruclions.
FORM YEAR
A HC4�0—�
,
�Lrti
�(�^�e) �� certify � e�' ay ar . 20
I(We) occu as our descnbed real property for which a H _�te8�� ' ,�c�yG��j;�e y daimed:
❑ I(We wned ❑ Are buying und contract -
� Have a benefidal interest in ihe entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
II buy'ug om m�Vad, Fee Simple owners name
Recordefs office whara coniracl is recordeA
County
Taing district (dty, fown,
Record number � Page
Parcel nu r Legal description 1 /� I Is the pmperty in quesUon:
�/� � � �/- (/v (� l�� t�„v,,,.�- ❑ Real property ❑ �.lobile Homo (I.C. 67.7-�
H any portion ot Ne resiEenUal sWCture or the land not axceeding one (1) aae that immetliatety surtounds Ihat swcture is used to produce income. descnbe the use and poAOn
of the prope+ty util2ed tn produce income.
��--�:��`�',�r"`"�'�",�3'��`.� �CeF.�_-r'.E�STANUARU;DEDUCTION�ALIOWANCEt:,'x`�?`��;e-xi� : .."�",y''�„°�xa,•�s-;"''.�,F3.�.�'€��;�.;i�s.`i���::k
20_Pay20_
Lesser of 1/2 Homestead
vauanon a f35.000 .
5
SgnaWreolNMitw ' Datesigned