HomeMy WebLinkAboutHomestead_Coomer (14)�+��-r ��-iL� �l�r��-5�3 f93
aE ^r�°, CLAIM FOR HOMESTEAD PROPERTY TAX
_��: CREDITISTANDARD DEDUCTION
.�;;� State Fortn 5473 (F2 / 5-92)
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INSTRUCTIONS: See reverse side /or (iling instructions.
M YEAR
° 93
MAY 71993 l '
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I(We) `H • certify that on t�[j��I;Ko arch, 79�
�e) occ ied as our principal place of residence the �following described real property for which a Homestead Property Tax Credit is hereby ciaimed:
LJ I(We) owned ❑ Are buying under coniract
❑ Have a beneticial interest in the entity ihat is liable tor the property taxes on the property and ihai owns the property or is buying under a contract.
CONTRACT RECORDED ' -�
If buying on contract. Pee Simple owner's name .
Recorder's oflice where contract is recorded Record number Page
PROPERTY
County
(ciry,low,�, township)
Pamel number Legal descriptio
�ia -so�a �- �� `1-a-io ,a��-
If any portion of Ihe residential strucNre or the land not exceeding one (7) aae that immediatety surmuntls that strucNre is used to produce income, tlescri6e Ne use and portion
af the pmpetty utilizetl m produce incame.
� ASSESSOR USE ONLY
Land not exceeding 1(one) acre immediately
surrounding resideniial improvements.
Oiherland
Total land (line 1 plus line 2�
Residential improvements
Other improvemenis
n
TRUE TAX
VALUE
(�)
(z)
(3)
Dwelling (4)
Garage (5)
(6)
Total improvements (line 4 throvgh lina �
Total value (line 3 p�s line �
I hereby certify ihe above is true, correct, and
complete. -
ot Autliror
19_Pay19_
Lesser of 7/2 Homestead
. Valuation or 52,000
ASSESSED I HOMESTEAD
VALUE VALUE
n) �
(8)
Signature of Assessor
STANDARD DEDUCTION
S
NON-RESIDENTIAL
VALUE
Date signed
Date
Dare signed
5-�-`�3
Gibson County Auditor
101 N Main
PRINCETON IN 47670
2988
Paticia A Coomer
244 S Gibson ST
Princeton IN 47670-2112
n.rwvuaGiaw.�-u.
IndiriduaL anJ marricJ rnuplo arc limitttl �o ore ham��aeaJ aandaN dnlunion. Ac �hr �eceip� of �his deduction bcconrcs
more beneficial, there is morc incencire Run r�er (or homesteaJ fraud Ilomnttacl frvuJ causes higher Iac bills tor all: ther<fore.
HEA G4f-?IN19 requim mapaycn w'ho rtteire �he IwmestcaJ standard JeJuc�ion m veri(y ihei thry yc cligiMe to rccci.c thc
benefii anf tu pnrcide aJJiiioiul identi(rinc informatiun nn�esmry to allw� coun[c ga'emmmt ro bever monitor homesre:nl
filin�.'Ihis informuinn x�ill M AryV tnnlidcmial and cnn onh' M. acm�cJ by autMrivN [ouny� o�cials.'fM1c Ik�wrinrnl n(
Lacal Gw<mmem Pinancc �vill ua this iniorma;ion to cream nols �hat will hcln munev nffrial. rliminam h�m.e�..l fa��d
�i�����n��i��u�in���ni�������i��ni��ii�i���ii�i�ii�n����
Taspacer \ame
Coomer. Palicia A
S[ate Parcel Number
X ZCr12-07-401-000.492-028
Prnpem� Address
?-0-1 S Gibson S'I'
Princcton I� 47670
Leeal Descriotion
01&00�92-00 PT SE 7-2-10 23 AC
1' �
Oe�ner I First Middle Lut
1 �' � lr C7 � M L°. �
�c AdC��(:•.:.-i...'�^-.. �d s�c: eiry�: sret_: ¢nd ZI9 c�ei ' — _ _' ' _ -�'$omc � proycrty odd�: _ - '
'J `i`1 S. Cr � a nJ c��.
Social Srcuril} Numbcr (last i dieils) Ihiver's LicensdS�atc ID hmnber Qui 5 digils) Oih<r (plcuc spaif in Pan 4 bclow)
-
Spou;c First Middlc Lut
Mailiny Addresti (Number and streei, cily, smle, anJ "LIP cak) �I S:�me u pmpeny uddres,
t2f
Sorial Sccurin� �umber (laa 5 dieiLS) Dmrr+ LicensHStam ID Number Qazt 5 digits) O�her (plcse specify in Pan 4 below�)
saa
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Each undersitmed certi6es, under prnalry of perjury�, that the above and foregoing infoRnation is We and co�rect and that he or she is eligible to
receive the homestead standard deduciion on this property. Each undersigned al;o understands thai, by claiming additional homestead deductions
unlawfull}', he o: she may be liable for back taxes and subsiantial financial penalties.
Owncr I SignaWrc Ualc Telcphonc
� K�aa_,� ��� ( �
Spou;e Signature (}dte Telephonc
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