Homestead_Cox�.
CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
/ Slalc Form 5473 (R6 / 403�
Prescribed by Ne Department ol Local Govemment Financ_
INSTRUC710NS: See reversc side (orllinq instnicfions.
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i�we> �., LUZ.�Y �,d, l l CJ�1 �wy ma� the 1st day f M so
�I....,,(W,,//e)) occupied as our principal place oi residence Uie following described real property for which a Homestead Pro T ' '
(VJe) owned ❑ Are buying under coNracl C�IBSON COU TY AUDITOF
Have a benefidal interest in the entiry that is liable for the property taxes on lhe property and that owns ihe property or is buying under a wntraU.
I( buying on contraq, Fee Simple ownefs name
Remrdefs ofice where wnVaq is remrded
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�'.-.h�c.-1i'=ti���� r .�.x,�'�h`.Wt.c-T?Fa� -�.=k...
Couny'� � Tamship
Is the
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township)
Rewrd numEer � Page
MoEile Homo (I.C. 6/.7-n
If any portion at Ne residential sWCture or Ne Wnd not e:ceeding one (1) aae Nat immediatety sunounds that sWGUre is usetl to produce income, desaiba Ne use anE portion
of the properry uGlized tn produce income. � O�
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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2329
IndividuaL+ anJ marriN <oupb are IimiteJ m nre homr.teaJ yandaN �4�lunion. As the reccip� 01 �hu dedunion bicome;
morc beneficial, thrre is morc incentire tlun e�er (ar hamesrcad Gawi. Ilomesie:d Gaud cauxs hieM ia� bills ior all: therefare.
HE.\ 13i7-?009 rcquim la�pasen who reccive �he hancs�cad Uandard JeJunion m rerily Ilu� �hey are eligiNc to mecne Ihc
brnefii an1 ro pnn'ide aJAiGUnal idrntiiyin_ infumiatiun Mcr.vn� ro allw� rounp� gmemmrnt ro Nt¢r mmitw homes�eaJ
filim�s. This inl'ormaiion will M Aqv mnlidmial and ran only h. acarc.cJ hy w�Mrizd rnnnry� n0icinls. Thr IXpannmm nf
1_ucal Gmemmcm Fi�uce< will mc this informa;ion W arcau 0.vL. that will h:Ip cpmn' oHicials climinmc Iwm<ncad fnud.
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Ta�pa��er Neme Prnpertc Addresti
Cox, EaA W 8 M Lynn Harley
Eari W& M Lynn Hariey Cox
903 N Hart ST
PrincetonlN 47670-1455
�i�n��ui�i��n�in���i�i�ii��i�ii�i�i�n������in������n�i�
903 � Ilan ST
Princewn I\ ;7670
State Parcel NumAer Leeai Description
k 26-12-06-304-001.041-028 079-01047-00 CHAS BROWNLEE 20 PT
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w�dsvxC.ir:rsaic.aid�ZlPwd:7 -' _ _. . . . __'_'_ �
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jA> digits) Driver's Litt2•c/Stale IU �mnber (last 5 diCiLS) Othrr (please spa
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Addrcss (Numbcr and strtt4 diq. sta�e, und "LIP cale)
(hut 5 digits) � Othcr
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nc�mpcm.nd�Lct:._ '_ _'—' _'_
y�7 0
Pan 4 bclow9
� S;une as propeny adJtas
Pan �
undersitmed certifies, under penalty of pzqury�, that the above and foregoing information is we and cotrect and that he or she is elieible to
re the homestead standard deduction on this propeny. Each undersiened also undzrsiands that, by claiming additional homestead deductions
✓fully, he or she may be liable for back taxes and substantial financial penalties.
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