Homestead_Crecelius (5)..•n•�. CLAIM FOR HOMESTEAD PROPERTY TAX
d�^`. a . . _ .
�='"" : CREDIT/STANDARD DEDUCTION
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' State Form 5473 (R2/1-90) �1 � (,,,,,
�' '°�• '� INSTRUCTIONS: See reverse side lor Iiling. instructions. D 1'
CERTIFICATION STATEMENT
(We)
A. � -;, ~'�'��
• '�I':� r 1 �".�
S. � ' •1vr'��
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that on the 1 st day of
I(We) occupied as our principal place of refiidence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: . � I(We) owned _❑ Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract._
CONTRACT RECORDED,
If buying on contract. Fee Simple Owner's Name
Recorder's office where coniract is recorded Record Number Page
DESC
Township
rarcei rvumber �e i uescnpuon
>i �- ooa � 9-od �I c� I a r-`� �
If any'portion of the residential structure or the land not exceeding one (t�immediately surrounds that struc-
ture is used to produce income describe the use and portion_of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Nounty Township County ____.
_� �
I heFeby certify the above siatements are true, correci and . Si�nature•
X //i/ . /.1 �. =�-
state
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
� VALUE
Land noi exceeding 7(one) acre immediate�y
surrounding residential improvements (�)
Oiherland (2)
Total land - line (1) plus line (2) (3)
Resideniialimprovements Dwelling (4) � - - --- --'
Garage (5)
Oiher improvements (6) "
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8) �
I hereby certify the above is true. Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
7989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2.000
1997 Pay 1992
Lesser of 1/2 Homestead
Valuation or y1,500
19—Pay 19_
Lesser of 1/2 Homestead
Vafuation or $1,500
� -�_ _ U � ' �
�
. Gibsan County Auditor
101 N Main
PRINCETON IN 47670
1348
aurt maN!�w iz �.-M�
n.E.n,�au wa� :su
IndiviJuals anJ �n�:rinl mupks are limi�ed �o nnc homc�caJ 9andaN Jnlunion. As the reccipt ol �his dcduction bttonre�
more beneficial, thrre is morc incrn[ire than ecer (ar homesmad G.mJ. Ilomn'rcad (mud caus6 higher n: 6ilis tor all: there(ore.
HEA G4i-20Q9 requims mnpayen xho reccive Ihc hanestraJ siandard dduction m verify Ilu� they are eliciMe �o mtti�c ihe
benefi� anJ ro p�m'idr adJitional idrnniyi� fnfomk�non rKCes'vrc �o allw� caunn� grn'rmment ro bener manitor homes�eaJ
tilin��. This informminn w�ill 6e Aryv cwLderuinl and can oNy hr. acmue.l h.� awhomeJ rnnm�� n(ficials. The Ikryunmem of
Local Gm�cmmcnt Fina�rcc ..ill u.c �his intorma:ion m crram 4vls tlut �vill hclp cwnh� officiaL. climfn�rc hom<srcaJ Baud.
. � � � � �
Taxoeeer Name Prnpertc Addres+
Crecelius, William D / Phyllis
William D / Phyllis Crecelius
109 Hawthorne
PrincetonlN 47670-3311
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First ^^�`, �
� II
.1/ cui
statc;andZlPcodc� ri —�-
Sceurity Numbcr (last 5 diGU) Drivds Lice���e/S�ate ID Nmnbcr (lai� 5
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(Number and atrtt4 ���y, smte, anJ ZIP codr)
Stturity Number (lazt S digits)
Drivcfs LicensclStatc ID Nwnbcr (1as� 5
109 Haw�ihome
1'rinremn f� 37670
State Parcel Number Leeal Descriotion
X 26-12-06-302-000.219-028 019-00219-00 NORTHBROOK HILLS 12PT
�Samenspropcny.odd�' ..—__ __
C� c� r
jCj Sune u praperty addre»
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Each undersiened certifies, under penalN of perjury•, [hat the above xnd foregoing information is we and corrtct and that he or she is eligible to
receive the homestead standard deduction on this propeny. Each undersiened al;o unders�ands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
I SiFnanuc
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