HomeMy WebLinkAboutHomestead_Crossa.� ^'�°„ CLAIM FOR HOMESTEAD PROPERTY TAX
;; �� CREDIT/STANDARD DEDUCTION
�,�� StateFortn5473(R2/5-92)
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INSTRUCTIONS: See reverse side 7oi /iling insbuctions.
CERTIFICATION STATEMENT .
FORM YEAR
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e) _��O S� � ��¢ - certify th2i'on�,he9s�tn�$ay of.idazcb: 19_
occu ied as our rinci al lace of r idence ihe followin described reai ro ert for which a Homestead Pro ert T8k E.tEifi �'^ �
`) P P P P 9 P P Y P Y F��reby Gaimed:
!(We) owned ❑ Are buying under contraci � .
(iave a 6eneficial interesi in the eniity thai is liable for the pmperty taxes on the pmperty and ihat owns the property or is buying under a contraa.
CONTRACTRECORDED. � -
If buying on contract, Pee Simple owner's name � � -
Fetorder's office where contract is recorded Record number Page
TownShip
Parcel number
of (he re5iden,ial 5trucWre or the lantl no�
y utilizetl to protluce income.
one (1) acre thai
(tity. town, rown5hip)
— � � . �i � ( si.�
�.ty surrounds that SWCNre is usetl Io protluce i�roome, descnbe the use arW portion
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediately
surrounding residential improvemems. (�)
Oiherland . (p)
Total land (line 7 plus line 2� (3)
Dwelling (4) �
Residentiai improvemenis �
Garage � (5)
Other improvements (6)
Total improvements (line 4 Ihiough line � �7)
Total value (line 3 p�s line � (g) -
I hereby certify the above is true. correci, and Signature of Assessor Date signed
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rtg action - SgnaWre ot Autlitor Date signed
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Gibson County Audilor
101 N Main
PRINCETON IN 47670
alaR InRN ��w iIC/�w�
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IndividuaL anJ merriN roupk� are Iimi�M io ore homeueaJ ,und;�N J�duniun. As ihe �eeeipi oi �his dNuc��fn 6ecomc
merc brneficial, thrre i+ morc incemne tlun e�er ior home>texl GauJ. I lomrn'teal GauJ causca h�her tu billi (ur all; themfore.
H6� I3a-i-30119 requims uxpa�ers who rcceivc �hc hanestead uandaN dnluction to reri(y ifui thry are elicidc to mcenc the
benefi� ant ro pnn'ide aJdiiional idemit�'in� inWrm:niun nemsary ro albw' rounn rorrmmrni ro betur munimr homese:Kl
IilinE�. lhix inlormalinn will M Aml conlidemial and r.in nnly M� arms�eJ by aWlmri�nl rnunty nfifcia!s. Thr Ikrytnnrem nf
Local Gwcrmn<m Piv�rce xill ua this intormation tu ereau uuls �lut will h:lp eamn� olTiciaU climmarc hmn<xteaJ fiaud.
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Taxoaeer Nnme Prnoem• Addre�s
Cross, Guy R/ Connie J '
918 �lill S'1' .
Princc�on IN i7670 �
1640
Guy R/ Connie J Cross
918 Mill ST Srate Parcel Number Leeal Descriptian
PrincetonlN 47670-1204
''I"II"'I'1111I"'III"""II'1I,I'I"'1I"'111III"I'll"1I x 26-11-12-204-001.275-028 019-01275-OOPTNE72211.401AC
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NumM(IastSdigiLS) Urivers
CO�N��
ic .4ddres5 (Number and nrtt�, cii}', sta�c, and "LIP cak)
ID Nmnbcr (laci 5
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Securin� Number (lazt 5 digits) DrivcYs LicenSHSUte ID Number (las� 5 dieit=
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pmpcny adares>
mdersiLmed certifies, under penalty of perjury�, [hat the above and foregoing infortnation is trve and colrzct and that he or she is elieible to
e the homestead standard deduction on �his property. Each undersiened also understands that, by claiming additional homestead deductions
fully, he or she may be liable for back taxes and substantial financial penalties.
I $isnnturc Dstc TcicD�c
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