HomeMy WebLinkAboutHomestead_Cutsinger (5)- :CLAIM FOR HOMESTEAD PROPERTY TAX
t CREDIT/STANDARD DEDUCTION
S�ate Fortn 5473 (R8l 7-07)
•� � Prescnbed by Ihe Departmerrt aF Laal Govemment Finance
INSTRUCTIONS: See reverse side (or filing insWctions.
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� iW � ' certify NOa on lOhe N t day of March. 20_
I(We) occupied as our prindpal place resid e the following described real pr rty for which a Homestead Property T�c Credit is hereby daimed:
,I(We) owned ❑ Are buying under mntraU
Have a benefiaal interes[ in Ihe entity fhat is liable for the property laxes on ihe property and Uut ams the property or is buying under a crntract.
If buying on coniracl, Fee Simple ownafs name
RecorCers af6ce where conUaa
Counry
Tamshlp
(c�ty,
Recwd number I Page
Parcel number � legal descripUon ' � I Is �he property in queslion:
�1.e2�Clne+/�-�� �I a..�- ii I,�'..� 6 0❑ R�i o�m ❑ Mobile Home (/C 6-7.7-n
If any portion of lhe residential slrucW re or Na land not exceeding one (1) acre Ihat immediately sumounds U�at sVUCWre is usetl in pmduce Inwme, descnDe Ure use and portbn
af Ihe yoperiy uUGZetl to produce incwne.
a�-�a. o6-��y_oo3.a7�-�a�
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Land not ezceeding 1(orre) aae immediately � 'a �`�'� ���x y� ':
surrounding residentiai improvemenLs. �� � r .. i, : �'� .,, ..; � � ''' ,,,'� -:
Other land (p� � � `-'�
,.z:;
Tdal land (line 7 plus line 2) �3�
4 ,
Dwellin9 (4) '; � is r .'
Residential improvements w Mnually y f..
Assessad Mobite I ManufacWred Home ��_~ �-.��:
Ga2ge �5) _
Other improvemenls (6) � . -
Tctal improvements (Irne 4 through line 6) (7�
TUaI value (line 3 phs line n (g)
1 hereby certify the abwe is true, cortecl, and Signature of0.ssessor Da�e signed (mmlA, Cay, yea�
complete.
Verifyirg atlion - SignaWre of Auditnr Dale signed (month, day, yea�
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ZG _ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2017
Lesser of 12 qq.000 tor 2008 pay 2009 41,000 for 2071 pay 2072
Homes[ead Valuauon 8
w 43,000 for 2009 pay 2070 40,000 payabie after 2012 . .
SignaWre of Auditar Dale signed (rtronth, day, yee�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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�'ILED
APR 2 2 2010
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Indi.iduaL.� anJ nu:riN couple are limiinl io oce hortrc..tcaJ va�WaN ANu.�inn. As the �ecdp� ol' �his deduc�ion baomcs
more bemficial, therc i. morc incencne da�n rwr tor M1omeiieaJ fraud Ilomeittad fraud cau<s hi�M ta� bills for all: thert(ore.
HEA 13ii-?fl(19 requim mxpa.crs x�ho rsei.c ihe hancstcaJ standard JeJuaion �n verify tlut they art eligiMc to mcci.. ihe
benefil anl tu pnn'iJe :xl(IiliUnal iJentityinc inWrtnatwn nere+vn� to allw� county grn�rmment ro b:ver moniror homes�e:xi
lilin��_ lliis in(nmulion will M AryM ennlidrn�inl anJ r�n only h accesseJ hy aWlwriud rnunn� o0iaiul+. "fhe Ikpanmem n(
LUC]I GW<RIIM11� P�NM< NIII 1K [IIIS IOtUl�IIiO411 t0 CfCd�f IWIS IM1iI \\"III II:I�I ttMl(1b' UI�R1dLY lI1TINlC hom<nod &auJ.
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T•rzpaeer Name Prnpertc AJdress
Cutsinger, David UJudy K
David L Cutsinger
1818 Cottonwood Dr
PRINCETON IN 47670-3328
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ei:�: snm, sd ZIP codc). —. .—_ —_
e Address (Number and stree4 city, stale. and "LIP caie)
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Sccurity Numbcr (laa 5 digirsl Drivtt's LiccnsdStatc
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I81 S Conon \4'ood DR
Iiincemn IN d7670
State Parcel Number Leeal Descriotion
26-12-06-204-003.276-02� 006-0327CrW NORTHBROOK HILLS
/ �J PHASE 111 60
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pro�:m.
Othcr (plcax specify in Pan 4 belox�)
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Sa e�:ti prupeM adJre>s
spcciF, in Part 4 bclow)
mdersitmeti certifits, under penalty o( pequry, that the above and foreEoing informatiun is trve and corrzet and that he or she is elieible to
e �he homes�ead siandard deduction on �his property. Hach undersienzd also undemands ihat, by claiming additional homestead deductions
fully, he or she may 6e liable for back taxes and substantial financial penalties.
I Signaturc h� Tci<phonc
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