HomeMy WebLinkAboutHomestead_DarnellCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� � Slate Fortn 5473 (RS I 10-07 )
�� Presaibed by fhe Department ol Local Gwemment Finance
INSTRUCiIONS: See revarse side lor �ling insWcfions.
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� (1Ne) 4 ° - • C \� - ' a — - — . @Srtify �o the 1 sPday of March, 202
1 e occu 'ed as our rinci 1 lace i residence the followin des bed real ��Y`�a�~4 �
(W ) W p pa p g property for which a Homestead Ropert�F�c�G �edtl is,hereby dalmed
�I (VJe) owned ❑ Are buying under conlrad � '
Have a benefidal interest in the enttty that is liable for the properry taxes on the property and thal owns the properry or is buying under a contraG.
I( buyug om m�tracl. Fea Simple ownets name
contracl
Counry Tamship
Parcel number Le 1 ' n
,. o�i -�o a�
H eny poAion a( Ne resWentlal strucwre w the land not exceedi`p one (1) aa
ot Me propeNy W7izeO to podum irrcome.
Record number I Page
daVict (tlty, town,
I Is the property in puaslion:
;—; ❑ aw oroaaro ❑ Mo�a. H«�o o.c. e-,.+-n .
surtounds that swcNre Is used W produce income, desaiDa ihe usa end portlon
' ����ur��t'��,"�,'��.��'��;:sr,wtinrtn:oEOUCnoN�AUOwnNCE�.�:',��.r.,��•�.�?��,�_'�.���:�
20 _ Pay 20 _
Lesserof 1/2 Homestead
Valuation or 56,000 $
SignaNre of Puditor ' Date signetl
Gibson Counry Audilor
101 N. Main SVeel
Princeton,IN 47670 :
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_ NOV 14 2011
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Individuais and married mupla aze limimd to ane homcarad siandard deduction. As ;he receipt af this deduction bemmes
more henefxial, ficrc is mare inttnti.�e Ihan aer for Iwmatcad fmud. Homestcad fnud auses tigha uz bills for all; there(ort,
HEA 1344-?009 rtquires taxpayrrs a�ho rccci��e thc homestcad standard deduction �o verify [hat thcy are eligiblc ro recei�c thc
benefit and to prmidc additiowl idcntifying information nccesssry to ellou� tounry grn�emment lo better moniror homrncad
filings. 7}tis infortna[ion will be kepi tonfiden[ial and <an onFy be accesscd by auihoriied wunry oRicials. lhe Dcpartmrnt of
Taxuaver Name Lowtion Address
- C� N� Damell, Timothy,SlCatherine G
7 76 N Prince ST
GIBSON COUNTY AUDITOR � ° Princeton IN 47670 '
" 2755
Timothy S Damell ' II�I�III��III �II I II�II� II III�I�IIII��II�II�II�III�I�II� II�II��II II
116 N Prince �,
PRINCETON IN 47670-1852
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2612-07-203-000.070-028 OLD Puw 26 PTrsS PT
Y
This form MUST be returned to County Auditor's office. .
Please do NOT send this form back with your tax payment to the county treasurer.
.ner l First �L �.
�r���t�n ; �b�l
uling Addms (numbcr shee4 ciry, statc, end ZIP code)
[ 1 l� N . t��� n� �-�- . �r�n c��av�. �V�l �(%6 �C�
:ial ssa¢;ry N�m,na past s di�LS) nrivcls Liccase/stau ID N�m (las� s digia)
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iling Address (�umber and streeC ciry. statc, and ZIP crodc)
tI61J,`�Y�nc��- ��cQ.•i=ov� °�`�
:ial $ccurity Number (la5t S digiu) Drivcrs LicenselStau ID Numbcr
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�7�`l0
'last 5 di¢iUl
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Samc as pmperty address
- Othcr (plcau spccify in Pari 4 bclow)
Sne
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Same u pmperty address
undersigned certifies, under penalty of pequry, tha[ the above and foregoing infortnation is We and correct and that he or she is eligible ro
re the homestead standarcl deduction on this property. Each undersi�ed also undecstands that, by claiming additional homestead deductions
�fully, he or she may be liable for back taxes aud substantial £mancial penalties. . ��
w�ner 1 Si�atu�e Date '
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