Homestead_Dasch�
..••�•�. CLAIM FOR HOMESTEAD PROPERTY TAX�
d�A o
:3'�-y ' CREDIT/STANDARD DEDUCTION
' State Form 5473 (R2/1-90)
�' '°�• �� INSTRUCTIONS: See reverse side lor (iling instructions.
CERTIFICATION STATEMENT
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I(We) �� w• �.,rf�� certify that on the 1 st day of March , 19 /�.
(I (We) occupied as our principal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: . � I(We) owned ❑ Are buying under contract
� Have a beneficiai 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 contracL Fee Simple Owner's Name
Recorder's office where coniraci is recorded Record Number Page
County
i
PROPERTY DESCRIPTION
Township
Legal Description
If any portion of the residential structure or the land not exceeding �e ( 7) acre that 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
Township � County—_ -
hereby certify the above statements are irue, correct and
Sireet. number. city, state an
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ASSESSOR USE ONLY
!� f� � �, �Tv-• =r.-+ y 7 G ��7
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Landnotexceeding7(one)acreimmediately -
surrounding resideniial improvemenis (�)
Other land (2)
Total land - line (1) plus line (2) (3)
Residen[ial�improvements Dwelling (4) � - - � - - �
Garage (5)
Other improvements (6)
Total improvemenis - 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 7990
Lesser of 1/2 Homestead
Valuation or $2,500
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7991 1991 Pay 7992 19—Pay 79—
Lesser of 7/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,000 Valuation or 51,500 Valuation or 51,500
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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1530
TPFASUII[N PIR411n
A�Bm'EI�NI
h�diciduals anJ marrint couples are Iimi�N to oce homesteaJ wandaN J,Nuaioa As Ne �mtipt of ihis dNunion baconrc�
more benencial, therc i+ morc incrntnx Oun ner (or M1omesxacl fraud. Ilome.�ead i`aud causes hi�hrr taa bill> for all; thertfar.
HE.1 13+}-'fNW requim uxpayers .�ho receivc tlre hanes�ced standvd �liluction in vxrily �lut �M1er arc cli;iNe lo mrenc IM1c
benef� an1 to pnxidc aiklitionil identii�'inc informatwn nem'vey io allw� counn' �rmment �o bt¢r moniror humrs�eaJ
filim� . 77ti� inlurnulion will hr Aqv rnnlideniial and c�n only M acm. seA hy amMri�eJ rounty nflicials.'fhe Ikrannrcm of
Local Govcmmem Pinancc will uac this inio�mation to vrmtc hvls ihat will h:;n ��M1' olficial. diminaic Mrm<nt<ad frauJ.
David W Dasch
1601 W Brumfield
Princeton IN 47670.1026
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Ow'ner 1
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— .c nAdress (m�mbcr nnd s¢aY; cii
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$ocial Smurit}' Number (lasi i die�LS)
Taxoarer Name Proprrtc Address
Dasch, David W
1601 N' 13rumtield
1'rincclon IN 37670
State Parcel NumAer Le�al Description
�'26-11-12-104-000.533-028 019-00533-OOTOWER HGTS 33134 PT
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)rivers ittnse/State ID Nunibrr (la.t 5 i�iB)
Addre�c (Number and svee4 city, smie, und ZfP caie)
ial Saurih• NumMr (latt 5 diei�s) Dm�a's Licenrt.GStaic ID Number (lazt 5
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idersigned certifies, under penalry of pequry•, that the abovz and foregoing infortnation is true and corrzct and that he or she is elieible to
�he homestead standard deduc�ion on �his propeny. Each undersigned al;o understands �hat, by claiming addiiional homestead deductions
dly, he or she may be liable (or back taxes and substantial financial penalties.
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Si�mamrc IUate Ilcicpnone � �
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