Homestead_Davis (10)Gibson County Auditor
101 N Main
PRINCETON IN 47670
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InJiriJuaL. anJ �rer,ricJ coupk.� arc IimiieJ m nrc honwvcaJ uandaN Jiduc�ion. As ihe receip� oi �his JNunan bccome�
morc beneficial, there i. morc incenm< tlun acr (or home 7eyl fraud. I lam veaJ fiauJ causn hi�her tax bilk iw all: therefore.
HEA Ii�FI-'_009 rcqu'un u�pa.crs xho rccei.e ihc hanmeaJ standa�J dnlunion �o .eri(y iha� the. am cliciNe �o rccei.e ihe
benefit aml io pnn'iJe aMlitiunal iJentifi�inp intwm:nron Mcovrc to allw' counq� �rwrmmmt to Wner munitw homrsttaJ
filin�n�. This in(o�mLion will M lryM cm�ideNial anA can nnly h: �rcrzseJ hr aulhoriznl aounh' o0iciaB.'ffir Ihpanmem o(
Lucal Gwcmmem Piium�c will u.e this infurmuiun tu crcam tu�is tlut o�ill hcln rountv ufTinal. elimi�te IwmateaA Baud.
T•rzpa�•er Nnme
Davis. / Susan Marie
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/ Susan Marie Davis
905 W Mill
PrincetonlN 47670-1203
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Each undersitmed certifies, under penalty of pepury, that the above and foregoing infuRnation is we and coirect and that he or she is elieible ro
receive the homestead standard deduction on this prnoeny. Fach undersicned al>o understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taYes and substantial financial penal�ies.
d.��•RQ CLAIM FOR HOMESTEAD PROPERTY TAX
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:, : -_; ; CREDIT/STANDARD DEDUCTION
' :� State Form 5473 (R2/1-90)
'°" � INSTRUCTIONS: See reverse side for liling instructions.
� � �We�
�I (we) �
TION STATEMENT
�
FORM . _ YEAR
HC10 �
certify that on the t st day of March , 19 �
place of residence the following described real property for which a Homestead
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. ' ' ,
on contract.
County
Parcel
contract is recorcled
Township
Legal
CONTRACT RECORDED
PROPERTY DESCRIPTION
Record
town; township)
Uly - C�°i�b I I JE�d2tn�- �^�'x .°�
If any portion of the residential structure or the land not exceeding one (1) 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 COU
TownsFiip County
� �
fiereby ceriify the above statemenis are irue. correct and.
Address (Street. number, city. state
Township
ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
vn� nc
Land not exceeding 1(one) acre immediately ��
surrounding residential improvemenis (�)
Oiherland (2)
Total land - Iine (7 ) plus line (2) (3)
Residential improvements - Dwelling - (4) � -
Garage (5)
Oiher improvements (6)
Total improvemems - line (4) ihrough line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the ahove is true. Signature of Assesor Date Signed
correct, and complete -
Veritying Action - Signature of Auditor Date Signed
7989 Pay 7990
Lesser of 7/2 Homestead
Valuation or $2,500
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1997 1991 Pay 1992 19 — Pay 19 —
Lesser of t!2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or �2,000 Valuation or �7,500 Valuation or S1,500
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