HomeMy WebLinkAboutHomestead_Davis (16)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
; CREDIT/STANDARD DEDUCTION �HC��o � �
Staie Fwm 5473 (R6 / M3) � � � �� �,.
PreSUip¢d by Ne Departmenl of Local Govemment Finance
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See reverse side for filing insln�clions.
�(V✓e) — vi cerlh'fy��i tvon`h�� � t d�y`.o�ar{h���
I(We) occupied as our cipal place of residence the foilowing described real property for which a Homestead Property�Tac,E edi4is,heVeby daimed
❑ I(VJe) owned ❑ Ne buying under contract
. Have a benefidal interest in the entity that is liable for the property taxes on ihe property and that owns lhe property or is buying under a conVact.
If buying om m�Vaq. Fee Simqa owners name
Remrdefs olfite whera contraIX is reoorded
Turnslrip
�,J[ / �FJ�.�V /� �/�+I �A YlyJ[�(.I(J�
N any poAion of Ihe residentlal sWdure w �he IanC not axcaeding one (1)
of the DroPertY utilized lo produce inmme.
Counly
I hereby certiy ihe above statements are We, wrreG and complete.
aiM street, ciry, stata, LP code)
Record number � Paqe
Taeing distriet (eiry, town, township)
I is the property in question:
❑ Rea� property ❑ Mobila Homa (/.C. 61.7-�
surrounds �hat sWCture is use0 to prafuce income, describa Ne use and pOrtlon
County
ot Gaimant
Tavnship
i
�� �;��7"'�yA� � E�N �-a.- �� �TRUETAX� ASSESSED�VALUE �HOMESTEAD ��� �` �� �� "
''-��. � ,t � .�;� ?� NON�tESiOENTIAL �7?
�.zzi'.F�x� .[st�;.�='�-`�`.._-"'-.,..: � �e���c;� �'€`,,,VALUE�-�,��'. : ATS100%OF�TTV� �VALU� &�S f^..'-�Sp--•y.ALUE�.�.�'zc.��'
Land not exceeding 1(one) aae immediately +��'-+.� -!+
surrounding residential improvemenis. (�) ���'s"'����'�'.�
'�a'�Kdh`ri...�'.-'""t�..�yzr te
Otherland � '�r"'�� �
(2) .v �'� � �
;.".�����'�
Total land (line 1 plus line 2) (3�
� S. b R- �s�-�;i:'�
9 (4) �� � , 7, � �•��
Residential improvements w MnuaOy �ellin j `_ .�� �. z
Assessed Mobila / ManuFacWred Horrre
Garage (5� � -. � "-%�r � z
cY..x "ai .i:.- { ..s.'r�
Other improvements (5) '�� �' a
--3- ¢=:Y. ':.:-
��t�::
Tdal improvements (line 4 through line 6) �7�
Tctal value (Gne 3 plts line n �g�
I hereby ceAify Ule above is We, corred, and Signawre otASSessor oate signed
complete.
Vaifying action - Sigrature o(lwditor Date signed
'+-'t"3;",� u _ -
� ��`"°-��r�����a��� STANDARD;'DEDUCTIONAL'LOWANCE,j�;tu-� N�:-�����,�,,,,�--,�;.-�x� x'•
. �,��-'��
20_Pay20_
Lesser of 1/2 Homestead S
vauanon or 535.000
Signatura otAUditor ' Date s"gned
Gibson County Audilor
101 N Main
PRINCETON IN 47670
•
1022
iNFASURFAf00.V �}�A
LMALIXn26CXFAifR: \CEICSI.I-L'!J
InJividua� and m�:ried coupks a�e limited �o onc homcuead �andaN UNunion. As the rtteipt of Nis deduafon bttrn�es
mom beneficiaL ihrrc u more incentire than rc<r (or homNead f`aiu1. Ilomn'tead faud causes higher tac bills for all: thertfae.
HEA Ii37-?IX19 requitn uxFa�m who receive thc hwnestead sundard JNuction �u vrri(v ttu� tM1cy art cliciMe to recene the
benefii and ro p`a'ide y4iitional iJrnGi�i�v_� infwmauun nec��-vrr ro aliw' eounp� emrmmrnl m bever moniror homcsread
filino.11iis inlo�ma�ion will 6e LeTa mnfCemial anA esn only h acce_�eJ Fy wiMriznl rnwu�� o(faials.'I'he Urpannum nf
I.ocol Govemmrnt Pinance will u.c �his iniormation W cream tools tha� aill h;lp county officials eliminarc home>tcaJ fraud.
� � � ' �
Tasparer Neme Propertc Address
Davis, Gregory A/Monica }}}���(((���((( ) aa � W�ry� o,n,� p�
� ??9 N'�fonroe
Princeton IN 47670
Monica Davis
221 W Monroe
PRINCETON IN 47670-2449
���u���ii�������in���nni�i�i�ii�i�n����ni��i�ni��i�ii��
State Parcel NumAer Leeal Description
26-12-07304-003.075-028 019-03075-00 HALLS ENLG 12PT
This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
�• �
Owna I First Middle Last
�(Yi b Y� � CC� Yl� 0.t' �� � v t S
ig Addr�s (number mid stteet. ciry, smle, az�d ZIP code) �'�`ame ai pmpcm edd�v
o�a � w �Mo��' e-e_ �� .
Soeul $ccurit} Number (last i dieils) Driver's Licrme/Sute IU Number (lazt 5 digits) Oiher (please specify in Pan 4 below)
SFau;e Fim Middlc Lw
Mailine .Address (NUmber and svee4 ��}', siate, and "LIP c«ie) � Same u pmpeny addres�
Social5tturity Number (lazt 5 digirs) Dm�Ns LicenselSlatc ID Nmnber (la;� 5 digit5) Oehcr (plclse s}uciN in Part 4 bclow�)
so,�
- - — - - - , - --
Fach undersitmed cenifies, undzr penalry of perjury�, that the abovz and foregoing infortnation is true and correct and that he or she is elieible to
receive the homestead standard deduction on this property. Hach undersicned al;o undemands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
Ow'n r I$iqnevae Date Telephone !.. �
Spouu Si�namre pzie Telrphonc
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11 1 �' �
2 Y� Gi \
� p o rd .