Homestead_Dawson (4)�, CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
� State Fortn 5473 (R6 /4-03)
Prescnhed by the Departmenl ot Local Govemment Finance
INSTRUCTIONS: See revcrsc side /or /ilin�� fnsliuctions.
FORM
HC70
A � H.1 " t
��
YEAR
I(VJe) L - /� 1i(.i(.(i� � ;� certify Ihat on the tst day of March, 20
I(We) upied as our principal place o( residence the foliowing descnbed real property for which a Homestead-Pro ertv T�c Credi�-s-h(�eieby daimed:
e owned ❑ Are b ���M ��f y��� I
) uying under coniracl GIBSnN CO� IN i v qUDITOR
` Have a benefidal interest in the en6ty that is liable for the property taxes on Ne property and that owns the property or is buying under a wnVact.
I( buyinq on conirad. Fee Simple owners name
Recordars ofice whera conVact is remrdeC
Counry
Parcel number
�
rc any portfon o
of the proDertY
Tavnship
7 / � — t.-(J I /� rn�sA(1, ( (n
utlentlal sWqure or Ne land not exceeding one (t) aae
b produce i�oma.
Recofd number � Page
property in question:
al D�oGertY ❑ �b4e Hano (/.C. 67.7-7�
that swGUre is used W produce incane, Aesaibe the use and portion
���`'r;�'°'��=��'8` �'� s�t�- ..; �� TR E AX�� ASSESSED VALUE +�HOlAESTEAD }��:NON RESIDENTIAL�a n
�} �4��ASSESSOR USE ONLY�V -�� ,.f.t_ � 4rr.�`' �� �
�-- w.�-'�-za� _d «�<<�`�6._.,>_`T��u-'^-�>S�'S.� � VAL.UE�r.�� "AT 100%'OF`T7V� �F��%.VALUE� $` ��-.�; VALUE�^Y,-�h�.'�.
Land not exceeding 1(one) aae immediately M�'�, �'"s`�*�r��'} y:� ��s�
surroundingresidentlalimprovements. (�) ���'r �, �-�� M:,�s�s� y;,
/ ,�ei .�« xs�a-rv r-.: �
OUierland (2) �fSu�b-� �'�
- -«�s:.� ..��,...
Tdal land (line 7 plus line 2) (3)
. � ��. ,�� .a...
Dwelling (4) '� � � "�� '�'O'��''
E x a' �� �`' t-.,.
Residential improvements or Mnually �^�'�`�'�"� � � "''��$"�-���"`�
Assessed MobOe / ManufacYUred Hame Garage �5� '��"�+�%;,�t� ''�' �.
��i�a�s s'�'wia3'<�� .'`s-_.'�#�o��.i�_
Other improvemenls (6) � ��"�'`�
�iw ���
TUaI improvements (line 4 through line 6) (7)
Tdal value (line 3 plrs line n (g�
I hereby certify the above is We, corred, and Signamre ofassessor oa�e signea
complete.
Vailyirg adion - SignaWre of Auditor Dale signed
. _ _ ^'�"-+�.: �,.x..... �...3'0..� . . �� _ . . � : � at. -- � .-a-�v -rsv,-±�.-,-"'�-- �_=� _ _�-�. v �.
��,; _�::';��,t�,�.^�^-- ��:+;3�i,�#�-r`„�-.STANDARD:DEDUCTION'ALLOVJANCE;�c,:,'+���y��e,,�.z.�,�'.c�� : „� �u;r`--
20 _ Pay 20 _
Lesser of 1l2 Homestead S
vauanon w E35.000
Si9nature o( Audila ' Date 5igned
•
Gibson County Auditor
101 N Main
PRINCETON IN 47670
2994
Chad Dawson �
233 S Seminary
PRINCETON IN 47670-2119
1RIASURL0.(00.V YIA
Individuals and m�rriN muple� arc limi�nl �o orc home�cad �tandaN JNunion. As Ne receipt of ihis Jcdunion bccomes
morc beneficial, thrre is morc imrnm�e chm ecer for homeitracl GauJ. IlomesuaJ freud cause� hi�M tai bilk tur all: therefar.
HEA 1343-7IXl9 requims �a�pryen who r.�ccirc �he hnmesteed smndard dcvluction �n veriPo tha� they am cligiblc Io mcei�e �he
bCnefil �nd tu p�m'ide :xleliliunal iArmiiyinc infumiation necessan� iu alluw rounp� garmmenl to bever munitor humesuacf
lilin��.'lliis infnmulion x�ill M Aryv mnlidemial anA can onlr Fc accrzuJ M1y� aulhnritN comn�' niLcivl�.'Ihr Ikywnmrn� nf
I.ocal Guvcmmrn� Fi�uM< will u.e �his iniormaeion to cream twls �hat will h:Ip counrv uRxials diminaic hom<n<ad fiaud.
,•, '. '"
���n��n��i��u�ni���iuu���ui��ni���i�nn��ni����ui��
Ta�paver Name
Dawson, Chad
State Parcel Yumber
� 26-12-07-401-000.919-028
Propertc Address
?33 S Scminarv Sl'
Nrinceion IN -07670
Leeal Description
019-00919-00 HOWES ADD 3 PT
1' �
Ou�ner 1. First hfiddle LaSt
� � ''�� l'� N ��ti��� o�
g'Addrev (aumh� md �v��[, ciry: s'�tc, snd ZIF.w'c) --- — --- ' — — -- ❑'S�mc r: propem• �cdrt- -,r— - . ' '
33 S - �� i !�s ri � �v � `7 `�-6
$
Spou;c First Middlc Last
Mailine AddreSti (Number and 5tree4 ci�y, s�ate, and ZIP cude) � S�une ati pmpeny address
SocialStturiN Number (lazt 5 digi�s) Drivcrs Liecnsc/Statc ID N�unbcr (las� 5 digits) Oihcr (plcase spccify in Part < bclow)
sex
� . . �
Each unders' ed certifies, under penalty of �rjup�, that the above and foregoing infortnation is true and correct and that he or she is elieible to
rece the omestead standard dedu tion on this property. Fach undersiened al>o unders�ands thai, by claiming addiiional homestead deductions
un Ily he or sh m liable o 6ack taxes and subsWntial financial penalties.
'ner Si aue Uste 7'dcphonc
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po � giamre ��� Tcicphwrc
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