Homestead_Dawson (5)a.�E Silly
°„ CLAIM FOR HOMESTEAD PROPERTY TAX
_��'� CREDIT/STANDARD DEDUCTION
State Form SG73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side !or 7iling instructions.
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t'N I I ►' 1
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I (We) � • �' �� � • \�^-'� certity ihai orNhPJY�y
. �n�
I l� occupied a ur principal place of residence ihe following described real property tor which a Homestead PropertwaPCr��ee� laimed:
�� Ve) owned ❑ Are buyin9 under contract
�ve a beneticial interest in the entiry that is liable for the property taxes on the property and that owns ihe property or is buying under a contraci.
� CONTRACT RECORDED
If buying an canVac�, Fee Simple owner'S name � .
� Recorder's oHice where coniract is recorded Record number Page
County ,
Parcel number
- �o a�
If any ponion of the resitl
Of th2 pmpelly u�ili2ed �o
or ihe land not
PROPERTY
one (t) acre that
township)
o� ��
nel surrounds that structure is used to produce income, deuribe ihe use and portion
� ASSESSOR USE ONLY
land noi exceeding 7(one) acre immediately
surmunding residential improvements.
Otherland
Total land (line 7 plus line 2�
Dwelling
Residential improvemenis
Garage
Other improvements
Total improvements (line 4 through line �
Total value (line 3 p�s line �
I hereby certify the above is ime, correct, and
complete.
Verifying action - Signature of Auditor
19_Pay79_
Lesser of v2 Homestead
Valuation or $2,000
(�)
i2)
(3)
(4)
(5)
(6)
I�l
(8)
TRUE TAX
VALUE
otASSessor
ASSESSED I HOMESTEAD
VALUE VALUE
STANDARD DEDUCTION
5
NON-RESIDEN'fIAL
VALUE
Date signed
Date signed
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�T : . . �
Gibson County Auditor
101 N Main
PRINCETON IN 47670
LI
STniE f(1F]I
1RFAtU4ERf00.N.-ilA
�EPMTNE`+!(F LD'LLL GM'Et VMGi fO:ANCE ICLI 1-i'J.1
InJi��iduals and m�rrinl coupks are limited �o ore homeuesJ �tandaN J<Uu.�ion. As the receip� oi �his dedunion Gcrn�e.
morc hneficial, there is morc incrnenr than rcer (or homesteael Gaud Ilomn�eaJ fmml causes higher �a� bflls ior aIC eherc(we.
HEA 13�i-7IXW requim uxpavers who receire ihe hanes�ead sinndaW dnluction m reri(y �lu� ehey are eli�ible io rcceicr the
bznrfit and ro p�w'iJ< adJitional iJemifi'm� in(wmanun necr.sin� �a allow counh' em'emment ro beuer monitur Mmesead
tilin�,�.'Ihis informmion x�ill be Aery mnticwial anA on nnlq R aecrss.J h�' aulMriud coumy olLcialt. The Ikpanntan of
Lceal Gmcmmcm Fi`u�rce w911 mc this inio�mation tu a<a;c muls iha� will hdp counn� offcial. eliminarc Fpma�caJ fiavd.
• • ' , ' ,
Taspa��er Name Propertc Address
Dawson, Larry G/ Kristine A
958
Larry G/ Kristine A Dawson
605 W Monroe
PrincetonlN 47670-2321
I�I��If���l�ll��l���lll�����i�l��ll���l�l���llll����l�l���ll�l
eos w nfo�e
Princeton 1\ 47670
State Parcel Yumber LeQal Descriotion
x 26-12-07-303-000.424-028 01s-ooa24-oo PRINCE P�p,CE
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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.
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Owner I First Middle Lut
�-ARt� � �N� � q1�/son/
�e Addrtss (numbcr and strcet, ciry, smtc, end ZI P codc) n Snmc ns pmpeM oddrcs;
vs �►. uro�►RO� s�. �R,N�E;�,�,r� �,���o~�,
$ocial5ccurity' Number Qast 5 digits) Driver's Licenu/Slat< ID Numba Qast 5 digiU) O�h<r (plcatc spccify in Part 4 below)
Spou;e First Middle [sst
riRtsrinct; QNnI DAv�lso�✓
Mailine Address (Number and stree4 ri�y, s�a�e, and ZD' coJe) �$ame as p`opem addreti
Saial Securih• Number (last 5 digits) Driver's Liccnsc/Sutc ID Nwnbcr Qazt 5 digiu) Oeher (plcasc specifi� in Part < below)
,
Fach undersi�med cenifies, under penalty of perjuq•, that the above and foregoing infurtnation is trve anJ correct and that he or she is eligible to
recei��e the homeslead siandard deduction on this property. Each undersigned al>o unders�ands that, by claimine additional homestead deductions
unlawfull}', he or she may be liable for back taties and substantial financial penalties.
Own<r I 5� Wre Uate '1'elephonc
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