HomeMy WebLinkAboutHomestead_Day (4)'.�•�•� CLAIM FOR HOMESTEAD PROPERTY TAX
d/r:'' °-
��- y' CREDIT/STANDARD DEDUCTION
� State Form 5473 (R2/1-90)
INSTRUCTIONS: See reverse side lor liling instructions.
� CERTIFICATION STATEMENT
I (We) \1'� � I
I^�+/e) occupied as our princ
�perty Tax Credit is here,
�Have a beneficiai inten
property or is buying it
FORM
HC10
✓
eG 1� - certify that on the 1 st day of March , 19 ��
I place of residence the follo g described real property for which a Homestead
claimed: ❑ I(We o ❑ Are buying under contract
in the entity thai is liable for the property taxes on the property and that owns the
ider a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's
Recorder's oifice where contract is record
PROPERTY DESCRIPTION
County
ParceOl ( y,mbOpL319 I Legal�e,s�ripti�� �^�� I, aSF�C °� {��dc2-��
�, v�
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds
�nn�.
Wre 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
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ceriify the above statements are true. correct and
Address (Street, number
ASSESSOR USE ONLY �
state and ZIP code)
Page
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 7(one) acre immediately
surrounding residential improvements (�)
Otherland � � (2)
Total land - line (1) plus iine (2) . (3)
Residential improvemenis � Dwelling (4)
Garage (5)
Oiher improvements (6)
Total improvemenis - �ine (4) ihrough 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
1989 Pay 1990
�ser of 1/2 Homestead
Valuation or �2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7991
lesser oi 1/2 Homestead
ValU�110n Of $�,OOQ
7991 Pay 1992
Lesser of 1/2 Homestead
Val{�dli9n or $1,500
19—Pay 19—
Lesser of 1/2 Homesiead
vaivation or �t.500
Signature of Auditor �M� (� ,�dV\ I Date Signed
l 1' 1J I� J�,Q.�.o 5- 3_- 9 0
:
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�7 .
29�5
SIiRfORN!!'Mlti/�MI
iRI.�S�:IFA fORV �Sln '
IndividuaL+ anJ ma:riN aouple. are Iwiied to ore haine�eaJ vandard J.Nu.�ion. As �he rereip� ol this dcductinn becrnre�
mare beneficial, iherc is morc incemne dun e�er (or homrsieal $aud. Ilomestui fimul caasa higher ta: bills tw all: therefar<.
HEA 13-4i-?IX!9 requims uapa.ers who r.ceire ihc homesmaJ standa�d JNuction to .erily that they are elicide io recci.e ihe
benePo anJ ro pnn�ide :K4litiunal iJemitying infummtiun nceessan� ro alluw tounn' @mrmmem �o btrtcr muniror homeste:�tl
filingy. This informatinn will M F.cp cnnliJemial anA can nnly Ft• accesseA 6y amhnriiM rnunlr nBcials.'I'he Ikpvimem of
Lacal Govcmm<m PinaMC �� ill u.< this infonnaziun W arcam c�uls ihat �cill hclp cpmtt ufficiaL. climiwic homcsrcml fiaud.
. � � � . �
Taspa�•er Name Prnpertc AJdress
Day, Marilyn K
51 I S IIaII
Marilyn K Day
511 S Halt Sl
PRINCETON IN 47670-2325
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Princemn IN 47670
State Parcel Number Leeal Description
X 2612-07-303-002.319-028 P7 SW 7 210 z5 AC Hn�LS 2ND 42 PT
�
Owocr 1 First Middlc Lu�
Mar�� � � J�Q 1�Qy
�; Audrev inumber mxl �trecti city;�a�nte: and ZIP.odc) — �— � Seme es propem oddms;— —'.--- - .' _—
�/i s� �aQll s7��
Social $ceurily Number (last 5 dieiu) Driver's License/S�ate ID Number Qazt 5 digits) Other (please speciFy in Pan 4 bclow)
Spouu First Middlc Lza
N� ��
Mailina Addrcu (Number and slree4 n�y, s�a�e, and "LII' code) � Same u pmpem addres
Social Sccurity Numbcr (lasc S digi�s) Drivcrs Limnse/SUre ID Numbcr �la;t 5 di���s) Ochcr (plcatc spcciF� in Part 4 Mlow)
s�
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Fach undersi�meti certifies, under penalty of perjury, that the abo�•e and foregoing in(urtnation is true and correct and that he or she is zlieible to
receive the homesiead standard deduction on this property. Each undersiened also undentands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
a.aer � s�bmaiwe un�c ���depnone
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Spouse Si�.�fueurc �j� Telephonc
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