Homestead_Deffendalld�•�•q CLAIM FO ESTEAD PROPERTY TAX
�� � ; CREDIT/STANDARD DEDUCTION
,�i��� State Form 5473 (R 2/1-90)
'°'• INSTRUCTIONS: See reverse side lor liling instructions.
I (We)
1J. Y--
CERTIFICATION STATEM
occupied as our�irincipal place of
rty Tax Credit is hereby claimed:
FORM
HC10
�
YEAR
IQ
cert y that on the 1 st day of March , 19 �
� the following described real property for which a Homestead
�0 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.
CONTRACT RECORDED
If buying on contracL Fee Simple Owner's Name
Recorder's office where coniract is recorded Record Number Page
County
PROPERTY DESCRIPTION
6`r'
Parcel Number I Legal Description �� �� �,a _' O ' X� O���
p, 9 -ol9ao a
If any portion of the residential structure or the land not exceeding one (7 ) acre that immediately surrounds th ruc-
ture is used to produce income describe the use and portion of the property utilized to produce in�.2 6 1���
�
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES Nvv���•.
ASSESSOR USE ONLY . TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
land not exceeding 1(one) acre immediately �
surrounding resideniial improvements (�)
Otherland (2)
Total land - line (t) plus line (2) (3)
Residential improvemenis Dwelling (4)
Garage (5)
Other improvements (6)
Total improvemenis - line (4) through 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
Veritying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 7991 Pay 1992 79_Pay 19—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or �1.500 Valuation or 51,500
of Auditor`� � Date Signed
.. �. �I I u�C�Y � a�e '�O
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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2252
�litFifW.nl!!W IIL'/��nl
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MASIIAER Po0.N :}I.�
IndiriJuaL anJ marrieJ rouplo arc limited �o rnrc hnmeaeaJ ea�MaN d;nlu.�ion. Aa �he �ecdp� ol Utis dMunion Mconus
merc beneficial, there is more incrnmr than e�er (or M1onx7eaJ frvuJ. Ilomn�esl f2uJ causes hi�her ta� bills (or all: therefae.
HEA 134i-'_IN19 cequire. uxpayen who �mivc iM1c homcvrad s�andarJ JeJunion to .crilv dwi ihcy mc elici6lc io rccci�c the
benefi� and tu pM'idr aiklitional iJentiipnc infurmnwn necr+'vrv �o allw� counry� gurmmem �o bener monftor honxse:�
filin2. Ihis infmma�ion will Fe l.qM con7idenlial and ein only Fe acm:.ed br autMrirni rounty olLtinls.'13e IXpannrcnl of
Local Gmcmment FimM'< ��ill u.c chis infomwtion w crcatc twls tlwt x'ill h:1p cpmq� ofFciaL. <liminam homesmal (raud.
• � � � . �
T•rxpa�•er Name Prnpert�• Address
Deffendall, Anthony / Krista
Anthony / Krisla Deffendall /
1128 N Main Sl
PrincetonlN 47670-8664
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Princeton IN a7670
Sta�e Parcel NumAer Lesal Description
x 26-12-06-104-001.920-028 SWALLOWFIELD 2/3
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Ow'ner 1 First AfidNe . Last
��o N O�way c�� �e,� 03�1—,
gnudnv(nuwba'm�d�snalci:;�s:a:c.�a-�dZIP:aC:i—__ _' ___ . �..4�mencpmirmnddrccc___ __ __"
( I 2� P.1, lY�vJ c�-
Social $ccurity Numbcr (last i diC��s) Driver's Licrnse/Slate ID Numbtr (lu� 5 digiB) Oiher (pleau sptcify in Pan 4 below�)
s�� F��t n��aai� �
��-g. �� Oe-��oa-1-�->
Mailine Addresti (�umbcr and strce4 cil)', �mle, and "LIP cude) � Samc •si pmpeny addrts,
112� N� rnA;,� S�-.
Social5ccurity Numbcr (luc 5 digia) Drivn's Licrn�JStatc ID Nwnbcr (1azt 5 digits) Ochcr (pl�c spccify in Part? Mlow)
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, . ,
Each undersi�meti certifies, under penalry of perjury; that the afw��e and foregoing infonnation is true and cotrect and that he or she is eligible to
recei��e the homesiead standard deduction on this propeny. Each undersigned al;o understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for 6ack taxes and substantial financial penalties.
Owncr 1 SicnaWrt DaL^ 7'elcphonc
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