HomeMy WebLinkAboutHomestead_Delong�i^�`o
E E CLAIM FOR HOMESTEAD PROPERTY TAX
�� % CREDIT/STANDARD DEDUCTION
�;� 2 State Form Sa73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side lor filing instrucfions.
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e) _ f_1��� /�� �//) �i� C` certify that on the 1 st day of March, 19
.�Ne) occupied as our principal place ol residence ihe following described al pmperty for which a Homestead Property Tax Credit is hereby claimed:
� I(We) owned ❑ Are buying under contraci . .. �
❑ Have a beneficial interesi in ihe eniity thai is�liable for the property taxes on ihe property and thai owns the property or is buying under a contract.
CONTRACT�RECORDED '
If buying on contract. Fee Simple owner's name - .
Recorders oHice where contraa is recorded Record number Page
Gounry `/
Parcel number
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If any portion o
O� Ne propeM
' PROPERTY DESCRIPTION
TownShip Taxing d�ci (Gry, town,
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��itlential svucmre or the land not exceeding one (7) acre that immediatey surrounds ihat siruciure is usetl m protluce income, desaibe Ihe use arid ponion
to ptoduce incOme.
ASSESSOR USE ONLY
Land noi exceeding 7(one) acre immediately
surrounding residential improvements.
Oiherland
Total land (line 7 plus line 2�
Dwelling
ftesidential improvements
Garage
Oiher improvemenis
Total improvements (line 4 through line �
Total value (line 3 p�s line 7�
1 hereby cenify ihe above is irue, correci, and
complete.
�9_Pay19_
Lesser of 1/2 Homestead
Valuation or 52.000
TRUETAX I ASSESSED
VALUE VALUE
(�)
l2)
(3)
(4)
(5)
(6)
l�)
(8)
Signature of Assessor
STANDAHD DEDUCTION
S
of Auditor
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HOMESTEAD
VALUE
NON-RESIDENTIAI� .
VALUE
Date signed
Dare signed
Date signetl . -
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Gr�son County Auditor
101 N. Main Street
Princeton,IN 47670
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SGTE FORA1
TNFASL�RFAiO�.NTS1A
Individuals and rturried wupics are limiced to one homcaead standard deduaion. As the receipt of this deduction hecomes
more 6rnc(cial, thcrc is morc incentive Ilwn e�xr for homesttad Gaud. Homestead fiaud rauus higher �ax bilis for all; thcmfn¢,
HEA 1344-?009 mquim uzpa�xrs who recei�x thc homestead standard deductian to �erify ehai e6ry are eligibk io recene ehe
benefit and to pra�idc additimul identifi'ing informotion nttcssarv w zllow coimry govemmenl to bener moniror homestead
filings. ittis vtfomution uill be kept wn6demial and can only be atcessed by authoriied counry at5cials. The Dcpartmrnt of
1_acal Gwemmrnt Finan<e will use this infortnation ro crtatt mols thai will help counry ofBcials elimirem homrnead fraud.
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TaxpaverName LocationAddress
Delong, Mark V/ Lori A
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Lori A Delong
701 S PRINCE
PRINCETON IN 47670-2623
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I II�I�III��III �Ilul II�IIO II ullll
707 S PRINCE ST
PRINCETON IN 47670.
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State Parcel Number Leqal Description
26-12-07-304-000.644-028 �SMITH ADD 11 °
FILEI�
APR 2 8 2011
c.�.n�y
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This form MUST be returned to County A�ti��P�S�iI��R
Please do NOT send this form back with your tax payment to the county treasurer.
L�r � I I-� �t ti
iling Addnss (munber and svect, ciry :statc, end ZIP code)
-1 o l S. r ��n c 2 s-C . p<
ial Sccu=ity N�rmber (last 5 digi�s) Lhivds LicenselState m Numbcr (last 5 digia)
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in Part 4
undersigned certifies, under penalty of perjury, tha[ the above and foregoing informa[ion is we and cortect and [hat he or she is eligible to
ve the homestead siandard deduction on this property. Each undersigned also understands that, by claiming additional homestead deducrions
vfully, he or she may be liable for back taxes and substantial fmancial penalties. �'
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