Homestead_Dickerson�\
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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (R2 / S92)
T�jc�rqplt�ereby claimed:
❑ I(VJe) owned ❑ Are buying under contract ' •
❑ Have a beneficial interest in the entity that is liable for the property taues on the property and that own rop is b ng und a tract.
G7@SvN � rtr rv ,
CONTRACT RECORDED , �"
II buying on contract, Fee Simple owners name
Recorders omce where contract is recorded__ Record number Pa9e .
PROPERTY DESCRIPTION �
Counry Township - Taxing disinct (ciry, town, township) �
cel n ber _� Legal deuription �
If any portion ot the resitlentlal structure or ihe land not exceeding one (1) acre ihat immediatety surtounds Nai swcture is used to protluce income, tlescribe ihe use antl ponion of
Ne Dropery utilizetl to praduce income.
' PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry . Township
nature f daimant
ereby certify the above statements are true, conect and complete.
Address(numberantlstreeLciry,st ZlPCOde)
a a� ,� �or� 'ticQ .v .=N � � �
ASSESSOR USE ONLY TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VAIUE VALUE VALUE
Land not exceeding t(one) acre immediately (� �
surrounding resideniial improvemenis.
Otherland - ,_ (2)
Total land (line 7 plus line 2) (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvemenis � (6)
Total improvemenis (line 4 lh�ough line 6) (7)
Total value (line 3 plus line 7J (8)
1 hereby certify the above is true, cortect, and Signamre ot Assesor Date signed
complete.
Verifying action - SgnaWre oi Autlitor Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead s
Valuation or 52,000
Signature ol Audiror Date signed
•
Gibson County Auditor
101 N Main
PRINCETON IN 47670
FII.,E
aPR s o zu�u
.tl\Rf[1R.\1!JWIR:/taMl
.vvxrn�rn er arar aiwnrn �w.�t�. �s. ���
IRFASU[fAfU0.M :11A
InJiciduali aoJ nurriN muples a¢ limi�ed io nre hnmcstead �andartl Jedunion. A5 Ihe �tteip� ol �his Aeductan boconus
more brne5cial, tMe is morc incrnme than r�<r (or homntead fr�mi Homnuad f`auJ causes hieM ta� bill> fur ail: thr�eFare.
HEA li4i-3IX19 requim tacpacen v.�ho recei.e ihe hanes�caJ gandard �l'-Juction m.erilj tM� �hey are eli;iNe to mcene ilre
bmefit aN tu p�m'id< aJddiorial iJentifrinc in(wm�twn necr:'vrr m allw� counry gmrmmem �o Nver mmitw homrneal
filin��_ This in(mrtuiim will br Acry cmfidc�uial anA r.�n nnk l+� arcesseJ by amMrvcJ ronnry� olTcials.'I3e 1)qvnnrcni nf
local Gm'emmem Pinanee will ux ehfs infonnatiun W crute hwls tlut mill h:ln countt officials eliminam Ipme�twd frauJ.
2774 GIBSON C� �� ITOft
Joni J
228 N Ford
PrincetonlN 47670-1906
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T�spever Namr
Dickerson, Lonnie L Sr / Joni J
State Parcel Number
�( 26-12-07-204-000.052-028
Prnnert�� Address
??s N Po�d
Princcton 1\ 47670
Leeal Description
019-00052-00 K 8 D SUB DIV 3/4
Soeial Security Numbr� (last 5 digiLS) Driver's LicenseJState ID Nmnber (last 5 digiLS) Other (plcice specify in Pan 4 belox�)
Smc
Spou;e First Middlc � L � Last
� � f � � � ��r�d'
Mailine Addres5 (�tunber and slree4 ��)', staie, xnd "LIP cotk) Sune u pmpmy adJres.i
Sucial
-
,. . �
Each undersiened certifizs, under penalty of perjury, that the abo�•e and fore,�oina infortnation is trve and wrreci and that he or she is eligible to
receive the homestead standard deduction on this propeny. Each undersigned al;o understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taues and substantial financial penalties.
Owncr 1 Signaturc Ihm 7'cicphonc /
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Spoa;c Si rc �� Tclephonc
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