Homestead_Dillon (7).�•^•�•4 CLAIM FOR HOMESTEAD PRORERTY TAX
3� w ; CREDIT/STANDARD DEDUCTION �
: State Form 5473 (R2/1-90)
•,' ,°�• •" INS.TRUCTIONS: See reverse side for filing instructions.
I (We)
CERTIFICATION STATEMENT
_ FORM YEAR
HC10
✓
certify that on the 1 st day of March , 19 �
1(We) occupied as our principal place of residence the following described real propert hich a Homestead
Property Tax Credit is hereby claimed: ❑ I(We) owned . Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the prope�a�d�t� t�
property or is buying it under a contract. ��
CONTRACT RECORDED
If buying on
PROPERTY DES PTION
County Township Ta 'n District (City, t
N �rr�r0 Legal De n
U
If any portion oi the residential siructure or the la d not exceeding one (1)�acre that irr
ture is used to produce income describe ihe use and portion of the property utilized to
' : i :
u.i i(; .� � ;c.�.0
township)
income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES �
' County Township
I hereby certify ihe above statements are irue. correct and
Address
city. �tate and
ASSESSOR USE ONLY
C�
that
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 1(one) acre immediatety
surrounding resideniial improvements (�)
Otherland . (2)
Total land - line (7 ) plus line (2) (3)
- Residential��improvemenis - Dwelting � (4) - - - � - - � - - -
Garege (5)
Other improvements (6)
Total improvements - line (4) ihrough line (6) (7)
Total va�ue - line (3) plus line (7) (8) -
I hereby certify the above is true, Signature of Assesor Date Signed
co:recl, and complete
Verifying Action - Signature of Auditor Date Signed
7989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
c
Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1997 Pay 1992
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or �2,000 Valuation or $1,500
19—Pay 19—
Lesser of t/2 Homestead
Valuation or 57,500
�te $i�ne� �
y
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Gibson County Auditor
101NMain '�' � � � 1 ••�• • � •
PRINCETON IN 47670 InJieiduaL� anJ rturricJ mupb are limi�ed to onc home�caJ uandaN dNu:uon. As ihe recript ol this dcduc�ion bcconrcs
murc benencial. thrre is mwe incrntne than e�er lor homesteml fnud. I Iomesreul frdud causs hieher �as 6ills (or all: thercfae.
� HHA 13a-i-?�MW requim uxpa�en ��ho r.ceiae thc hanesimJ smndard deJuaion a.erilr tlut �hey are <IigiNe io meei.c �6.
brnefit an1 tu pnn'ide adJitional idenuiymc informatiun necesvn• ro allw' caunrv ga'emmmt to b:ver muniror humrneaJ
lilin�,�.'lliix inl'mmalinn will M{.tY+1 mnliJemial and nn nnly h: arre...ed Fy wihnrized rounq� ofTaiul..'Ihe Ucpanmm�i nf
Lucal Go�'crmn<m Pinancc �vill u.c this inionnation m crcatc Rwls ihat x'ill hclp cwnry' uffidals dimfnatc Iromcttcad (nuJ.
3309
Stephen J Dillon
214 S Madison ST
PrincetonlN 47670-2226
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undersigned certifies, under penalry of perjury�, that the above and foregoing infortnatiun is we and correct and that he or she is eli4ible to
:e the homestead standard deduction on this property. Fach undersigned also underslands that, by claiming additional homestead deductions
��fully, he or she may be liable for back tares and substannal financial penalties.
1 Siptawrc
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