Homestead_Dishon (4)..•n�h CLAIM FOR HOMESTEAD PROPERTY TAX
d K A q'.
;:� y� ; CREDIT/STANDARD DEDUCTION
� ;� State Form 5473 (R2/1-90)
�' '°° � INSTRUCTIONS: See reverse side for filing instructions.
I (we)
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CERTIFICATION STATEMENT
FORM AR
HC10
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on the 1 st day of March , 19
',We) occupied as our principal place of residence t�he foll wing described real property for which a Homestead
Property Tax Credit is hereby clafined° -t�J �(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 contracL
CONTRACT RECORDED
on contract. Fee Simple Owner's Name
Recorder's office where contract
PROPERTY DESCRIPTION
ownship Taxing Distr�
Legal
1/�
Record (JJ'mber q
If any portion of the residential siruciure or the land not exceeding one (7 ) acre that immediately surrounds that struc
ture is used to produce income describe the use and portion of ihe propertq utilized to produce income.
County
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township County . Township
above
ASSESSOR USE ONLY
are true. correct and �,jr Signature
n- �
ZIP code)
r
r
TRUE TAX VALUE-' ASSESSED VALUE HOMESTEAD VALUE
�
NON-RESIDENTIAL
VALUE
Land not ezceeding 7'(one) acre immedia[ely
surrounding resideniial improvements (�)
Oiherland (2)
Total land - �ine (7 ) plus line (2) (3)
Resideniial improvements Dwelling . (4) _
Garage (5)
Other improvements (6)
Total improvemenis - line (4) ihrough line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify ihe above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature o( Auditor Date Signed
• 1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7991 1997 Pay 1992 19—Pay 19—
Lesser of 7/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,000 Valuation or 51.500 Valuation or �1,500
Signature of Au �oJ ,(� ��/ ,.,y/�� Date Si�!ed�
l//1/�/lti0. l� 1` // I A A,ln.� J�'7'7(
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sur[ mtu!�w�tii.w� nir.�cuaut roRV z�n
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Gibson Caunty Auditor
101 N Main
PRINCETON IN 47670
3650
IndividuaL. anJ ma:riN mupks are limi�ed m nrc hnme.ueaJ uandaN JtAu.�iun. As the retttip� ot ihis JMuction become:
murc beneficial, therc i> more incrntive than ecer (or honxsleaJ fr,mJ. Ilomo-rcazl f2uJ cauiei higher ta� bills for all; Ihertfae.
HEA 6i�1-21NW requim mipasen who receive ihe hMnestcaJ s�andard dNuaion to .xrifv ihat they mc elieiMc io recei.c th<
benefi� anl Iu pnn'idr aiWitio�ul idenuirin_ iniurtnanun riecesvn io allua counn gm'rmmml ro beuer monitur humeste:vJ
filing...'Itiis iN'nrmation x�ill M Aery contldrn�iN anA r.m nnly M. arer:.ed h�� authoriud couni�� olTicials.'I'M1e IRpanment oI
Lunl GovcmmeN Pifu�rce ��ill uss ehis iniormation W creatt 4tds �ha� will h:Ip rpmrv officials diminam humestead (raud.
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Taxpacer Name Propert�� Address
Dishon, Ernastine E
Ernastine E Dishon
830 S Hall ST
Princeton IN 47670-2332
I�I��II���I�II��I���III�����I�I��II���II���I�I��il�ll�����ll�l
830 S Ilall S'I'
Princcton IN d7670
State Parcel NumAer Leoal Description
X 26-12-18-101-001.052-028 01301052-0o L E WOODS 16
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O..ner I First Middk Lazt
.e.s .��v,-e � , S 11 o rt�
�e Addicss (numbcr nnd -etrceL ciry. statc, and ZIP codc) ' '- ' — '- - — --- omc ns pmperiv addlev �� � — - — -
$ocial Sccuriry Number (Ust 5 die�u) Driva's LicenSd$Ute ID Number Qasi 5 digiLS) O�her (pleue specify in Part 4 bdow')
��
Spou;e First Middlc L�sc
Mailine Address (Number and slreei, tii}', siate, and "LIP cak) � Same az pmpem addrew
Social Sccuriq� Numbcr (last 5 digirs) Drivtt's LicensdSta�c ID Numbcr (lazt 5 digits) O[hcr (plcuc spccify in Pan 4 bclow�)
sez
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Fach undersitmed certifies, under penalty of perjuq�, [hat the above and foregoing infortnation is we and wrtect and that he or she is elit�ible to
recei��e the homestead standard deduction on this property. Fach undersi¢ned al;o understands that, by claimine additional homestead deductions
unlau�fully, he or she may be liable for back ta�ces and substantial financial penalties.
Oxncr I $ignawrc \ Uatc
Spoux Si�mamre Uatc Tdcphonc
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