HomeMy WebLinkAboutHomestead_Drewi�
Gibson Caunty Auditor
101 N Main
PRINCETON IN 47670
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MASUAIJIfIM4:S1.�
fnJividuaL. and nu:�ied couplr.: are limited to nre home�tesJ �randard Aedunion. As ihe receipt o1 thi> dcductan bttomc
morc beneficial, tMe is morc incentnc than rcer (er home7tacl frami Iiom vead fnud causs highn ta� bills (a all; thertfae.
N!A ISIi-3009 «quirts �aaparers w�ho reccire �he hanes�ead c�ndard JNuction m rerify dut they am eliciNe to rtcei.e �he
benefit anJ io prw'ide aWiifo�l identiirin_ Informar,on nemssan� to allou� tounn� gw'rmmrnt ro bet¢r monitw Iwmatcxf
filirk,�.'fhis infarmaiion xill M Aep cmf�auial and nn only he acressiil br awMrved roumy o((mials. The Ikpannxm nf
Local Gm<nvMm Fiwnc< ��ill me this fnfo�marion m crcace twls that x'ill hclp cvunm official> dimi`arc Ipmestexl (raud.
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APR 1 4 Zu��
_ Taxpa��er Name Propert�� AJdress
_ � � Drew, Raymond L
GIBSON COUNTY� 17tlR
862
Raymond L Drew
312 E Spruce ST
PrincetonlN 47670-1750
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31?fiSpnseST
Princcton W a7670
State Parcel Number Lesal Description
X 26-12-07-201-002.425-028 019-02425-0o OLD PLqN 120 PT
This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
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Owna 1 First MidNe Laz1
�a� L Pe f Pw
e Address (number ond ->trat, tirv, stale, end ZIP cadr) �$ame ns propeny add�¢.
`�I2 �. S S ` '
Sotial $ccurity Number (last 5 d�giu Uriver's License5la ID Nmnber (last 5 di:iL) Othe� (pl¢se specify in Pan 4 below)
Spou;e First Middle Lvt
�' �-� r e W
� Mailin, Addttss (�umber and sYr<el eily, sWle, and "LII' cak) rril $ame:�i pmperty adJ�a;
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Social Stturity Number lazt 5 digitt) Dm�crs License/SU[c ID Niunber (la � 5 digits) Oiher �pleuc specify in Part 4 below)
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Each undersismed certifies, under penalty of perjury, [hat the abo��e and foregoing information is we and correct and that he or she is elieible ro
receive the homesiead siandard deduction on this property. Each undersigned al;o undemands tha�, by claimine additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
Owncr 1 Signcturc [hte Telephonc
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CLAIM FOR HOMESTEAD PROPERTY TAX"
CREDIT/STANDARD DEDUCTION
Siate Fwm 5473 (R2 / S92)
INSTRUCTIONS: See reverse side far (lina instructions.
'�1YEAR
�C��'...i . '�,...�'
APR 0 � 2000
CE TIF7CATION STATEMENT
I(We) certify that o�n theNst day of Ma cho,il9 �
I(We) occupied as our pnncipal pla e of residen the following described real property tor which a Homestead Property Tax Credit is hereby claimed:
�(We) owned ❑ Are buying under contract .
Have a beneficial interest in the entlty that is liable for the property taxes on the�property and that owns the property or is buying under a coniract.
CONTRACTRECORDED - �
If buying on contract, Fee Simple owners name
Recordets office where contract is recorded ' RecorU number Paqe
PROPERTY DESCRIPTION �
Counry Township T3�ipg district (ciry, fown, t nship)
1`l
Parcel number Le9al tlescription
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If arry porUOn of the residential siruc[ure or Ihe la� not exceedug one (t ) acre thai immediarely surrounds that suuc[ure is used co produce inmme, describe the use arM portion of
the property utilized to praduce income. .
� PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County TownShip Counry Township
SignaNr of cla'unani
�.ereby certify the above statements are true, correct and complete. / �
Adareu(numberalMSt2e ary.stafe,ZlPcode) �
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ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VAIUE VALUE VALUE VALUE
Land not ezceeding 1(oneJ acre immediatety (�)
suROUnding residential improvements.
Other land (2)
Total land (line 7 plus line 2) (3)
Dwelling (4)
Residential improvemenis
Garage (5)
Other improvemenis (6)
Total improvements Qine 4 thiough line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the abOVe is true, cOrrett, and SignaWre of Assesor Date signed
comp�ete.
Verifying ac6on - Si9namre oi Auditor Date signed
� STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead S
Valuation or 52,000
Siqnature of Auditor Date signetl
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