Homestead_Dunn�1
iJ
iwwsuua �ozw �s�.�
Gibson County Auditor � � �� � � � • 1'' 1' 1
101 N. MZIn SIfEOi �ndiviJuaL. and marriid coupin arc limitevl ro onc hanKS;nd �wnl�rd dNuaiva ds IFf fKCipl 0� :IIL Jnluctiun bctomte
Prineeton, IN 47670 more Fcneficial. Ihcrt is mon ir.crn[i�c ihm ncr lor hom:.�cad (reuJ. Homoead Gaud cau�cc hlchcr ta� bill. lor aIL th Trtom,
HF.,\ 13Ji-2IXW rryuir.ro �a�pa.en xSo «ctire ;hc homrctrad >unJarJ JeJuction m.erify ihat �hey are eligihlc io rneirc thc
�bcncli� am1 m pnn�idc aWiiinnai idcnutpim_• ir.fi�muiion nccccwrc m allox' munp� em'cmrtnm ;n bn�a m�mimr hon�.cacad
a filiru. 7'hi in(armatim will h l.ay� ewfiJartial xnd can onk be :nZC:>eJ by au[horizN rnunn o0iculs. The Depanmeet of
1� 1��1 Grncrrr�xm Finanac ��ill utt �hie m(ormauon N cnatc IMJ: thal will Arlp cuunrv olLcuis climiruic homcsicad Inud.
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2
— c. � �12
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3719 S�N��UNryA
U
Alvin Lee Dunn Sr. ��TOR
1330 Carol Ave
PRINCETON IN 47670-2810
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II�I �) I
1330 CARROLAVENUE
PRINCETON IN 47670
�IuIIII��ll�ll�ll�l�llull II IWIIuulI0ll0lull lu II
State Parcel Number Leqal Descriation
26-12-18-103-002.880-028 MCtv+W SUM 13i74 PTnS PT
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
,'
(numba and strceL ciq', sta;e, and "LIP code)
$ecurin�NumberQastSdm_fti) fhfn
��_���
�
� Istl�
idersiened certi6es, under penalty of perjury, that the abo�•e and foreeoing information is we and cortect and thai ht or she is eligible to
�he homestead standard deduction on this properh•. Each undersiened also understands that, by claimine additional homestcad deductions
dly, he or she may be liable for back taxes and subs�antial financial penal[ies.
�
"'^ CLAIM FOR HOMESTEAD PROPERTY TAX ����j Fo� vEptt
STANDARD / SUPPLEMENTAL DEDUCTION �J
State Fartn 5473 (R13 / 12-09) HC,70
� � Presaibed by the Deparlment of Local Gwemment Finafxa
OCT 2 0 2011
INSTRUCTIONS: See reverse side (o� filing insfi�Gions.
��yye� �we) occupied as my (our) prindpal
placa of residence w am (are) buying the following desaibed real property for which a omestead Property Tax Shandard Deduction is hereby daimed
er contract on ihe date ihis appliration is (led, (date ol filirg). I(We): _/�� I
i �Y�
❑ Am (are) huying under recorded coniract v� /�_ , �
Am (are) enfitled to occupy as a tenant-stockholder of a cooperative housing corporation ��� RS� '
❑ Have a benefidal interest in Ne Wsl or the right to occupy the property under the terms of a qualified personal residence Uys✓ '.
❑ Am (are) the shareholder, partner or member of the entiry that ovms ihe propeAy. �
� � -
- - • �� ��
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X=�+1'�" 4 r.e y.__s�] f% �>�yYT/�y}i�.'::
7.:..w}:� Y L�.Xv.x r -��.i.�i -%n'
yr�y.:sa° Y.�Sr�-t_r.:s�:�..�G..�_��:,.u..�a
_x_;F....t
- a
ar aa�,�n �� r�e eyns)
of daimant's spouu (lest frve digits)
number
ro,,,�n�>
��� � �
Record number
S
Pape
PamPJ number Legal tlesr+iptlon Is ihe property In questm:
��eiP�P�Y ❑ Annualty essessed rtwb0e home (IC 6f.1-
I( arry portion of tl�e residentlal sWcture or Ne ImM not exceeding one (1) ave Nat immediately surtoun strudure is used W produre inwme, desaibe the use and pation
w u�e propero uciuzed m proeuce tr�coma.
� a�-�a-i g- -io3-�o a_ ��� - oa g'
Caunry
I hereby certify Ne above sfatemenis are We, correct and mmplete.
(numDer aM stiBe( tity, state. arM ZlP Code)
Land not exceeding 1
Other land
acrelmmedlatey (�)
irovements.
�2)
Total land (lirre 1 plus Illre 2)
ResidenUal improvemenis or Annually �����g
e�__^A Mobde / Manufaciured Home Gars9B
Other Improvements
Tutal improvemeMS (Ilrre I through line �
Toml value (lilre 3 plta une �
I hereby eertlfy the above is We, correc;
and complete.
Veifyug adbn - Sigraeire M Fwtlitw
(3)
(4)
(5)
(6)
�)
(8)
SignaNre ofASSeswr
Camry
20 _ pay 20 _ Lesser of 60% of the assessed value of the homestead or $45,000
NoMi(hsfandirg any atlierpovision, Ne sum d(he deCUCtiorts provided in IC &1. f-f2 ro a rmbDa Iwne that is
not essassed es real property or fo e menNactured home Nat is nof essessed as real pioperfy mey nof exceetl
one-hal/ (7/t/ W Ne assessed vehre W the rtro6i/e Irome or man�decfured home.
Sigriahue of Audiiw
S
Tamship
Date signed (rtronth, day,
Date signed (monfh, daY• N�
Date signetl (month,