HomeMy WebLinkAboutHomestead_Dunn (7)CLAIM FOR HOMESTEAD PROPERTY TAX
_ STANDARD/SUPPLEMENTAL DEDUCTION
State Fom� 5473 (R73 / 12-09)
� � Presaibad by Ihe Department of Locel Gwemment Finarm
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INSTRUCTIONS: See reverse side Ior fiGrg insbuclions.
FORM YEAR
HC10
i�e� ' certiy UiatW(w�) dtdfpi�d�'s my (our) prindpal
place of residence w am ) buy the follo described real properry for which a Homestead Property Tax Stand� 'o is hereby daimed
�er contraG on the date this appliratron is filed, (date oI filing). I(We):
Own ❑ Am (are) buying under recoMed mntrect GIBSON COUNTY AUDITOR
❑ Am (are) entllled to occupy as a tenant-stockholder of a woperative housing corporation
❑ Have a 6enefidal interest in Ne Wst or lhe right to ocwpy the property under Ihe tertns of a quaiified personal residence wst .
❑ Am (are) the shareholder, partner or member of the entity ihat owns �he property.
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Counry
�aI^�mi nuIm�ber
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I( arry portim 0
w me �em
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of daimant (last !rve digifs) ..
Drive/s ticenae / IAentlfiplion I Other numbar
of da4nanCS spouu (last (rve dlgrls)
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I hereby certify the ebove statements are true, mrrect and complete.
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�7'_"�3e's,•:.M- iY :'�iF
,�z'i.+c.?:±���'.:p;SSES
k4:ie:.-_.a .-`,_.`c:.: .
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dry, sfate, aM ZlP oode)
• S e. .� irf n Y.
acre ImmMWtey
Total land (lirre 1 plus lirre �
Reside�rtial Improver
Asseased Mobile / M:
Other Improvements
Dwelling
or annuaM
4�md Home Garage
Tofal improveme� (Ilrx 1
Total value (lirre J pl�s line �
Ne above is we, correct,
Vaitying aWm - Sigmawre oflwtliWr
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(2)
(4)
(5)
(8)
Sig�wre of Assessor
of daimant
20 _ pay 20 _ Lesser of 60% at the assessed value oi the hwnestead or $45,000
NoM�iffuGrdiig eny oMerprm�ision, the sum W fhe deductions provideC in IC 61.1-12 ro e mobilc Mme Net is
not assassed es resl property w to e menufactwed home Nat is nof essessed as 2el property may nof exceed
nnw.h»H /f?I NfAe n�ene ..+ yelue o/fhe m06ile homB w menWattu/Bd home.
$
Township
Date sig�d (monlh. daY. Y�/)
Dam sigr� (rronN, daY. Y��
��� apyy� I Date signed (month, tlay, yea�
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Gibson County Auditor
101 N. Main Sireet
Princeton, IN 47670
1TA�f1(R�I:.i4N�P�I�lu1
1ft:A$IIRkA!!MN ISIA
�NLS('0.1HlD111"RP.OVA0.1.VkttOFLRAI.CO\FA���Y�IIL\iYlICF1.�='-�1 '
Indfriduals anJ marrrtvl couple� are IimitN m nnr Iwnk�;exf �ut¢kud de.fuctiun. A> Y:e rttei�u of ;h6 dNuaiun 6ttrmn��
more Mncnci�L OxTe is morc ir.crntuc ihan c�cr ior ham:sccad Gaud. }lumcx:ad BauJ ca��c, iiehcr ci� bill, lor:lh �h.�rrfom.
Hh:A 13�421109 rcyuirtb �aapa)Yn wim �cc:ire :hr Iame�eaJ �tandarJ deductian to .erif�' tFs Jce�� are digibk [o rcceice the
b.yrcfii aM �o prm�idc aJAiii�nal idrmikim_� ir.tixmaii�m n�:c�.an� io allrnr coump ¢occmmcni �o ba�cr rtkmimr homcacad
filine> Thi. in(ocma�ion mill M kep confiJrntial and on onh' b att<aed b�' authunznl eounn' afliciala. 1Le Depmmen of
I.ucal Gorcmrncm 19nantt ��fll ¢ c �his fnfomm�inn io araic tnok ;h:n will hrlp counh� nRd�l. climirnic MmomaA InuJ.
. � � . �
Taxpaver Name Location Address
Dunn, Bill J I I Thelma
943
DwQyN�
Billy Dywaae Dunn
418 S Seminary
PRINCETON IN 47670-2432 '
�Illli���ii�lll��llilil����i�l�ii���i���l��l�l�l�i��i��l���l�i��l
418 S SEMINARY
PRINCETON IN 47670
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State Parcel Number Leqal Descriation
26-12-07-403-000.434-028 PT SE 7-2-10 .16 AC
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This form MUST be returned to County Auditor's office. o
Please do NOT send this form back with your tax payment to the county treasurer.
0
Addrtss (manbcr and
ty, s[a:e, and "LIP code)
•� N i
Drivds I.icrnsc/:
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First
\lailing Add�css (�umber �a s,ce�, ��iy, sw�,, a�a zm code)
Drivcrs
��
fD,�`mnlnr (Iu:Sdigia)
ll!:
I..Y�NN
� Same as proptny add.-ess
ran a
Middle
� Same as pmpeny add-css
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Other (pleau spec[fy ir. Pan 4 below)
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undersiened cenifies, under penalty of perjury, that the above and foregoing informaiion is trve and correct and that he or she is eligible to
; c Ihe homestead standarcl deduction on this propem�. Each undersiened also understands that, by claimine additional homestead deductions
:(ully, he or she may be liable Por back taxes and substantial financial penalties.
I Siermnuc Uatc Tclepho�c
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