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d�p•4 CLAIM FOR HOMESTEAD PROPERTY TAX
x'�-, ; CREDIT/STANDARD DEDUCTION
� :� State Form 5473 (R2/1-90) �
�'°�° �. INSTRUCTIONS: See reverse side for filing ins�ructions.
CERTIFICATION STATEMENT '
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JUL 2 2 1992
I(We) vl •°�`��� `�,lArnrn� certify that on the tst da�i��y �
I(We) oc pied as our principal place of residence the following described real property for whicAh aTiom�
�roperty Tax Credit is tiereby claimed: `�) owned ❑ Are buying under contract
� Have a beneficiaFinterest in'the entity that is liable for the property taxes on the property and that owns the
property or is buying it �under a contract.
CONTRACT RECORD�ED
on contracl. Fee Simple Owner's Name
Recorder's office where contraci is
\ I T�%
Legal Description
DESCRIPTION
Taxing,D' qt City, town, township)
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If any portion of the residential structure or the land not exceeding one ( t) acre t at immediately surrounds that struc-
ture is used to produce•income describe the use and portion of ihe property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
ASSESSOR USE ONLY - TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENiIAL
VALUE
Land not exceeding 1(one) acre immediately' - �
surrounding residential improvements (�)
Otherland (2)
Total land - line (7) pius line (2) (3)
Residential improvements Dwelling (4) - - �
Garage (5)
Other improvemenis (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
sser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1997
Lesser of t/2 Homestead
Valuation or $2.000
1991 Pay 1992 19 — Pay 19 —
Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or 51,500 Valuation or S1,500
Signature of Auditor /l ('� .,�/� � I Date
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SIiiE f00.M �!'3� 10.:! YYI TRFASURfA fOR4 SIA�
nIIP[w'EDBT�ialEMMDOfN«1:�13.9v PRFYAIBmBY1NFDFlA0.TfEViOFLUALGM�L`M.EAliP:.�KEIC<I.1-='J.I
Gibson County Auditor .
101NMain '�' • � � � 1 ••� � • � •
PRINCETON IN 47670 Indh�iJuaL. auJ ma:rinl muple� are limited io oce homcacaJ �ta�WaN hdut�ion. As ihe �eceip� of �hi.. ded�nion Mconres
�� merc bentfidal, iherc is more incrnmc tlun e�er (or homestead fqW. Home�ead frzud causs higher tai bills (or all: thertfae.
HEA U43-2009 reqvime mapayen who receice iM1e hanestead sandard JNunion to .erify that tM1ey are elieiNe lo recci.e the
bznefit an1 ro pmcidc a�Miitio�ul idemin'inc infwm��wn neas'vn� to allw' ewnn� gmemmrnt eo barer mmiiw homesttatl
(lirq,�.'ITis information x�ill be Aery conCdrn�ial anJ r�n only le aecrsseJ M1y autMrieed rounry o(Fcials. 7Te Ikpanmm�t o(
Local Go�'emm<m Pinam�e ��fll mc this inio�mation m crcam wuls �hai �eill h:lp rounry offrfal. eliminarc Iwmc7cad haud.
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_ Taxparer Name Prooertc Address
— — � — - --- � � -- — - — — Dunn, John R % BrenHa L - M - -- — - — -
— �ao w sPN�� sr
Princelon 1\;7670
734
John R/ Brenda L Dunn
320 W Spruce ST Stare Parcel Number Leeal Description
PrincetonlN 47670-1246
I' II I II I'll II I I I I II I III II' ,y 26-12'07-101-001.463-028 079-01463-00 FOREST PARK 23 PT
i n in � n ni �u�n n i � n i nn � nnn
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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