HomeMy WebLinkAboutHomestead_Echelbarger�'""� CLAIM FOR HOMESTEAD PROPERTY TAX
!d, _ =; STANDARD / SUPPLEMENTAL DEDUCTION
" State Form 5473 (R12 / 609)
�° ,�„ � Prescnbed by lhe Department of Laal Govemment Fnarce
INSTRUCTIONS: See raverse side forlling ins(ructions.
��
FORM YEAR
HC10
�
. .
I(We) ceNty t I(we)�/� �pied��as my (our) prindpal
place of residence or (are) buying the following describ�aeF�prO�ly fo ich a Homes[ead Property � r013Ed� on is hereby daimed
underconVacton�hedatethisappiicationisfiled, (dateoffiling): G�gSON COUNTY AUDITOR
❑ I(We) own ❑ Am (are) buyinq under remrded contract ��
❑ Am (are) entllled to occupy as a tenant-stockholder of a cooperative housing wrporation
� Have a beneficial interest in ihe Wst or the right to occupy the proDertY under the tertns of a qualified personal residence Wst
•- • �
Name of d2imant (kgal nama)
Soc�l Seamty rum8et
`;� !Jv
�ame of daiman' s (1 1 )
Sodal Sewriry numbu ot tlaimant's s (las� five dig'rts) Drivels luxnu I Itlentiflwtion I ONer Issuing Slat�
� � of daimanYS spouse (las! �rve dtgitsJ
• ••� �
11 buying om m�tracc, Fee Simple owneYS �wme
Remrtlefs otfice wfiere mnVad is recordeA RetorE number Page
. . � • ' � • •
T��D Taring distnd (nly, ro o� ip
� tpp
��—Ipl' ��`C J� �O CF� Is e DertY in qurstion:
al p�operty � MnuaCy assessed rtnhile home (IC 67./-n
�It a�ry portion of Ne residenUal swcwre or Ne Wnd nol exceedi�g wie (1 � arze �ha� immeEiatety wrroun s ihat swc¢ire is useE b produce I�wne, Eesmbe the usa and poNOn
of ihe praperty utif¢etl m produce inmme.
-�• • �: • •
Courtry Townslti7 Counry Township
I hereby certify the above sts[ements are we, correct and complete. S���NQ9� �� ��E �
�ss (numDer antl shae( ary, sfata, eM LP cade)
SO Flcr'�n {� On ccfb� 2 N y � p
� . ., . �
•- • �� ..
Landnotexceedingl(one)acreimmediatety (�� �.7_��7�����t;�`�A ��
surtoundin residenUal im rovements.
La +:t
G3 ti"x� ��+f
Other lantl (2) ° .=�+, �`�`
Total land (line 1 plus line � (3)
S� ;'sl� 1 %Y'�">>' �' ��# �.FS
ResldenUal im rovements orAnnual ��ling (4) �_•� hGS,�,a S�k. ��.-t'.,,p.?�p..#
AssessedMObPelManuFacturedHome Gara e #��1� �� s� ��rt�
9 (5) .yY�` sa�^.z.��,z3`.cs?""�,#'>�
Y � k��Y i .i�.x5. •�.
Other improvements (6) u�R �.=
Total Improvements (line 0 NrougAline 6) (7)
Total value (line 3 pl,s 17ne � (8)
I herehy certify ihe above is true, cortect, Sigrewra of Pssessor Date sgned (mmth, eay, yea�
and camplete.
Vvirying acbon - Signature of Autlitor Date signed (monN, tlay, yea�
�..� � � � •
20 _ pay 20 _ Lesser ot 60% of the assessed value of the homestead or $45,000
f�/ywj(�yy�ug anY plherP���. Ihe.wm W the deduclionc P��� in IC 67./-1210 a moGb Iqme Mat is S
not a as real proparry w fo e menufertured Irarne Naf is not assessed as real proparry meY rrot ea¢eed
a 7 o(Neassessed o! e bdefamewmanufarturedhorne.
Sig W ol i
Date sigpqQ %fr�nlh�Aay, yxa�)
I,/1)I'S Jl
lJl/ l./
��
�
�ib'son County Auditor
101 N Main
PRINCETON IN 47670
1RFA(URFR Po0.V�SIA
.VfR(1�'fO
IndiriduaL'. and irt�rried coupla am IimiltJ �o onc home�ead aandaN dctlu.�ion. As thc rcctipi ot Ihis dcdunion becortre;
more benefinal, thrre is morc incentnx than e�er for humes�ead fraud Homea�rad fraud cauxs h�her ta� bills tor all; ihe¢fae.
HEA 13A-1-?IXMJ reqvim uxparen who reccire the hoinesteaJ smnda�d deJunion to rcrify �hm thry arc eli¢iNe io receire �ht
benefil and to pmridr atMlitional identiirine fnfurmation nemsan� ro allw' counn� gmemment tu bnter munimr homesrcad
filin��_ lliix fnformalion will M f.ryx mntiJeminl anA cam nnly he acae:uJ br amhnrizM rnnniy ofliaiul..'fhe Ikpanment o(
Lucal Govrrmnem Finantt will me this information tu creau twls �hat will h:lp cwnn� uffwial. diminmc hum<sicad fiaud.
,,' ,, ,"
Tasnaver Name Prooem� Addre�s
Beloat, Nathan
1230
John B Echelbarger
506 Harding Ave
PRINCETON IN 47670.3224
�i�u��in�i��n�i�����nin��ui�i�ii���i�n���nu��n���n�
506 flanlingA\'I:
Princemn IN 47670
State Parcel Number Lesal Description
�' 26-12-OS-203-003.355-028 019-0335s00 DIKE ENLG SEC B 28
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.