Homestead_Eckert (5)� R�3
a.`��' .�'��°. CLAIM FOR HOMESTEAD PROPERTY TAX I AR
i� CREDIT/STANDARD DEDUCTION
�, � State Fortn 5473 (R2 / 5-92) �
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INSTRUCTIONS: See reverse side /or tiling ins(ructions. . A' I� O} 1f196
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- � � - � - CERTIFICATION STATEMENT �
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�� "Ne) _��qJ�,1i �,.�,�,y�`� �sY�� � certity [hat on the ��pT�,. ,9
) occupied as our p., cipal �ace of residence the following scnbed real property for which a Homestead Property Tax Credit is hereby daimed:
�(We) owned ❑ Are buying under coniract -
❑ Have a beneticial interest in ihe entiry that is liable for the property taxes on the property and thai owns ihe property or is buying under a contract.
. - � CONTRACTRECORDED �
It buyinq om m�tract. Fee Simple owner's name. � � �
Recorder's ottice where contract is recorded Record number Page
PROPERTY DESCRIPTION
County . Township .. T ing tlisijict (ciry, rown, fawnship)
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Parcel number I Legal description
ocq -o�}�t� -oa
II any ponion of the residential stmcture or the land not exceeding one (1) aae ihat immediatey surwunds that structure is used [o produce income. desaibe the use arid portion
ot the property utilized ro produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township Counry Township
�eby certify ihe above statements are true, correct and complete. Signamre f ciaimam , (� (�
(J-+u-,� F-� • �C. �
Atldress (number and slreet, city, state. ZIP mde)
503 S. /�a�� St. P�;,n ce.+o� II� 4Z leZ b
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not ezceeding 7(one) acre immediately ��
surrounding residential improvements. (�) �
Otherland � (p)
Total land (line' 1 plus line Z� �
(3)
Dwelling (4) � .
Residential improvements
Garage (5)
Oiherimprovemenis (6) .
Total improvemenis (line 4 through line � (7)
Total value Qine 3 p�s line 7) �g)
I hereby certify ihe above is Irue, correct, and Signature ot Assessor Date signed
complete.
�tyi�g action - Si9nawre of Auditor Dare signed
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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Michael J/ Stephanie D EckeR
503 S Hall
PrincetonlN 47670-2325
SURlUM a1M IR'f NNI
RlASUFERf00.411A
T iP:1\CE I('61.1-L•J.1
InJiviJual. anJ merriN couplp are limi�<d io onc homcumJ uandaN dcducuun. As Ue rttript o( ihis deduaan Ixtomce
morc beneficial, iherc is morc incenme rtun ecer for hume.teaJ fraud. IlomesttsJ frduJ cau.ses hi�her ta� bills (or all: thrrefore.
HEA GJi-30(19 requ'urs uapa�rn who r.ceivc ihe hanesieed sundaN JeJuction �n .eri(y ilut the. are dieiNc io reaei.. �hc
brnefit anJ lo prm�idc aaWitirnui identiiyim: inWrmanon mxe.sarr ro allw� cwnn� gm-rmmmt tu b_ner mmiror MmrneaJ
filirgy.'lltis inlurmttim will M Ae7V mnlidm�ial and can only M azmuvl hy authori�eA rnunh' officials. 7hr Ikpanntrni nf
Local Gmcmmcni PimMe will u.c this infurmauun ro.rcam rouls that wiil hr:n munrv uficiai. dimi�uic hnmc.tcaJ fiaud.
���n��ui�i��n�in���nni�i�u��ni�i�i�i�������i�����i����
Taxoa��er Name
Eckert, Michael J/ Stephanie D
State Parcel Number
� 26-12-07-303-000.97E028
Prooert�� Address
503 5 llall
I'rinccton IN d7670
Leeal Description
079-00976-00 HALLS 2ND 42 PT
1 1
Owner I First MidN< r Last
�1�i C�'J Q_e.� �OS ep� C C�.�r t
ig nuu�� (nwid.cr anJ �o-x[, ciry. sar. and ZIP <a:ci — - ' � S�me � p:�m ocdress -
�3 5. Na11 �jt. i�r�n�e,�o,ti Ir/ �J7(p�7� -
$ceial $
Spou;e First Middlc Last
St�epha�� �. �Q v�-+ 5� EC� k.r-f
Mailine.4ddress (Number and strtt4 elq', sin�e, anJ "LIP cude) �'Same u propeny addresi
503 S. �-/ull ��-. i���nc�,-fo-�,� l+�/ y-lco�7�
Social Sccurity Numbcr (last 5 digi[s) DrivcYs Liccnsc/Statc ID Niunbcr Qu� 5 digiu) Othcr (plc�sc 5pcciN in Pan a bclow�)
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Fach undersi�med cenifies, under penalry of perjury•, that the above and foregoing informatiun is we and corrzct and that he or she is elieible to
recei�•e the homes�ead standard deduciion on this property. Each undersiened also understands that, by claimine addiiional homestead deductions
unlawfully, he or she may be liable for hack taYes and substantial financial penal�ies.
Owner I Si•_maturc 1�2� Uatc 7'cl<phmc
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