HomeMy WebLinkAboutHomestead_Enyeart (3)� CLAIM FOR HOMESTEAD PROPERTY TAX � ,"a� FORM YEAR
' CREDIT/STANDARD DEOUCTION � C1a _: �
� S�ate Form 5473 (R6 / 403) N �
Piescnbed by the Departmen� of Local GovemmeN Finance (;-5 t��1 �-..� .�
INSTRUCTIONS: See revcrse side loi liling insfn�c(ions.
1L �"L � t�/ �� as..L�
����*i3�.f7z"..,�'m���s-�73"'_'_r1�'�'`�.e.� r�'"r �?:,a�'c'�CERTIF.ICAl10NSTAlEMENT.<f tF'�z�s`'���3:'v�'3`_",�= Y...�J,4L�1.,: �`:.n��.
� ii
��e) Ihat on the tst day of March, 20 n
I(VJe) occupied as o rincipal place f residence the following described real property for which a Homestead Pioperty4�c C ediDis tierehy daimed:
,y� �'� i�al�.ri.'�,."i �: L."-Y 4UJ:i^': .
Uf I(We) owned ❑ Are buying under contract
� Have a benefidal interesl in Uie entity that is liable for ihe property taxes on the property and that owns the property or is buying under a conVact.
If buy'ug om m�Vad, Fee Simpie ownets name
Caunty
Parcel num6er
"� 1 Q �
Counry
where conVad is recarded
Tavnship
LegatdescripGon
(dry, town,
the
�� ��U��� �
I lhe residentlal sWclure w the land not axcaeding one (1 � aae lhat immediatety surtounds that
uWized to produce incoma.
Township
I hereby cerGfy the above statements are Uue, coved and complete.
(number and sheet ciry, sfate, ZIP code)
County
Record number � Page
in question:
�teal property ❑ Mobile Homo (I.C. 67.7-7)
zure is uud 10 D��uce income, describe Ne use and poNOn
� �3yy�j� � �� r.L .� � a'+ . .- •fG '&YY � I ' 41 i{��a.�a.KZ. y .� E _• " b ' YAy
-:rr.:� � 1._*r.�.c�i�'rupa�i*�-_'�"i�'.��'�'.'.#�?�sn-STANDARU!DEDUCTION�ALLOWANCE. :=c....�r.rn'k 4a3�.:�."`-`�...-3'�i`�....::��:A_���i.�t�._
20 _ Pay 20
Lesserof 1/2 Homestead
vauanon or $35.OW
S
SgnaWre of Auditor " Date signed !\
V
� .
Gibson County Auditor
101 N Main
�����
APR S taio
— .�6� ��
GIgSON COUNTY AUDITOR
1009
9ATE fORnl U`mILL'i l-r�
TRFASllFFR f00.4 31A
IX1VJqMFRTiP'A'CEIC0.1.1-LJ 1
Indiriduals and inarried aoupM> are limi�ed �o ore home�tead atanAaN d:du.uon. As the receipt of Ihis deduaion becomes
mere beneficial, therc is morc incentnm than rcer (or homnsteacl fiaud. Ilomnttazl frwd causa hicher tac bflls for all: iherefwz.
HEA 13ii-�tllW requires uipacen who reteire Ihc hanes[ead standard deJuction w rerity iha� ehey are elieiMe io recei.e �he
bznefit and ro pnn�idr addfifonal idrnmrinc infomwtiun ncerssan� to allou� counry sm�emment eo Nerer moniror homesrcud
filin�. This informa�ion will he Aaryv mnfdemial and nn nnly h: accesud by amlrorized cowtly o(imials. The Ikpanment n(
Local Govemmem FinaM'e will u.e this intormation W crcate nvls �hat will help �rounq� oBicials dimina�e Iromestead fmud.
. ' , , ' ,
Tasp•aver Name Prnpert� Address
Enyeart, Kenneth Dean / Celia P
Kenneth D Enyeart
128 E Monroe
PRINCETON IN 47670-2408
I�I��II���I�II��I���III�����I�I�I��III���I��I���I�II��I���I�II
I?8 E �tonroe
Princeton I\ d7670
State Parcel Number Lesal Description
x 26-12-07-304-001.760-028 01e-o17so-oo WILLIrmnS 2ND 5 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.
�� �
Oxmer I First MidNe Last
%�NN� r� � �4N � �l/�E�! � z
ig Addrcss (number m�d �treet, city, state, and ZIP code) �-Snme as pmpem add�s
128' � /"�oN�o� �%zlN��7o�a/ IN y7b�o
$ocial Security Number (last i die��s) Drivers Licrnse/State ID Number (la.� 5 diei6) Othe� (pleace specifv in Part 4 below)
Spou;e First Middlc Last
c�z,� � ENY�,�n�
Mailinc .4ddress (NUmber and Nee4 ��}', stale, and "LIP caie) �ame as pmpeny add`a.i
Social Securirv Number (laz� 5 digiCS) Drivefs License/Sta[e ID Nwnber (las[ 5 diei�s) Ocher (please spccifi� in Pan: below)
� -
Each undersiened certifies, under penalry of perjury•, that the abo��e and foregoing information is we and correct and that he or she is elieible to
receive the homestead standard deduction on this propeny. Each undersicned also understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and subs[an[ial financial penal[ies.
Owner 1 Si�maturc Daic Tcicphonc
—� �G�7�o�a ( �
�
. .. � �