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t CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� Sute Form 5473 �R6I403)
Prescribed by Ihe Department of Local Govemment Finance �
INSTRUCTIONS: See revcrse side /orliling ins�mclions.
FORM
HC10
YEAR
� •�� .
�(�^�e) certi Ihat n the� st � � �
fy day of March; 20_
I(We pied as our principal place of residence the foliowing desaibed real property for which a Homestead Property T�c,Gedit is hereby daimed:
IVUV (i;� LUUJ
I(VJe) owned ❑ Are buying under contract
, Have a benefidal interest in fhe entity fhat is liable for the property taxes on ihe property and that mms the proper�ty or is buying'under a wntraU.
I( buyim� on contraG, Fee Simple ownefs name
Remrdels afice where conVacl is recorded
Caunry
H
County
=. �b`1�-02
�o��
ry uGl'¢ed m produce irimme.
Tamship
7sing
Record number � Page
,a�eI¢cn ion I �� I Is the property in on: .
I v �\ � 2 Real Droparty ❑ Mobile Hano (/.C. 61.1-7)
�ot axceetling one (t) aae Nal immetliatey wrtounds ihat strucNre is used b produce incame, desaihe Ne use and portbn
Twvnship
� certify Ne above statemenls are W e, covect and complete.
(number end s7eef, dry; sfate, ZIP e)
76 6 SL /_ C1 �, .! . �l-i/_ 7
Land nol exceeding 1(one) aae immediately
surrounding residential improvements.
Other land
Tdal land (line 7 plus line 2)
Dwelling
Residential improvemenLS wMnualty
Aasessed Mohile I ManufacYU�ed Hmre Garage
Other improvements
Tdal improvements (line 4 fhrough line 6)
Tdal vatue (line 3 plus line n
I hereby certi(y �he above is true, corred, and
complete.
(�1
IZ)
(3)
(4)
(5)
(6)
(�)
I8)
SignaWre ol Assessor
signed
Date si9ned
•
Gibson County Auditor
101 N Main
PRINCETON IN 47670
2781
Mark William Estes
620 E State ST •
Princeton IN 47670-1910
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fndividual. anJ marriN coupb a�c limimd w onc hnmtaead �andaN drlunion. As �he racip� of ihis dMuc�ion txcomca
more beneficial. thrre is morc incrntne than rcer (or homrsteacl &aud Iiome�trsl BauJ causu hi¢her tac bflL (or all: therc(ae.
HEA GI-t-7qW rcqu"vn m�parm ��ho receire �he hanestead suiMard dntuction w verify thm �he} art eliciNe to rtcenr tF.
benefi� anJ Io p�w'ide aJAitiunal iJentiirin� infurm�tiun �n:'vn ro allw' counrc ernemmenl ro Ntttr mmiror honxsteaJ
fili��. Ihis inlarmaiion will Ae Aqx conGd-wial mJ ein nnly !x arre..nl br autlarieed rnuny n((Kiais. lTe Ikryvnmcnt nf
Local Gwemmrn� FivMC will u.e ehis iniortnatiun tu ueate twls tha� will help epmn� offiials eliminarc homesmaJ (nud.
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Tnspa��er Name
Estes, Mark William
State Parcel Number
X 26-12-07-204-000.755-028
Propertc Address
bao E S-+��
/,�a c r_._,._ cT \v
1'rinccton IN 47670 �
Leeal Descriotion
019-00755-00 NS LOT 1 PT R2