Homestead_Farris (4)\ _ -- _� _
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I� ����� C�_:4111ii,FOR HOMESTEAD PROPERTY TAX
i � �• '� "a
��`��` � CREDIT/STANDARD DEDUCTION
.•`.;�� Stale Form 5473 (R2/1-90)
INSTRUCTIONS: See reverse side (or liling instruclions.
I (We) / � IUJ.-'�'Y
I (We) occupied as our
TION STATEMENT
FORM
HC10
certily lhat on lhe 1 st day o( March , 19
.`
AR
�
. �
place of residence Ihe following described real property f r which a Homestead
�operty Tax Credit is hereby claimed: ❑ I(We) owned `Are buying under contract
� Have a benelicial interest in the enlity lhal is liable lor the property taxes on the property and thal owns Ihe
properly or is buying it under a conlracl.
If buying on coniract,
RECORDE
Reco�der's ollice where contract
PROPERTY DESC
Township
Legal Description
AUDITOR
— *--� � �
i( any portion ot the residential slrucWre or lhe lan no exceeding one (1) acre Ihal immediate y surrounds that slruc-
Wre is used to produce income describe lhe use a!id porlion of Ihe property ulilized lo produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
NON-RESIDENTIAL
VALUE
Land not exceeding 1(one) acre iinrnedialely
surroundingresidenlialimprovemenis (�)
Olherland (2) "
Tolal land - line (t) plus line (2) (3)
Residenlial improvemenls Dweliing (4)
Garage (5)
011ier improvemen�s (6)
Total improvemeNS - line (4) Ihrough line (6) (7)
Tolal value - line (3) plus line (7) (8)
I hereby certify ihe above is true, SignaWre of Flssesor Dale Signed
correct, and complete �
Verilying Action - SignaWre oi Audi[or Uate Signed
1989 Pay 7990
Lesser ol 7/2 Homestead
Valuation or $2,500
�
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 7992 19—Pay 19—
Lesser ol 1/2 Homeslead Lesser of t/2 Homestead Lesser o( 1/2 Homeslead
Valuation or $2,000 Valuation or $1,500 Valualion or $1,500
Signature 61 Abditor �,� • te nf
f d n.. (�nn \I \ 1 e i/ A/l _—
�
^ [lAt£ff11IN)!JM�IC'/s+r�� TPFAS�1lfRfORN:}IA
Gibson County Auditor
101 N Main
PRINCETON IN 47670
3602
IndiviJuals anJ im:rieJ aoupks are IimitN m ore homestcaJ Nandartl JNunion. As ihe recripi ot �his dcducCwn becomcc
morc brneficial, thrrc is morc incen:ne than ner (er M1on�traJ fraud Ilomareacl fmud cau.cn hgher ta� bilis (ur all: thertfae.
HtiA 13J3-?(XW requim u�payers who r.ccire ihc hanestcaJ siandarJ JNuc�ion to .zrilj dut thcy are <lieide to maenr ihe
benent an1 tu pnn'idr aJditiunal idrntif}'im_ iniurmanun nece.'vn� tu alluW' cwnn� g�rmmrni ro b:ver muniror homeste:d
�ilin��.'Ihis infmma�ion will Ar Aep ronfidcmial and e�n nnly M acresseJ hy aulMriznl rnunlr n0iciulz.'Ihr Ikpanmcnl nl
Local Gm'<rmmrn� Pi�uncc ��ill mc chis iniomu[ion [u crcatc 4ds �IUt �rill h:lp cwnD' ufficials dfmireic Irom<stcad fnud.
•,' ,, ,"
Mark D/ Jill A Farris
1017 S Adams
PrincetonlN 47670-2703
�i�u��n��i��u�iu���inn�i��ui���inn��nn���n��i��u�
Tasoarer Name
Farris, Mark D/ Jill A
State Parcel NumAer
2G12-17-101-002.641-028
J
Prnnert�� Address
1017 S Ad�ms
1'rinceton IN i7670
Leeal Description
019-02641-00 KUNKEL ADD 15
1
Owna I F'irst Middlc Last
` A �2 k 0641/I � '� �2K )S
ig Address (number mid s�eeet, ciry, narc, end ZIP code) ---�-- -- �5eme ns propertv addl¢s -- --- — —
/D/ S /�1��J�^�-S �G�,n�L-�T�a�•� -�������► -L17�7�
Social Smurity Number �last i dieiti) Driver's License/Siate IU Numbcr Qau 5 di:its) Other (pleue specif in Pan 4 belox-)
� — —
Spou;c Firs[ � Middlc Latt
�� I� Ann� e Fo.rris
Mailmc Address (Number and suee4 �b'. siate, and "LIP code) �5rtie as pmprny addresi
Social Securirv Number (laa 5 digits) Drivcrs Licensc/Statc ID I.�unber (lact 5 dieiti) Oeher (pka.c spccifv in Pazc» bclow�)
,. . ,
Each undersitmed cerrifies, und:r penalry of pzrjury•, that the above and foregoing infortnxtion is we and corrzct and that he or she is elieible to
- reteive the homestead�standard deduction on this properly. Fach undersiened alio undentands that,�by claiming-additional homt;tead�deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
Owncr 1 Sienaaue Uatc '1'dephonc
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