Homestead_Fisher„. �*•o
�,� � CLAIM FOR HOMESTEAD PROPERTY TAX
s� ': CREDIT/STANDARD DEDUCTION
State Form 5473 (F2 / 5-92)
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INSTRUCTIONS: See reverse side for liling inshuctions.
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FORM
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I(We) �� �. b,�i g_��_,. 4 a�� s s Ci,dl_91. .� e� �--�SI�-LS .n certiry that on the 1 st day of �March, 19_
LI(V�Je) occupied as our principal place of residence the tollowing described real property tor which a Homestead Property Tax Credit is hereby daimed:
'W'�We) owned ❑ Are buying urWer contract
�,�ave a beneficial imerest in the entiry that is liable for the property taxes on ihe property and that owns the property or is buying under a coniract.
� �. , . . : :. � :, .,..:. � _���—.:CONTRACT�RECORDED';`:. ;.�, _<�_� '.' . �.�: ..,-H,,,: -
� „ .. � �b.. �i1e: � .
If Wyirg on contraa. fee Simple owne(s name • �
Recortler's oflice where contract is recorded Record numDer Page
Counry Tawnship
Parcel number Legal deunption
-D`iol -
If any ponion ot Ihe resitlential sWaure or the land not exceetl
ol the pwperry utilizetl to protluce inmme.
- ' PROPERTY-0ESCRIPTION- ° - ��-��;°' '�'
T�ng distriq (cily, town. township)
one (1) aae that immediately surrounds ihat siructure is used ro produce income. descnbe ihe use arW ponion
. � . ASSESSOR USE ONLY TRUE TAX � ASSESSED � HOMESTEAD� .. �NON-RESIDENTIAL-
o - - VALUE. �VALUE. VALUE � � � . VALUE - �
Land not exceeding 1(one) acre immediately �� � � .
surrounding resideniial improvements (�) � � � � ° �
Oiherland (p) '•"� � °�,�” .� .
°.3•iiw�. ''• _
Total land (line 7 plus line 2� (3)
Dwelling (4) c , ' �. .
Residential improvements . .
Garage (5) �
Other improvemenis (6) �
Total improvemenis (line 4 Ihrough line � (7)
Total value (line 3 p�s line 7� (g)
I hereby tertify Ihe above is tNe, correct, and Signa;ure of Assessor Date signed
complete.
Verifyirg action - Sgnature ot Audi;or Dare signed
,Gibson County Auditor
101 N Main
PRINCETON IN 47670
�FILEI�
- APR 7 2010
0
GIBSON,COU �� ITOR
2346
IIAR f11R]I �l'M IR'!!�MI
TRFASI:A[RPo0.4:SIA
Individual.. anJ �narriN coupla am IimiteJ Io nnc hnntcucad aandaN dnluainn. Ar �hc �ttript oi �his dedunian bccomcs
murc benencial, thrre is morc incentn< dun e�cr (ar humesrc:rl fraud. Ilome�eacl frnuJ cau.sa higher h� bills tor all; therefwe.
HEA 13�13-?O(19 «quires u�pa.m who receire thc hanes�eud standard JeJuc�ion in .erily tMi �hey sm diefWe w recei�c �h.
benefi� ant �o prtw'iJe additional identiiyin_ in(urmation nem'vn• iu alluw� ttwnry gv.rmmrni ro b_ner monitor homrsrc:d
filint,�. -ITis infmma�ion will 6e Aqv cnntidemial anA ren nnlp M� acre: �ed by awM�i�ed rnumy o�civls. lhe Iky+annxm af
Lucal Gov<mmem Fi�uMC wfll u.c this infonnation w ar<a:c mols tha� will h:lp cwnry ufficial> dfmiwte Mmie�caJ fraud.
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Tasoa��er Name Prnpem� Address
Fisher, Arthur B/ Ronica R m��� ��
1703 Fineh-taflc
1?incemn 1\ 47670
Arthur B/ Ronica R Fisher
1703 ;n�:,taF,e— ii'1Q,t�l�.iy� �(y1U�
Princeton IN 476703340
I�I��II���I�II��I���III�����II���II��I��III���II�����II���II�I
Add�w (numbcr iu�u strn�[;:iry; smtc, and ZIP coE:) —�–
Address (�umber and svee4 d�y, stale, und "LIP cuik)
Sauriry Number (lazt
(
' State Parcel NumAer Leeal Descriotion � -
26-12-OCr400-004.013-028 07s-Oa013-00 SWa.uOWFIELD #2 LOT 16
ID Nmnber (la.i 5 digils)
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M1fiddle
--- � I �ISascs<pmpemnldr�:
Olher (plcssc specif in Pan 4 below)
� S:unc az pmpmy addrtai
Ochcr (plcasc spcciN in Patt 4 bclow�)
undersiened certifies, und:r penalty of pequry•, that the above and foregoing infortnation is wz and comct and that he or she is eliRible to
�e the homes�ead standard deduction on this propeny. Each undersiened al;o understands tha� by claiming additional homestead deductions
�fully, he or she may be liable (or back taxes and substannal financial penalties.
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