Homestead_Foley (4),� rt�� � CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
i:� CREDIT/STANDARD DEDUCTION HC�O
,��+ State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side lor liling instrucfions. �
-� �..: - ... - . ^�:•...__. .,..-'� , -•'CERTIftCAT10NSTATEMENTi �.: y �.^r,-• °., �� ,. - - -
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I(We) certity that on the 1 st day of �March, 79_
I(We) i s our princi place of residence ihe tol o ing described real property tor which a Homestead Property Tau Credit is hereby daimed:
I(We) owned ❑ Are buying under coniract
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�Have a bene(icial interest in ihe entiry thai is liable for the property taxes on the pmperty and ihat owns the property or'is�vying�under a cont�aa.
If buying on coniraa, Fee Simple owner's name
Recorder's oHice where contract is recorded
Counry
. .. CONTRACTRECOflDED . _ �� �i., �' - —
FE8 G 9 1999
Reiortl number r �% Pa9e
PROPERTY DESCflIPy16N.1 � � � - - -'
Tasirg st � . r4 •, . ... �P)
J�-�-w�UJ-V`7
If any portion of Ne resitlential swcture or the IarM noi exceeding one (7) aue that immediatety surtounds ihat struaure is used to protluce income, descnbe Ne use aM ponion
ot the properry utilizetl to produce income.
� - PROPERTY OWNED BY
Coun�y Township
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I hereby certify the above statemenis are true, correct and complete.
�7ress Inumberandstreet dry. sfate, ZlPpode)
� - ASSESSOR USE ONLY
Land not exceeding 1(one) aae immediately
surtounding residentiai improvements.
Otherland
Total land (line 1 p/us line Z�
Dwelling
Residential improvements
Garage
Oiher improvements
Totai improvements (line 4 through line �
Total value (line 3 p�s line �
I hereby certiry ihe above is true, correci, and
complete.
Venryirg action - Signature of Autliror
IN OTHER COUNTIES
TRUETAX I ASSESSED
VALUE VALUE
(�)
I2)
(3)
(4)
(5)
(6)
(�I
(8)
SgnaNre of Assessor
HOMESTEAD
VALUE
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Date signetl
Date signed
^a _.
•
Gibson County Auditar
101 N Main
PRINCETON IN 47670
2875
n.�rz r nani .�w�� i w.�
1RFnSVAFAH)0.N11A
T iPA\fF IC V I.LE>!.1
(ndiciJual. and ma:ricJ coupk. are limimd w nnc homc�caJ �tnmlaN JNunion. As �he recetipt ot iltis dNunpn bttomes
morc brneficial, thrrc is marc incen[i�x than rcer fur hunxstead frauJ. Ilomcstead fnud causes hi�her tac bills (or all: Ihere(orr.
HtiA U4-i-3(N!9 requira uxpa}en aho reeci.�e ihe hanesteaJ uanda�J JNuc�ion in verilv that �hey am elieiNe w mcei.e �he
benefit anf to pnn'ide a�Mii�io�ul Wentiirin_ iniurmation Mcr.nn� to allw' cwnq� fvnrmmem ro berter mmitor Iromeste:q
filin��. Ihis in(omuiion x�ill be Aryw ronf.drniial anA can nnly F.: acm+.eJ A. amMrivd coumr niTainB.'ITe Ikrynmm� of
Loeal Gwemmem firtvrc< wll u this inlormazion m area.c nxds �ha �vill hdn rnmev off ala diminne Ivimeu�a�l fmud
Jancy M Foley
327 W Monroe
PrincetonlN 47670-2341
�i�n��ni�i��u�in����nn���n��n�n�ui��n�i��ni��in��
Taspa�•er Name Prooem• Address
Foley, Jancy M
i27 N' �Afonroe ,( ��
Princnon IN;7670`�
State Parcel Number Leeal Description
26-12-07-303-000.205-028 019-00205-00 HALLS 2ND ENLG 33 PT
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Ou�ner I First A1iddle Lut
V
'. —•ig�nddr:ss(r,umE:.r�Lsu'xC:iry':.:.r..andZlP:adci ' _'_ . _ _ _' _ __ ' _Sameaspmp m:cdd:a¢ — —
Sceial Securiry Number Qaze i diei�s) Driver's Licenx/S1ate ID Number (lut 5 di�iu) Other (plcsse sptcify in Part 4 bclow)
Spo�ue First Middlc Latt
Mailinc Address (Numbcr and sVCC4 ��y, siak, and "LII' cak) � S:vne:ss pmperty ad�
Saial Saurity Numbcr (last 5 digi�s) Drivcrs Licrnsc/Statc ID Numbcr Qas[ 5 digfts) O[her (plcasc spccify in Pan 4 bcbw�)
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Each undersigned certifies, under penalty of perjury•, that the abo�•e and foregoing infortnatiun is true and cortect and that he or she is elieible [o
receive the homestead standard deduction on this property. Each undersigned al>o undeniands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
na I Signaturc Uatc Tclephonc
y o ,� � �
spo - s�gnatu�o " oa« raepno��
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