Homestead_Frederick (5)�
e
Gibson County Auditor
101 N Main
PRINCETON IN 47670
473
��;����,.
InJiaiduaLt and rtu;riN couplr.: are limi�ed �o oce Irome�eaJ ya�N Aexlu:�ion. As thc receipt ol ihi.. deduc[ion Mcom�
mure beneficial, there i� morc incentn�e tlun ecrr for homrieaJ frdud. Ilomntead fraud causes higher tax bills for all: therefore.
HEA 13i7-20Q9 «quim taxpaven v:ho receire the hanestead <�yndard JNuciion m rerify that they are <IieiNe w recene the
benefi� an1 ro p`m�ide additiunal idrntiiyin_ inform�twn necrs�an� ro allw' counry gmemment to Nua monieor hoeresemf
filin�-. This infomutinn will M Aept mnlldential anA r.m only (n: acm>uJ by amhorized mumy nRcials.'I'he Ihpanment nf
l.ceal Gwermnem Fiiu�rce will uu Ihis mio�mmion m crca:c 0.ds Jut o'ill h,-p cqmn' offiNa6 dimi�m hom<sicaJ fiauJ.
.�� �� �
T•rxpacer Name Prnpertc Address
Frederick, Charles M/Sandra B
1119 CartoIIAVE
1'rinceton W 47670
Charles M Frederick
1119 Carol Ave State Parcel NumAer Leeal Description
PRINCETON IN 47670-2805
�������ni����n�ni���nni����i�����un�i�ini���i�inn��� 2611-13-204-000.341-028 019-003a1-ooMCtcAWSUM93/s4
�-- --. '. ---� ------- -_ --.'
— ----- --\ - -- -- - -- --- -- �---- -
This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
�
0
i t6zec�c �.
�-sam� az Pmpeny aaares.
in Pan 4 below�)
/ / � / �
�
undersigned cerrifies, under penalry of pepury, that the above and foregoing infortnation is we and comct and that he or she is elfgible to
:e the homestead standard deduciion on this property. Each undersigned also understands that, by claiming addiiional homestead deductions
n.
} CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form $d73 (RB / 4-p;lJ
Prescnbed by lhe Department of Local Govemment Finance
" INSTRUCTIONS: See revcrse side lor /iling fnsfmc(ians.
� .. • ,�' .�'�:-
��
OCT 17 2003
IM�e) : ./�(
�Have a benefidal interest in the enGty that is liable for the property taxes on Ihe property and ihat owns the property or is buying under a wnVaU.
If buying on coniracl, Fee Simple owners name
Remrtlefs olfice where contract is reoorded
'tsz�"":uT�{s`x'��eSCi,i::s��T �f�-..s"�sC�rt-�s."�'�..���
Caunty Tawnship
Legal
uiy-c.n�s�i-ao i rn��� �,,. �
I! eny poM1ion of the residential sW cWre w the land not axceeding one (7 ) aae ihat
ol lhe property utilized fn produce inwme.
Record number ' Page
T�ing disUict (ciry fown, fownship)
Is the pra M in queslion:
/ `/
9 7 Real Property ❑ Mobile Homa (I.C. 67.7-�
iatey surrounds that cture is used to produce income, describe Ihe usa and poNOn
���-�i�'�"_--',�:�3x�i"„� . .. . ., .
,..s �a�tt'.Yt.F`�Sa .����r�.,-f,STANDARD!OEDUCTION�ALLOYVANCE.'�'�?�;'�'.`�."�4�,'{�.k;�'z�3��-t-'�'�a`'.'-.3��'�sa�`a.,,�ar��
20 _ Pay 20 _
Lesser of 1/2 Homestead 5
WuaLOn a f35.000
SignatureofAUditor ' Datesigned