Homestead_Fritz (4)�,. ^,++.
e�/'` ; CLAIM FOR HOMESTEAD PROPERTY TAX
���� CREDIT/STANDARD DEDUCTION
�,� � State Form 5473 (R2 / 5-92)
�eii
. INSTRUCTIONS: See reverse side lorliling inst�uc(ions.
FORM �1=�
HC10
. �a.cn � in�,ia � wn a uu cmcn �.
aWe) � fy at , n�h y March 19
�upied as our principai place of residence the follo ' escribed real property for which a Homesiead Property Ta�c Cr i is hereby daimed:
� I(We) owned ❑ Are buying under coniract �R 1 4 1998
❑ Have a beneficial interest in the entiry that is liable for ihe property tazes on the property and ihat qwps the property oyiy buying under a contract.
CONTRACTRECORDED.
If buying on con;ract, Fee Simple ownets name
Recortlefs ottice where wntract is recorded
. .... � ni�u�ivn i �
Record number Page
� � "- PROPERTYDESCRIPTIO � �
Counry TownsNp Taaing distr t(�ry. wr�, � "'
��mber��� � �' O Legal description
It any portion of the resitlential stmcwre or the land not exceetling one (7) acre t�at immediatety 5urrounds Iha� 52rucNre is used to produce income. tlescn6e Ne use antl portion
ot ihe pmperty utilized ro protluce income.
PROPERTY OWNED BV CIAIMANT IN OTHER
by certify the above siatements are true, correct and complete.
Address (number and stBet. ary, state. ZIP pode) �-
ASSESSOR USE ONLY
Land not exceeding 1(one) acre immediately
surrounding residential improvemenis.
Otherland
Total land (line 1 plus line �
Dwelling
Residential improvemenis
Garage
Other improvemenis
Total improvemenis (line 4 lhrough line �
Total value (line 3 p�s line �
I hereby certity the above is true, correct, and
complete.
19_Pay19_
Lesser of t/2 Homestead
Valyetion or 52,000
TflUE TAX
VALUE
(�)
(2)
(3)
I4)
(5)
(6)
l�)
IBI
Signature of A55essor
S
claiman� n A _ � ��
ASSESSED
VALUE.
ALLOWANCE
HOMESTEAD
VALUE
NON-RESIDENTIAL.
VALUE
Date signetl
Date siqnetl
S�L�,%/��������s'-s�...� �LiiC7��l�
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
3043
Eva Darline Fritz
209 S Gibson
PrincetonlN 47670-2111
a�AiE TFM �! W I� /!�MI
TlAS11tiA PoRN :}I.�
IndiviJual.. and ina:riN coupin are limitnf �o orc hnme�ead uandaN JNunion. As �hc �eceip� of Ihis dMuninn becoma
merc bcneficial, there i> morc incrntire dun nu (er homesrcad frauJ. Ilomdttad fauJ causc higher tax 6ills' fur all: there(urr.
HEA LiJi-?UW reqviln ucpasm rho rcccive ihe hanestead uandud de�ivaion �o reri(y tM� �hey am eliciNe io mcei.e Ne
bment ani m pim�ide aYti�iunal idemiiring informatwn m�isvn� �o allw� coun�� gwemmenl ro W.ner moniror homrs�ead
tilin�,�.'Ihis inforrtutinn will he Aryw cmlidemial anA can nnly h• uce>uA M1y aulMriirA tnunh' nlTicivl�.l'hr Ikpanment nf
I�eal Gm'emmem Piwnce ��ill u.e this intomution W er<aa 4wls �hat aill h:Ip arounn� offiaials eliminme homesteml lruuJ.
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T•rxpaver Name
Frilz, Eva Darline
State Parcel Number
Prnoerte AJdrens
209 S Gibson
1'rincrmn I\ 47670
Leeal Descriotion
26-12-07-401-003.731-028 019-03731-OOOLDPt1W8PT
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Oancr I First Middk � Laz�
EVff �RRUiNE ���tZ
g AJdrtv (nwnber and svm:.fi:: smic;'and ZlP code)' ' - — ' — --' - �'Sam: rs rr�pem adasess � --- ' -- —
�. 0 9 �.S , .�:P.�-tr,-u .�-t . J� h,�:K-c�.o-,-�. �,,, , '-f �/ 6 '� 6
$
S�wu;e Firsc Middlc Last
Mailine Addrcss (NUmbcr and sirtt4 city, siate, and'LIP cuJe) � Same u pmpeny addrtsi
Saial Stturiry� Number (IaA 5 digits) Drivers Licenx/SUte ID Nwnber Qas� 5 digits) Other (plrnce specify in Part 4 helow)
Snc
� . . �
Each undersismed certifies, under penalty of pzrjury�, that the abo��e and (oregoing infortnation is we and correct and that he or she is elieible to
receive the homesiead standard deduciion on this propeny. Each undersicned al;o understands that, by claiming additional homestead deductions
unlaw�fully, he or she may be liable for back taxes and substantial financial penalties.
Owner 1 Si�mauue Uaic
Spou;c Sip�aeurc g�E ielephone
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•11 1 � 1