Homestead_Garrett (9)��
e% �R
d °4 CLAIM FOR HOMESTEAD PROPERTY TAX
a��� CREDIT/STANDARD DEDUCTION
,,,�p „�� State Form 5473 (R2/5-92)
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INSTRUCTIONS: See
e
FORM
HC10
YEAR
I IWe)�j�/ ��� ���.� certify.���lstlrl9v1o' 1 h. 79
�occu ied as our ri ci al lace of re � �`
) p p p p lew:ng.described real pmperty for which a Homestea r y 6rgtl�VS rebyclaimed:
LI I(We) owned ❑ Are buying under coniraci � � g91
❑ Have a beneficial interesi in ihe eniiry thai is liable for the property taxes on the property and that owns the prop�� i�uying under a cont�ct.
n
It buying on wntract, Fee Simple owner's name
ReCOrtler'S oftice where conVatt i5 recorded
Counry
7���
Partel number
9� %�DO S%'
If any portion ot the resid
of ihe property utilizetl ro
RECORDED
�PROPERTY DESCRIPTION
TownShip . Tanino tlislric� 1
f}-� �L
Legal de5cription
�
n. t9wnship) �
..J ce
�
stmcwre or Ne land not ezceeding one (1) acre ihat immediatety surrountls that swcture is used to produce i�ome, describe the use and portion
ce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
p Counry
irue, CorreCt and tomplete. I Signawre of Gaimant
City, 5fate.�Ztf code)
- ASSESSOR USE ONLY� � TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
� VALUE VALUE VALUE VALUE
land not exceeding 1(one) acre immediately '
surrounding residential improvemenis. (�) �
Otherland (p)
Total land (line 7 plus line Z� (3) I
Dwelling (4)
Residential improvemenis
Garage (5)
Other improvements (6) '
Total improvemenis (line 4 through lina � (7) I
Total value (line 3 p6s line 7� (g)
I hereby certify the above i5 irue. correct, and Signawre of Assessor Dare signed
comptete. �
� rg action - Signature ot Audi;or . Date signed
•
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APPPOVFOBYSTATEBMROOf�(YVUY�S.$Ni PRESCR19mBYT11FOkPARMF_\TOFIMALCA\TP\MFYlFlNAVCFIf61.1.))AI
GibsonCountyAuditor � � � � . � � . � � � .
101 N. Main SVeet �ndividuals and martied roupla are limimd to one homatead standard deduttioa As the receipt af this daluction becomes
PfIOCEiOfI, IN 47670 more brncfxial, ihere is mare iirccnti.e ilw� av (or hamestnd Gaud Homaiced (aud causcs Ngher ux 6ills for all; �herefore,
���� � HF.A 1344-2009 requires�tazpaytrs wha reccivc thc hmnestead standard deduction Io �rrify thai Ihcy am eligible m�recci�s tlie
benefit end to prm�de edditiocial identifying infortna�on neccssary W ailow tounly grn�einmcni to beuer monitor homatead
filings. lttis information uill bc kept wnfidential and can only bc aacssed by anthoriied county officials. 7Le DcparNtrnt of
. I.acal Gmxmmrn: Finance will use this intortnation m create tool> that witl help ewnry� officials elimi�ate homestead fizud
APR 1 5�2011 � � � �
C.'J.n` ��
v c�
GIB80N COUNTY AUDITOR
��
Autum L Garrett II�I�II
502 S Race Sl
PRINCETON IN 47670-2510
���I1������1�I�1�1��'�I'I�I���I����1��1����1�11�11�1��1���111�1��
Taxaaver Name
Garrett, Autum L
State Parcel Number
Lowtion Address
502 S Race ST
Pnnceton IN 47670
Leqal Descriotion
26-12-07-403-000.593-028� SUMMERSt�oD37
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
Addms (numbcr and sVeel, city, state, and ZIP code)
Drivds License/$tare !D Number (last 5 digirs)
SLLIe
Same as property eddress
Other (pleax specify in Pen 4 below)
m
undersigned certifies, under penalty of perjury, that the above and foregoing infortnation is Vue and correct and that he or she is eligible ro
ve the homestead standard deduction on this property. Fach undersigned also undecstands that, by claiming addirional homestead deductions
vfully, he or she may be liable for back taxes and substantial fmancial penalties. � � `�
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