Homestead_GatewoodGibson County Auditor
101 N Main
PRINCETON IN 47670
s
,..a.. �
nrwvuarnwawrsu
L(R:AI CA�FRVtlGT FPPA�'CEIC61.1-�J.1
InJiciJuaLc anJ inar�iN coupks arc limited to onc homc,aeaJ vandaN deUunion. As the rcreip� of Ihi> deductan bcconue
more bcneficial, thrre i> morc incentnr than ner (or M1omnrcad fraud Homra�eazl Fmud caasa hi�ter tac bills (or all: ihertfore.
HEA 13ii-]01!9 requires uxpaynn v:ho rcceive ihe hanesteaJ smndad dcrfunion ro.eri(y tlui chry are elieiNc io reaci.e ihe
brnefi� and ro p'w�ide additio�ul idrntiirim_ information �ce<mrv to allw� counn� ro�rmment to btarr moniror Iwmrnead
filin�; . lliis inlnrmaiion aill be Aep cnnticential anA on nnly h� accrssnl by authariznt rounry nff¢ials.'Ihe Ikpanman o(
Lucal Gwcrtvncm Fiv�rcc ��ill um this iniormmion ro arca:c twls �hat a'ill h:lp aamry� oSiciais elimiwrc FamctmaJ fiaud.
� � � � � �
Tazpaver Name Prnnert�• Address
Debord, Ralph BlSylvia W
10? F hlulbcm
Nrince�on fN i7670
994
Angela S Gatewood
702 E Mulberry St State Parcel Number � Leeal Descriotion
PRINCETON IN 47670-2400
I,I'll 11''II"I"'III "'I'I''"III",II' �I ""I1II11I'I 2G12'07-304-000.136-028 019-0013GOOPTSW7210.25AC
—_— \ _—__— _ _— _ _ '_
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.
� �
a. « i r'��� M�am� �u
�, �� S�,-�� ��
ig Add (numher m�d srteet, ciry, smtc, and ZIP <ode) e ns propem oddms;
DZ � � S � • � � - � '� �
$
�
Spouu. First Middic (.�ct
�� �
Mailine Address (1�mnbcr and svtt4 ci�}', state, nnd'L[P caie) �$amc as p�apmy addrs;
�
Social Security Number (last 5 digits) Drivefs License/Srate ID Nwnber (lact 5 digiL) Other (please speciF in Part e y�ow�)
�� smz '�� ' `
_ ' __ _ ,
Each undersigned certifies, under penalty of perjury•, that the abo��e and foregoing information is true and colrect and that he or she is eligible [o
receive the homestead siandard deduction on this propeny. Each undersi¢ned also understands thaS by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
O�. r 1 Si�menve Uate \�. �� —��'�
,�-� �, ( �) � .
SpoiucSi e ��e Tcicphonc
\ /
1 � • 1
CLAIM FOR HOMESTEAD PROPERTY TAX
-- CREDIT/STANDARD DEDUCTION
Sate Fwm 5673 (R8/7-07)
�,. ` Prescnbed by Ihe Daparlmerrt oF Local Govemment Finance
INSTRUCTIONS: See raverse side /orfili� inshucfions.
�� � � F�� YEAR
JUN 2 2009
i (we) �J \ c� � ��*_-�--�� , 15�.s� s� �LQ< < �'�,� �r�4JM�� t�6u�fa,aarcn, zo_
I(VJe) occupied as our prinapal place oi residence e folbwing d �bed real property fw which a Homestead Property T�c Credit is hereby daimed:
�I (We) owned ❑ Are buying under contraU
Have a benefidal interest in the entity that is liable for the property ta�es on the property and that ams the property or is buying under a contrad.
It buying on conVact, Fee Simple ownefa imme
Recordefs of4ce where cantraq i5 recorded
Counry Toxrrship
rcel number Legal descriplion
�C��ta�b� -36 -aea, l3
If any porUon oithe residerNal sWCture w Ne Wnd nd a<ceedirg orre (1
of Ne property utifized to Produce inmma.
town,
�s �
surtounds Iha�
Recortl number � Page
m 9ueslion:
�eei wuvemi ❑ Moa� r+ame crc �-�. i-n
ture is used tn pmduce irxome, tleuribe Ihe use aM portbn
• � • • � : � •
County Toxnshlp Counly Twvnship
I hereby certify the above statements are We, cortect and complete. �gn re oi daimaM
es: (number aM streeC city, atafe. and LPcode) '\
� \� �i. � C � � V
�' •
� � .� � �
�� . •
Lar�d not e�eedng 7(orre) acre immediatety . ��� - -
surtoundingresidentialimprovemenis. (�) .s.�.�:,._.•:,•-._�.�� .-�,<.:,,.
- '=Y�a�;ns:Ga..: - -
Otherland (2) '
Tdal land (I'me 1 plus �ne 2) �3)
,
Residential improvements w Mnually �elling (4) _ `�i^•
Assessed Nbbile / ManufacWred Home -
Garage �5� = �
Other improvements (6)
Tdal improvements (fine 4 through line 6) �7�
Tofal value (line 3 phs li/re n �g�
I liereby certify the above is We, correct, ard S�gnawre ofwssesaw oa�e signed (monm, day, yea�
complete.
Vaitying adion - SigroWre oflwtlitor Qate signed (monN, day, yea�
70_pay20_
Lesser of 12
Homestead Valuation
a
s�,an,re ot,wacor_
45.000 for 2007 pay 2008 42.000 for 2010 pay 2011
44,000 for 2008 pay 2009 41.000 for 2011 pey 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012
O