Homestead_Gatewood (2)CLAIM FOR HOMESTEAD PROPERTY TAX
- CREDIT/STANDARD DEDUCTION
` ; State Fortn 5473 (RB / 7-07)
Rescnbed by Ure DepartmeM of Local Govemment Finarwe
INSTRUCTIONS: See re�srse side for fiiing insWctions.
I (we1 �—[LL.d-t' fY' v�- �
I(We) ocwpied as our prindpal place
FORM Y�'R
�
2. �,C��O(� certity that on t��y�q arch. 20_
real property for which a Homestead P p�y T� Crg�it is he daimed:
I(We) owned ❑ Are buying under c�ract �'��yaN COUN7y q�TOR
�,iave a benefidai interest in ihe entiy ihat is liable for the property taxes on ihe property and Uiat owns tlie property or is buying under a contract.
If Gping on conirad, Fee Simple wnafs rmme
Recatlerc of6ce Mwe conUaa is racortled
Counry _ Twnslup
Patcd
If arry ot Iha residerrtial sWCture a Ihe land nd erzceedirg orre (1) acra ihat imrr�
af Ihe rty uli5mtl �n produce inmme.
�,'�-�a-��-/o��.��r-�a�
co��ry
Tavnship
I hereby certi(y U�e abwe statements are [rue, correct and complete.
end LP code)
Counry
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Recwtl number Paga
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•
�ct (cdy�s/NP`)
JL�-�/
�5 � P��hY r 9uesUOn:
�' �m Real pmperty ❑ Mobile Fbme (IC G7.1-�
unds re is useC In produce tr�wme, dexribe Ihe use and poM1ion
(o`> a
7wvnship
.• .
. . .. . .
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Land not ex�rg 1 (orre) aae immediately '-_ - "_ �. , , - �
surtoundingresidentialimprovements. ��) �� .������ ' � �
OUer lard (p� - - : �.`. � ; . �,
Tdal IarM (line 1 plus line 2) �g�
Residential improvements or Mnually �"eliing (4) . � - , - .
Assessed Mobile / ManufacWred Home � . _ . .
Gara9e (5) . . . .
Other improvemenls (6) � �• '�� . . -
Tdal improvements (I'me 4 thiough lirre 6) (7�
Tdal value (line 3 pf�s Grre � (g�
I he2by certify ihe above is We, tortett, and SignaWre of Acsessor Date signed (monN. day, yea�
complete.
Valfyirg adion - Sigru Wre M Audilw Date signed (mmN. daY. Yea�
. . �..� � � • •
PaY 2� — 45.000 for 2007 pay 2008 42.000 for 2010 pay 2017
Lesser oF 12 qq,000 for 2008 paY
Homestead Vaivatirn P�Y 2009 4� •000 for 2011 2012 $
« 43,000 for 2009 pay 2010 40,000 payable after 2012
SignaWra oilwditnr Date signed (mm�fh, day, yea�
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�l.\iE H10.M �1K�0.: / 4N1
TCFASUREIIPo0.V :]-IA
�'ifP:A'CEIf'L1.1-_-�.1 �
IndiriJuaL. and in�rricJ muplc� a�c limitrd �o onc homt�eaJ �andaN Jzduniai. As �he �cttip� o( Ihi> JMunion Mcomce
mure brneficial. thrre u more i�rcrn[nr ih�n ecer (or hunusrcad frauJ. Homn'read fraud <a� higher Iac bilis tor all: thrrcfore.
HEA li�li-70119 requirtv u�pa�en who roceire the hanesiead smnda�d deAuciion w.erily tlu� �hey am dieiNe to recene ihe
benefit anJ tu pnr'idr aMlitiunal identiiyin_ Iniurmatwn Mcesvey to allw' cuunp� garmmenl eo b:ver muniror homrsreal
�ilin�h.'fhis inl'mma�ion will M l.ryw mnfi�!eNial anA rdn nnh' R. acce�ced by aWhnri�nl romtic n(fcials. "I'he Ikpanmem o(
Local Gm'cmmcm Pmmrcc ��ill u.< this inio�ma;ion w crcatt [wis �hat �vill h:lp cvunn� uBiciaL. cfimfwic homc9cad (raud.
.'' ,, ,"
Taxpaver Name Prnpertc Address
Gatewood, Carol A/Gary W
2250 ,
Carol A Gatewood n1�V'-
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PRINCETON IN 476 `� 600
�i�u��n�����u�n����nuu�����u���u��in���ni�i�n�n��
0
I I?8 N Main St
Princcton I\ 47670
State Parcel NumAer Leeal Description
26-12-06-104-000.271-028 019-00271-00 PT NW &2-10 1.665 AC
\
A.'.� ess (swn�`.e.y d�s u:::i:;: sc::. and Z:P ccd_: __ _ '— "_ . J.Somc as �mpcm nrldrec:
�CJ.S A� �,., A(2. ,.1 ��-r;�- . �P.;a�����ifi�i � �
� Other (plesse speci(y in Pan S bdow)
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[!7
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�s, Nrss
/4-ti a /Li�35
� S�une �ss pmpeny add+es.
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O[hcr (picasc spccify in Pan 4 Mlow)
undersigned certifies, under penalty of perjury•, that the abo�•e xnd fore�oing infortnation is we and correct and that he or she is elieible to �
ie the homestead siandard deduction on ihis property. Each undrrsiened al;o unders�ands tha�, by claiming addiiional homes!ead deductions
.�fully, he or she may be liable for back taxes and substanrial financial penalties.
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