Homestead_Draked%�•n '
� °„ CLAIM FOR HOMESTEAD PROPERTY TAX �._
s'�;; CREDIT/STl;NDARD DEDUCTION .
�!; • State Porm 5473 (R2 / 5-92)
yu
INSTRUCTIONS: See reverse side !or filing instructions. �
M YEAR
���-�- �° �
ppR 1.1: 1997
i��we) _��1 /!7 ;�,�[ yA�/,T LCJ/°A �/,CIN /o �gSON CtMUNM� tlfAPtJ�1`tt1A 75t day ot March, 79
�) occupied as our principal place of residence the following described real property for which a Homesiead Property Tau Credit is hereby daimed:
L/%� (We) owned ❑ Are buying under contract . .
❑ Have a beneficial interest in ihe entity ihat is liable for the property taxes on the property and thai owns the property or is buying under a contract.
- � - �. . � �CONTRACTRECORDED� - � . � - � -� �
tl buying on convaa. Fee Simple ownets name .. ' � � . � '
ReCOrder's oftice where contract is recorded ReCOrd number Page
r .
Counry
portion ot
propertyi
Township
structure or Ne IaM noi
ice income.
PROPERTY
i
����1�
one (1) arse that imrt
T3<irg diSVici (ciry, fown, (own5hip)
PROPERTY OWNED BY CLAIMANT IN
cenify ihe above statements are true, correct and complete.
that
■
�
� � .
is used ro produce income, describe ihe use aM portion
ASSESSOR USE ONLY . TRUE TAX �� ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE -
Land noi exceeding 1(one) acre immediately '
surrounding residential improvements. (�) � �
Otherland (p)
7ota1 land (line 1 plus line 2� (3)
Dwelling (4) �
Residential improvemenis _
Garage (g) . �
Other improvements " (6) .
Total improvements (line 4 through lina � (7)
iotal value (line 3 pbs line � (g)
I hereby certify ihe abOVe is ime, CorreCi, and Siqnamre of Assessor Date signed
complete.
�ying actian - Signature of Auditor Date siqnetl
DEDUCTION ALLOWANCE
79_Pay19_
Lesser of 1/2 Homestead
Valuation or 52.000 S
'. "
Gibson Counry Auditor
101 N Main
PRINCETON IN 47670
II.F. Sllt[Ri00.MYlA
IndividuaL. anJ marrid coupla are limi�ed �o ore homes�eaJ .vndaN �vluniai. ds thc remipt oI this dedunion Mconrcs
mere benenciaL �hrre is more incrn:ne ihan e�er (er homestead (nwi Ilomes�eaJ faml ous� hi�her �ac 6ills tor all: therefae.
HEA Ii�F:-71N19 requim taapayen who retcirc �hc haneuead smndard �vfuc�ion in .erify �ha� �M1cy art eligiMc to rcc.ne tM1e
benefi� ami iu pnn'iJr a�klitiunal idemifi'inc infwmation ncer.'vn� ro allw' counq' gucemmmt �o Y.�rcr mmi�or homrs�<ad
filim� . This inl'nrmatinn will bt Aqv rnnliiaYial anA nn nnly M arce. ax1 by aatMr¢eJ cmm�y nR�iul�. "fhr Ikrannxm of
Loeal Gov<mmem Pinanc< eill me �his iniormauon to ercah hvls �Iwi e'ill h:lp eounrr offitial. dfminarc M�ma�ead kaud.
.,' ,. ,
Taxnaver Name Prnpertc Address
Gendren, William B/ Karen M
2961
Wlliam B/ Karen M Gendren
229 W Monroe
PrincetonlN 47670-2449
I�I��II���I�II��I���III�����I�I�I��I�I��II�I����I�II�i���ll��l
?:9 W Monme
Princeton IN d7670
S[ate Parcel Number Lesal Description
26-12-07-304-003.074-028 01s-o3o74-0o HnuS ENLG 12PT
�
�� �
Oamcr 1 First MidNe Laz�
�J�II,A� s����, Gr���
ig t,ddre.0 (rcmber �d etrcc :iry,-s;atc, ard ZIP cadc) � — �"Sumc as propem.eddr�� ._ _ _ . __ _
$
Spou e First Middle Last
R� n� n?� � G� n� ����/
Mailine Address (Number anJ ivee4 city, swle, und LII' cale) �S+rrtfas pruprnr addrca�
��. i.� e S"� t� '� S
► 5m�
. . ,
Fach undersiened certifies, under penalty o( pequq•, that the abo�•e and foregoing informution is we and coirect and that he or she is elieible ro
receive the homestead standard deduc�ion on this property. Each undersigned al>o unders�ands that, by claiming addiiionai homestead deductions
unlawfully, he or she may be liable for back taxes and substanrial financial penalties.
er I Si�mnwre � Da�e
.
.., � , ,