Homestead_Gibcumb�" CLAIM FOR HOMESTEAD PROPERTY TAX
r. -- - �` CREDIT/STANDARD DEDUCTION
` - ` State Fortn 5473 (R8! 7-07)
Rrscri6ed by Ihe Departmerrt of Lomi Govemment Finance
INSTRUCTIONS: See reverse side7orfiling ins6uctions.
I (we) V i" / 'Y certiP
I(VJe) ocwpied as our princtipai pl e of residence the following described real property fw which a Homestead
that on
e '"
�'�' '`.,�
AUG 1 5 20G8
I(We) owned ❑ Are buying under contrad
Have a benefidal interest in ihe entity that is liable fw the property la�ces on the property and that owns the property or is buying under a contract.
If buying om m�Vacl, Fee Simple ownefs name
affice whue cmlrad is recorded
Twvnship
Tacing disUicl
Recatl number � Page
�l�/�'��. �, 1' /1 p1�gal description I Is the property in q� ��� ❑ Mobile Fbme (IC 6-1.1-�
��� � I [/ y4� S
H arry partion of the residential sWClure w ihe Wnd na ezceetling one (7 ) aae Ihat imm�ately wrtounds Ihat re is usetl W produce "d�mme, descnbe 1he use and portion
oTlhe WoperA' utiGZed Iu Pmduce income.
' � • • � : • �
County Twvnship Counry Twvnship
I hereby certify the above statements are true, correct and complete. �" aima`m'
�ress (numberaM sfree4 aty, state. and ZlPco(de)1 (
I�i S,��P �i-, ��n: ���4C�N S.-i �}�b� O
r
�_ � � � .� • �
� � . •
Land not exceedirg 1(orre) ave immediately _ .
surroundingresidentialimprovements. (�� � � . � ' - -
OMerWnd �p� . .� .
Tdal land (line 7 plus Irne 2) (3�
Dwellirg (4) . - � . .
ResidentialimprovementswMnually " � - �� �
Assessed Mobile! Manufachued Home � �
Garage (g� � , _ -� .
Other improvements (6) . � . . �
T�tal imprwements (line 4 fh/ough frne 6) (7�
TUaI value (line 3 plls line n �g)
I hereby certify the above is We, cOrrect, and Signature of Assessw Da1e signed (monlh, Oay. yea�
complete.
Vaifyirg adion - SignaWre of Auditnr pa�e signed (mmth, day, yea�
� �y Z�— 45.000 for 2007 pay 2008 42.000 for 2070 pay 2011
Lewer of 12 qq.000 for 2008 pay 2009 4 7.000 for 2071
Homestead ValuaGOn paY Z�� Z $
w 43,000 for 2009 pay 2070 40,000 payable after 2012
�Gibson County Auditor
101 N Main
PRINCETON IN 47670
•
1506
llAiE I00.\I !"M I.C� / f V I
vrpm enarsr�re erNRUls' xvru n.:�.+
nFwcuuA wxW �-�n
IndiriduaL aud m1ritrl couple am limi�ed to orc hnmeueaJ seandaN JNunion. As Ne receipi of �hfs dedunion becomes
morc benefidal, therc is morc incen[ne than e�er (or homesteaJ fiawi Iiomr��eazl frm�d caasu hi�her ta� 6ills (or all: therefae.
HEA I3i+-?I)09 rcquirts iaipapm �ho rttci�e �he hanesteaJ standaN �hluction ro.erify ilut �6ry are eliciWe to recrnr �he
benefii an1 ro pra'ide addfifonal idemityine intormatwn nect'sarc to allw� ewnn� emrmmrnt ro Nnzr maii�w IwmrneaJ
filin��. Iliis inlarma�inn will be l.e�M conlidm�ial anA nn nnly LK acre:seA 6y w�hnrizcJ rnuny o�iici:d�.lTe Ikptnmem o(
lucal Gmcmmcm Pinmrce ��ill u.c �his inior.na�ion w arwtc twls thm �vill h:ln ��v ufficials elimi�um hum<stnJ fmud.
Taxpacer Name Pronem� Address
Gidcumb, Jim D / Rebecca
10?7 S Race
1'rinceton IN 476J0
Jim D/Rebecca Gidcumb
1027 S Race State Parcel Number Leeal Description
PRINCETON IN 47670-2728
I I II i II I III I II I I II I I II II I I 26"�z-�8'201-003241-028 019-03241-00 SS ADD 221
� �� ��� � �� ��� ����� � ��� �� � �� ��� � ��� �� � TSCON919-03241-99
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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.
0
Addrtss (numbcr and �trat, eiry, smte, and ZIP codc)
`�� e�. -�
Mailinc Address (Number and svee4 �ry'. s�a�c, and "LIP cak)
�0�7 � �� �i(�c
u
Seme as ptopem add,¢c
s�� u p�any aaare�
:!
idersigned certifies, under penalry of �qury, that the above and foregoing infortnation is we and correct and that he or she is elieible to
the homesiead standard deduction on this propeny. Each undersi¢ned al;o understands that, by claiming additional homestead deductions
dly, he or she may be liable for back tzses and substantial financial penalties.
Gi-/�f-io
(&��) ��-