Homestead_Goddard� � �_
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aa �� CLAIM FOR HOMESTEAD PROPERTY TAX
;•�� CREDIT/STANDARD DEDUCTION
� State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side tor7iling instructions.
� CERTIFlCATION
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� � � Hq� � FORM YEAR
��1 K' JL HC10 �
JAN 2 81993 ,
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I(We) certify.thai on the 7st day of March, 19�
I(We) oceupied as our principal place of residence the fo owing described real property for which.a Homestead� Property Tax Credit is hereby claimed:
�[] I(We) owned .❑ Are buying under contrect __ -. f � �
-�4ave a beneficial interest in ihe enti[y ihat is liable for the property taxes on the property and that owns the property or is buying under a contract;
. CONTRACT RECORDED � ' - - � �
IIt buying on contract, Fee Simple owner's name .
Recorders oHice where con,rect is recortled Record number Page
PROPERTY DE
Counry . • ow hi T in
Parcei number Le I description
O '�
If any ponion of ihe residential stmdure or the IarW not ezceeding one (1) acre that immetliatey
of the property utilized to produce intome.
(ciry, foyvn, rownship)
n
ed to produce income, describe Ne use anE portion
PROPERTY OWNED BY CLAIMANT IN OTMER COUNTIES -
County Township Counry Townsltip
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I hereby certify the above statemenis are irue, correci and complete. �9nawre or ciai m
�ress (num r d sVeet. pty. 57 te Z
ASSESSOR USE ONLY � � TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL -
- .VA�UE' VALUE VALUE VALUE �
Land noi exceeding 7(one) acre immediatety - .
surroundin9 residential improvements. (�) '
Other land (p)
Total lantl (line 1 plus line 2� (3)
Dwelling (4) � -
Residential improvemenis �
Garage (5)
Other improvements (6)
Total improvements (line a through line � (7)
Total value (line 3 p�s line 7� (g)
I hereby certi}y lhe above is We, correci, and Signamre of Assessor Date signed
complete.
Verityirg action - Signature ot Autliror Date signed
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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n.rASUern roa� a�n
nnmr.'[nar
IndiriJuals and murinf mupks are Iimi�N to ore homotead �andaN �L-duaion. As the rotcipt of ihis dedunion bataoe_
more beneficiai, thrre is more incentne :han r�er (er homesteacl fraud. liomzsttacl (mud auses higM ta� bills for all: thertfore.
HEA 13ii-3UM requim uxpa�m w�ho reecire Ihe hanestead standard Jntuction �o veri(y Ihnt they am eligible to rccci�r ihe
benefil an1 ro pm��iJe adJitiunal iJentiiyinE informatiun ncer.�ary to ellw� counry� grn�emmrnt ro b_ver monitor homesmad
nling. This infomuii�m wili 6e Aryv confidential and can onlr be seesseA by autMrvN mumy nfTmials. The Ikpanncnt of
Local Gmcmmrnt Fimrtcc will u.e this iniomwnon w cr<a:c eauls �hat wdl h:Ip cqmrv ofiiials climinate homatcaJ (mud.
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Taxpa�•er Name Prnpern� Address
Goddard, Ted R/Penny S
i?6 S Gibwn
Princi�ton IN 47670
1121
Ted R Goddard
526 S Gibson State Parcel Number Lesal Description
PrincelonlN 47670-2404 �
LIuILuI�IInIinlllinnliLlnlllnuL�InI�IiIInIuIil Z6-�2'07-403-000.38&028 019-00388-OOCLARKSVILLESPTl6PT
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This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
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Ox�oa 1 First Middlc Lau
Ted '� ussell �oddar�i
ng .Address (number m�d sveet, city, sute, and ZIP cade) � Sam< as propem address
�26 S. Caibsov� ,�inceton� IN 4�b��
Spou;e /� First ' Middlc Lact
/ t/2nn�( �U e. Goddo�d
Mail'v�e Addiess (Number aru1 atree4 ri�y, sta�e, and'LIP code) � Sune as property addms:
52(o S. C�ibsov� ��r�riCe.}pn , II� y'lb�l�
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Each undersigned certifies, under penalry o( pequry•, that the abo�•e and foregoing infortnation is we and correct and that he or she is elieible to
receive the homes�ead standard deduclion on this property. Each undersigned also understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taYes and substantial financial penalties.
Owner I $ignet�m lYate
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