HomeMy WebLinkAboutHomestead_Pollitt•
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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SIAiE f00..11!1 W�R'/ f+Nl iPFASIIRER f00.4 �S:♦
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Individuals auJ �rttriN coupla arc limi�ed �o ore hom�ead ya�MaN Jctlunion. As Ne rarip� of �his deduction becomes
more benenciaL �here is morc incentnr tlun r�er for home>uaJ fraud Ilomo'tcacl (nwl nuses hi�her tan blls for all; the¢fae.
NEA 134i-21%19 «qu'un uipa�en �ho receive ihe hacestead .tanda�J dNunion �o mri(y thai they mr eligiNe io mcei.e the
benefit ani to p�a'idr a�Lli�iu�ul identii�'inc mfwma�ian nec�.-vry to aliw� counn� fa'emmrnt to Ntr.r mmiror MmrneaA
t�iim�.'ITis infa�ma�inn w�ill Fe {.ery mntidentiil and ran only Fe aecn.N by authnrirrJ rnnnry o(fcia s. Thr Ikpannxm nf
Local Gm'arvircm Fina�c ��ill u.c this infomution cu crcam wols thai aiil hcln rounm olficials dimiuvc Mmcncad fiauJ_
_ Taxnarer Namr PrnpeT' Addretiti
_ Pollitt, James D/Barbara A � �
RI Dox?67 /�
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Princemn I�i47670C
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James D Pollitt �
PR NCETON IN 47670-9261 State Parcel NumAer Leeal DescriEition
_ _ I I II I II I III I I_I I II_ III I III I I 26-�2-�9-Z00.001.121-027_ 006-01121-OOPTNE�iszio i-oanc
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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.
T�ver I Fim
� ari,e� � l
e Address (number and st`ect, city, smte, end ZIP code)
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idersiened certifies, under penelry of perjury, that the abovt and foregoing information is we and correct and that he or
the homestead standard deduction on this property. Each undersiened also understands that, by claiming additional hon
dly, he or she may be liable for back taces and substantial financial penalties.
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'IlLlble [0
deductions
e`�rt��'°s, CLAIM FOR HOMESTEAD PROPERTY TAX
''�-"' � CREDIT/STANDARD DEDUCTION
"� d State Fwm 5473 (RS / 10-01)
Presrribed by the Depanmenl of Local Govemment Finance
INSTRUCTIONS: See �everse side lor filing instroctions.
M YEAR �
FORM O�� I
HC10 � Q u
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�,iy`.���uF'y�;^=F`� �s*-..:_' . �CERTIFICA710 STATEMENT"�_ � � . � - —� ��
� M1e) certify,that on the 1stu� oT RM�Ch, 20_
I(We) oc pied as our principal place of residence the following descnbed real property for which a Homestea rop,�erty�� Tac{C�red'U�'is'herebyn Gaimed:
❑ I(W owned ❑ Are buying under contracl -%/-i%�!��
GIBSON COUNI
�iave a beneficial interest in lhe entity that is liable for the pmperty taxes on the property and (hat owns Ihe property or is buyin�j �T$kAn ract.
-�'"��c�s��_`.-�rF c�-s ;����.�-iui"�a,-i.� ;i:':r`��.`.�5`�,4�-=CONTRACT'RECORDED��� - . , - . ..
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If buying on contraa, Fee Simple owners name
Recorders office where wntract is rewrded Record num6er Page
County
Tavnship
Tacing dislricl (city, fowq fownship)
Jvya(cqJ,nym—Q � I I� I d9y�npY �^.�/ I. O� I Is the Property in Que ' n:
: a r � L Y O �� I pmDerty ❑ 6lobile Homo (l.C. 61.1-7)
If any portion ol the residantial structura w the Wnd not exceetling one (1 � acre t�al immediately surrounds ihat strucmre is used to produce income, desvibe Ihe use and portion
of Ihe property utilized m protluce income.
�_d-�i ra-�Q - a�a - oo�. �a�-oa� I
i.��-.��A SESSOR�Ui�.tON Y'�l � 1$s�yt� i�TVAL E�' �-AAT.100%OFTN �sHOVALUEAD . z��NON VAI:UEN k�;�'"�y�,�''
Land not exceeding 1(one) acre immediately =_ G�` �.�` �'��r �'�'�,��'' '�
surroundingresidentialimprovements. (�) �s . �;t,iV, ��.`_.__ -rr;,',� i
, :,�.�,,,;... -M:�u..,.�.
ONer land p - °- • "_:"'=�� : %'+:'
I ) a T�� _. }' :
_ .1_
TUaI land (line 7 plus line 2) (3�
{ ' '* '. �t � .
Dwelling (4) r;? "xd-�`�''�+'3� � u�'R���.:.':
Residentlal improvements " ��
{!�•�y . '-v*`� r �Nay...
:�3'+,Lf �iL�^`���4� k$i'I�.
Garage (5) a_'�itiY": «=c�`.?:c�-� : �i : Y..
_ , :<. �_:::_:
Oiher improvements (6) - _ -
s
Tual improvemenls (line 4 fhrough line 6) (7)
TUaI value (line 3 plis line n (g�
I hereby certi(y �he above is W e. corzeG, and Signature of nsseswr Date signed
complete.
Veriying actbn - Si9na Wre of Auditor Date signed
20 _ Pay 20 _
Lesser of 1!2 Homestead
ValuaGon or 56,000
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SynaWro of Audilor '[/� n n/'1 � 1 �/ A.. 1/ i O D I Da�e �jyii
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