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Homestead_Wester • CLAIM FOR HOMESTEAD PROPERTY TAX YEAR STANDARD/SUPPLEMENTAL DEDUCTION FORM Slats Form 6473(R18/1.20) H010 Paaeribed by the Department af Local Government Finance INSTRUCTIONS-See reverse side for filing instructions NOTE Telephone,Social Security,driver's license,state Identification and federal identification numbers are confidential under IC 6-1.1-12-37. CERTIFICATION S'lA7EMENT I(We) Louis W&Wendy S.Wester certify that I(we)occupied as my(our)principal place of residence or am(are)buying the following described real property under contract for which a Homestead Property Tax Standard Deduction is hereby claimed on the date this application Is signed, /20'2.C) (date of signature). I(We): ® Own. 0 Am(are)buying under recorded contract. ❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. ❑ Have a beneficial interest in the trust or the right to occupy the property under the terms'of a qualified personal residence trust. ❑ Am(are)the shareholder, partner,or member of the entity that owns the property. II buying an contract.Foe Simple ownaya name N/A Recordor'e oltin whore contact is recorded Record number Page PROPERTY DESCRIPTION County Township Taxing district(city,town,township) Gibson Princeton Parcel number Legal description I Is the property In question tI Rod property ❑Annually assessed mobile home(IC 6-f.1-7) If any portion of the tosldential Mature or the land not exceodmg ono(1)acre that immod.ately surrounds that structure Is used to produce income,deaaibe the use and portion of Ina property utilized to produce income aQLN - Dot, Q la ca8 PRDPERTYOWNED'ELSIIWHERE BY CLAIMANT State.County,and Township Is claimant vacating a homestead? m Yes 0 No I hereby certify the above statements are true,correct,and complete. `'" Address of contact(number and street,erly,state,and ZIP code) Address of vacated homestead.if any(num�sieved city,data,and ZIP coda) 804 E Ohio St.,Princeton,IN 47670 325 W Pine St, Princeton,IN 47670 ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE NONRESIDENTIAL VALUE Land not exceeding ono(1)acre Immediately surrounding residential(mprovomonts (1) Olhorland (2) Total land(line 1 plus lino 2) (3) Pit y Rosldontlal Improvements or Dwelling (4) (' annually assessed mobile i manufactured home Garage (5) 7r, Other Improvements (6) SEP .7 C qo Total Improvements pine 4 through lino 6) (7) • �o Total valuo(line 3 plus lino 7) (6) (�' I hereby certify the above Is true,eorract, Synolure of Assessor h gOgfl/d(Lnpp , and comploto. _ V�Ilt/T ��tt Verifying action-Signature of Auditor Dale ardnod(month,day,yeaa,1 UQIT Op STANDARD DEDUCTION ALLOWANCE. 20 pay 20 Lesser of 60°4,of the assessed value of the homestead or S45,000. Notwithstanding any other provision,the sum of the deductions provided in IC 6-1.1-f2 to a mobile home S that is not assessed as real property or to a manufactured home that is not assessed as real property may not exceed one-half(1/2)of the arse ed value of the mobile home or manufactured home. Sign roof Auditor Dnlo ig (month,day,yam) ' � 11-Qo .40 DISTRIBUTION:Ongmal-Courtly Auditor.Fin-Stamped Copy-Tax yot Page 1 of 2