Homestead_Hughes ov4frfi% CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
STANDARD SUPPLEMENTAL DEDUCTION FORM
4, State Form 5473(R19/1-23) HC10 2024
Prescribed by the Department of 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 STATEMENT
I(We) Hughes,Rebecca L 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, 9/10/2024 (date of signature).I(We):
El Own. El Am(are)buying under recorded contract.
El Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
El Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust.
El Am(are)the shareholder,partner,or member of the entity that owns the property.
(Applicable only if applicant's spouse does not have a social security number)
CONTRACT RECORDED
If Buying on Contract,Fee Simple Owner's Name
Recorder's Office Where Contract is Recorded Record Number Page
PROPERTY DESCRIPTION
County Township Taxing District(city,town,township)
Gibson 028 Princeton
Parcel Number Legal Description Is the property in question:
El Real Property El Annually Assessed Mobile Home(IC 6-1.1-7)
If any portion of the residential structure or the land not exceeding one(1)acre that immediately surrounds that structure is used to produce income,describe the use and portion
of the property utilized to produce income.
26-12-18-302-000.655-028
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State,County,and Township Is Claimant Vacating a Homestead?
III Yes 173 No
X Sig re of Claimant 44
I hereby certify the above statements are true,correct,and complete. Ce
Address of Contact(number and street,city,state,and ZIP code) Address of Vacated Homestead, y(number and street,city,state,and ZIP code)
1714 S Main St, P'ton, IN 47670 411 E Broadway, P'ton IN 47670 2(,-(2.-‘07-14.0/-0100,0D
ASSESSOR USE ONLY ASSESSED VALUE HOMESTEAD VALUE I NON-RESIDENTIAL VALUE
Land Not Exceeding One(1)Acre Immediately .(1) 028
Surrounding Residential Improvement
Other Land (2)
Total Land(line'1 plus line 2) (3)
Residential Improvements or Dwelling (4) ,
Annually Assessed Mobile
Manufactured Home Garage (5) L-th
Other Improvements (6) °CI
" 2°25-t
Total Improvements(Line 4 through Line 6) (7)
if4SON .c2.
Total Value(Line 3 plus Line 7) (8) COu.,
'vry447-46,,iy,a)
J
Signature of Assessor 13/tOpe Date Signed(date,month,year)
I hereby certify the above is true,correct and complete.
Verifying Action-Signature of Auditor Date Signed(date,month,year)
STANDARD DEDUCTION ALLOWANCE
20 Pay 20 Lesser of 60%of the assessed value of the homestead or$48,000.