Homestead_Allenn.
� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� State Fwm 5473 (R6 / 403)
Prescribed by the DeOartmenl ol Local Govemment Finanv= ,
INSTRUCTIONS: See �evcrse side lor Iiling insVUCfions.
FORM YEAR
HC10 �
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��e� /�Eflify lhal on the tst da�of March, 20 n ��
1(We) occupied as our prindpal place of residence �he (ollowing descdbed real pmpe f which a Homestead PropVerty,Tac.Cr`e.dit is here6gdalmed:�
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❑ I(We) owned ❑ Ne buying under coniract � -' •
` Have a benefidal interest in the enGry that is liable for the property taxes on ihe property and that owns the property or is buying under a contraG.
If buyifg on coniraq, Fee Simple owners name
Rewrdefs olfice where coniracl is recorEed
7ownship
ia�ing aisirict (ciry, mwn,
Record number
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Page
Narcei number Legal descriptio Is the m �
_ DD(�-oS�aoo � � _a �� o � 4����:
7— �Real property ❑ Mobile Homa (I.C. 6/.1-�
N any portian of the residential sWCWre or Ue land not eYCeetling ona (i J aae lhal immeEiatey wrrounds that s re is used tn produce income. desaiba Ne use and portion
of Ne property utilizM to produce income.
• Gibson Caunty Auditor
101 N Main
PRINCETON IN 47670
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nl�MwEUBT��\iEbNNOtrtN�YM.���T+ IlF`XNHFnUTTIfU[lA0.TNE`If<IFL(nALC.D�e0.VN(]�ifQ:n�CEll'41.1-L`J.I
h�diciJualx m�d nu:riN <ouples ue limitcd io orc homcucaJ �andaN dNuc�ion. As �he rmtip� oi �his dNunion beconxs
morc beneficial, there i� morc incentnr Wn nrr (or home.rcaJ fnW. Ilartro�eml IauJ causc hi�hrr ta� bills (or all: thercfar.
HtiA G1i-20W requircs la�paycrs �ho rcccirc Ihc hanesmaJ <�ndarJ Jnluction ro verily Ilu� they am eliGiMc lo reccnc ihc
brnefit am1 tu �1RFidC eMliliJM1�l iJentiiyinc inWrm:mon Mce.�n� to aliw' counp� gm�rmmrnt to Ntmr muniror homesreaJ
filint... ILis inlnrmiiion will 6e lept ronfi�ientinl anA ran nnly Fc acce:uJ hy amMrireJ rounlr nfficials.'I'Ar Uepanmem nf
Lucal Gm�cmmrnt Fiv�rcc �vill mc �his iniormation m cream twls �lut mill h:In counn� ufirials elfmfmic humcstcad &auJ.
Cecil R Allen Jr.
720 S 350 W
PRINCETON IN 47670-8153
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ial Smurity Numbcr (last 5 digils)
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Prnoertv Address
Princcmn \ 4767�
Leeal Description
006-04200-00 PT N W 15 2 11 2.62 AC
D-17
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Sumeuspropem-�ddr.�s --
in Pan 4
$;une bs property ad +uc�i;
-7U �0
�.fv in Pan 4 bclow)
Each undersigned cznifies, under penalty of pepury•, that the abo��e xnd foregoing information is tme and cortect and that he or she is eli4ible to
receive the homestead standard deduction on this property. Eacfi undersiened al>o under,tands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substannal financial penalties.
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