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Gibson County Auditor
101 N Main � � � � � � 1 ' ' � ' ' � ' `
PRINCETON IN 47670 InJiciJuals and nu:riN mupk� arc limned io ore hmnc�eaJ �randard Aedu.uon. As �he rereipt ot �his dcduction 6ttonrcs
�����beneficial. thrrr is morc incenme th�n r�er (er homntraJ fraiut Homn-rcaJ frduJ caass higher tac bills tw all; �hercfore :.
� HE 134i-3009 requirts uaprym who recei.e �hc fwmevead siandard deJu<tion �o .eri(y that �hey am eliciNe Io rettue the
fi� an1 io p�m�ide mlditional idrnuirmc infwmatwn nece.sarv ro allw� counp� ga'emment ro barer monitor homesre:d
fili��_ This in(armaiion will be Am1 canGdemial and een only h� accesseJ 6r aWMr'vnt rounty of(mial.. The lkTanment of
LU1U Loeal Gmemm<nt FiwM'< ��ill u.e this in(aemanon tu crea:e 4ols �hat will h:lp eounn' offieials dfmiwm Iromut<ad iraud.
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GIBSO��N� "-DITOR
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VYHienrH Ashby
889 N 275 W
Princeton IN 47670-8568
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Taxoacer Namr
Ashby, William H Trust
State Parcel NumAer
26-11-03-400-000.063-027
_ — _V. — _
Propert�� Address
R3 Box ?i5 C �i�
PrincetonlN �7670
Leeal Description
OOCrW063-00 NE NW SE 3-2-11 5.0852 AC
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.
� �
Owner I ' � First A1iddle �l,ui
�'i�L� � M y s /� b ���
�E Address (number and itreeC city, sm[e, end ZIP code) �$ume as pmpem addrts.i �
, - g ,v a -� U/ , r,n,�; ,��=,-z„v �.v `���o
$ocial $ecurity Yumber (last 5 dieiu) Driver's Licensd5um ID Nmnba (last 5 digiB) Otha (ple�se specifv in Part 4 bdow�)
. . ,
Each undersiened certifies, under penalty of perjup•, that the above and (oregoing informution is we and co�rect and that he or she is elieible to
receive the homeslead standard deduction on this property. Each undersicned al;o underslands that, by claiming additional homestead deductions
unlawfull�, he or she may be liable for back taxes :md substantial financial penalties. -
Owner I$' eme Uatc Telcphonc
" .�e� • y���/o (�/.� ) ��� - /�
.�� � . � �
.�^R CLAIM FOR HOMESTEAD PROPERTY TAX
d�^ °
�.,>
:, .- . , ,; CREDIT/STANDARD DEDUCTION
.� State Form 5473 (R2/1-90)
,' '°�• �. INSTRUCTIONS: See reverse side (or liling instructions: . .
FORM _ YEAR I
HC10 V
� ��
CERTIFICATION STATEMENT '
�(We) �.l f'� Q,a..�lQl-U_ certify that on the-1 st day of Mpa,rch , 19
I(We) occupied as our principal place of residence the following described real prop�A�l#t�l��i estead
D1
Property Tax Credit is hereby claimed: . . � I(We) owned ❑ Are buying under contract
�Have a beneficial interest in the entity thaYis liabie for the property taxes on the property and that owns the
property or is buying it under a contract. '
CONTRACT RECORDED
ng on contract. Fee Simple Owner's Name
office where contract is recorded
County
PROPERTY DESCRIPTION
Number � Page :.
�r�{ Nur��rti Legal Descripti �-'�' I I 5• s� 1�" . v
(J `P-6� �c�v �fN.�. � a—�i ��� ��
If any portion of the residential structure or the land not exceeding one (7 ) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
I hereby certify ihe above statements are irue. correct and
Address
ASSESSOR USE ONLY
state and ZIP code)
TRUE TAX VALUE
�
ASSESSED VALUE HOMESTEAD VALUE NON•RESIDEN'f1AL
VALUE
Land not exceeding 1(one) acre immediatety
surrounding residential improvemen[s (� 1
Otherland (2)
Total land - line (t) plus line (2) (3)
Residential improvements Dwelling (4) --
Garage (5)
Oiher improvements (6)
Total improvements - line (4) ihrough line (6) (7)
Total value - line (3) plus line (7)� (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser of 7/2 Homestead
Valuation or $2,000
1991 Pay 1992
Lesser of 1/2 Homestead
Valuation or S7,500
19—Pay 79—
Lesser of 7/2 Homestead
Valuation or $1,500
Date Signed