Homestead_Barker� si,>e o
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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R2 / 5-92)
INSTRUCTIONS: See reverse side !or �ling instructions.
` '' F�ORM �� � - YEAR
_ � f+� J
JUL 0 6 1999
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. � CERTIFICATION STATEMENT _ _ % '� � ��
I(We) � - J ceRify�that oo-tlie�l st�da�fT�1a°rch. 79_
I(We) occupied as our principal place of residence the follovring described real property for which a Homestead Property Tax Credit is hereby claimed:
❑ I(We) owned ❑ Are buying under contract �
❑ Have a beneficial interest in the entity thai is liable for the property taues on the property and that owns the property or is buying under a wntract.
CONTRACTRECORDED
If buying on conVatt, Fee Simple ovmets name
Recordels omce where contract is recorded Record number Page
PROPERTY DESCR TION
Co / I_� O Township Tating dis 'ct (dry to to ship���
!J
P�}rcel number /�O Legal descri n �� � ��� � � �
1�16 — � /
If any portion of �he resitlential strudure or the land not exce tling one (1) acre hat immediatety ounds that structure is used to produce inwme, describe the use and portion of
the pmperty util¢etl ro produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County Township Couniy Township
Sign laimant
•ereby certiry the above statements are true, correct and complete. -
Addr n ber and stree�, city, state, ZIP cotleJ -
Zi i�% E( O A.i i iJ
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not ezceeding i(one) acre immediately ���
surrounding residential improvements.
Otherland (2)
Total land (line 7 plus line 2) (3)
Dwelling (4) �
Residential improvemenis
Garage (5)
Other improvements (6)
Total improvemenis (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify lhe above is lrue, correct, and SignaWre of Assesor Date signed
complete.
Veritying action - Signature of Auditor Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead c�
V uation or S2,000
Si ur Auditor Date
—� -9
�
Gibson County Auditor
1G7 N Main
PRINCETON IN 47670
1870 - —
n.risuau wxw su
InJiriduaL� and inarciN rouple are IimiiN io one hmneaeaJ uandtrtl �kUuc�iun. As ihe rttripi of Ihis deduninn become�
morc beneficial. tlarc is more incentne than e�er for homes;racl Eraud. I lom�veael fraud causes hichrr ux bills' for all: d�ertiore.
HEA 133i-?O(19 requim uapa.cn x�ho recci.c iM1e hanenead siandard Jcdunion to .erilv rfui they am elieiMe to recrne the
brnefit an1 W pm�'iJe adAitimul iJentitrim_ inWrmatiom m��'vn� to allw� eountt gwrmmmt ro Y_ner monitw IwmrsrcaA
filin�n.'Ihix infmmalion will M Ary4 coNidential anA nn nnly h� arce� W by aWlarient rounn� ofP¢ial�.'fLe Ikpannrcm of
I.ocal Gm'emmrnt PiN�rce will u.e this in(ormation w truu [iuls �hat will h::p ttwnn' ulficials eliminarc Iwm<+trad fnud.
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Tasoacer Namr Propem• Address
Barker, Ronnie J
Ronnie J Barker
557 S White Church Rd
PrincetonlN 47670-9500
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Princemn IN d7fi70 ___ - _ _
State Parcel NumAer Le�ul Description
� 26-11-15-101-000.181-027 006-00181-00 SANDY RIDGE EST SEC A
72
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Ou�ner /I � First Aliddle Last
11v�11'�1� SU2 �0.'C k� �
ig Addresi �nurrmticr wd svca, cirv. statc, andZlP2odc) --- . . - . . . ' — .�'S+m.:ti p�apertyaJEr;s;—'-- — ' � — –
���`] � wl�i�'e., e��v�cl� e�o� v-��ce�o�n ��N, �17670
Social
� Middlc Last
Mailine Address (�umbcr and 9rttl city, state, xnd'LIP cuJe) � Same �ss pmpmy edJ�a;
Social5aurip� Numbcr (latt 5 digits) Dmefs Lice2clStatc ID Nwnbcr Oa � S dicits) Othcr (plcuc specify in Part: bclow�)
sos
. . . �
Each undersigned cenifies, under penalry of perjury�, that the abo�•e and foregoing information is we and colrzct and that he or she is elieible to
receive the homestead standard deduction on ihis property. Each undersicned al>o unders�ands that, by claimin¢ additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
Ouncr I Siymnnuc [�v^ Telcphonc � � � � � � ` � �� �
UYVr-tQ � 5'�-- � 0
SpouuSig�a[u:e Ua[e Telephonc
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