Homestead_Barr�a R�� 4 CLAIM FOR HOMESTEAD PROPERTY TAX
z� CREDIT/STANDARD DEDUCTION
State Form 5673 (R2 / S92)
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INSTRUCTIONS: See reverse side loi /iling inshuctions.
.,. .•�: .� �. ..�:� �... .- :_.... �,--••CERTIFlCATIONSTATEMENT;,�s;,.
I (We) � a si �_e � in . � � � c%__z'_ *�....�,:t� �
�'Ve) occupied as our pri cipal place of residence the following described real property tor which a
FORM YEAR
� HC10 ,
J:� 1�. F���
� I(We) owned ❑ Are buying under coniract
❑ Have a beneficial inierest in the eniiry that is liable for the property taxes on [he property and that owns the property or is buying under a contrad.
� - � . � � -0ONTRACT�RECORDED ' � '�•� -� � - -
II buying on coniract. Fee Simple owner's name
ReCOrder's ottice where coniract is reCOrtletl Record number Page �
� � � � � .PROPERiYDESCRIPTiON.. .. -6�. -- -
Counry Township Ta<pp tlistrict (ci town, township)
I,
Parcel numDer legal descnption
D (o ' '7 -
It any portion of Ihe res'Wential stmcWre or the IarM noi eaceeding one (7) acre that immediatety surtourWs Ihat structure is used ro protluce income, descnbe ihe use arW portion
of t�e property utilizetl ro produce inmme.
ASSESSOR USE ONLY _ TRUE TA7( 'ASSESSED HOMESTEAD NON-RESIDENTIAL.
. � �� VALUE�� VALUE VALUE VALUE
Land not exceeding t(one) acre immediately _ �. , '�-
surrounding residential improvements. (�) - �
Oiherland (p) ���..;'.�' .�
Total land (line 7 plus line 2� (3)
Dwelling (4) � • ' - �
Resideniial improvements -
Garege �g) - -
Other improvements (6) -
Total improvements Qine 4 through line � (7)
Total value (line 3 p6s line � (g)
I hereby certify ihe above is IrUe, correci, and Signamre of Assessor Dare signed
wmplete.
Verityirg aUion - SynaWre of AuCitor Date sgned
l-
� � . STANDARD DEDUCTION AILOWANCE" ' �
79_Pay79_
Lesser of 7l2 Homestead
Valuation or $2,000 $
SignaWreotAuditor I \ Datesigned �
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�
Gibson County Auditor
101 N Ma„—` �' gg g'''�
PRINCET�;IN�7� �
APR i `L �u�u
GIBSO.N COUN.TV� :TOR
237
ixrwsu4[x roxw zu
nivcnremer n¢
di��iduab and ma:rieJ coupks arc limitcd �o orc homc�caJ �andard �L-Au.�ion. As �hc rtteip� of ihis deduclion becm�es
ore beneficial, thrre is morc incentnc than r�er for homateaA fraud. Homa�eaJ SauJ causes hi�hrr ut bills tor all; there�ae.
HEA Gii-?IX19 requ'ves uipa.en .cho receire �he hanes�eaJ sm�Mard JeJunion to .erify �ha� ehey am cligiNe to mcei�e tM1e
brnefit anJ io p�a'iJe addi�ional identin'i� infiumation m�rsvn� to allw� counn� gm'rmmrnt to bntrr moniror humesrcaA
filin�o. This in(arma�ion xill be F.ery confiurntial and ean nnly h arcessed br amlariuJ counry� omeioli. The IXpann�� of
Local Gmertvnrnt Finmree �vill me Ihis iniomwtion m irca[e twls ihat x'ill h:lp rnmn oHxiaL. eliminate Mmes�ead fraud.
Richard A/ Frances L Barr
2497 E Carithers Rd
Princeton IN 47670-8680
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Taxoever Name
Barr, Richard A/ Frances L
State Parcel NumAer
26-OS-34-100-003.977-027
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Prnpertr Address
R3 13oz 50 A �� IL�
�� y Y 1
Princeton IN J7670 L
a n _,�r
�")Y
Leeal Descriotion
00603977-00 PT E 34 1 10 2.00 AC
C-7
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
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Ouner I First Aliddle Lazl
�«�0.2c�i �-i �0.2�.
' g Addrev (number end itree4 ��q'• sta�c, and ZIP code) $ame as properiy odd�¢5
MiJdlc Last
�C�C.c�C�� L ��
Mailinc 9ddrev (�umber and riree4 ci�)', s�ate, and ZIP cple) Same as pmpem addres�
Social
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Each undersi�med certifies, under penalty o( perjury•, that the abo�•e and foregoing infurmation is we and co`rect and that he or she is elieible ro
receive the homestead standard deduction on this property. Fach undersiened al;o understands that, by claimin¢ addiiional homestead deductions
unlawfully, he or she may be liable for 6ack taties and substannal financial penalties.
Owncr ien Datc 7'cicphone
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