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„�� � CLAIM FOR HOMESTEAD PROPERTY TAX
- � CREDIT/STANDARD DEDUCTION
` � SGte Form 5473 (R5 / 70-07)
Presuibed by the Departmenl of Local Govemment Finance
residen t e following d �bed real property for which a Homestead Property 7� redit is hereby daimed:
❑ I(VJe owned ❑ Are buying under contracl ' C'�� 1 CC":'TY AUDITC3
�iave a benefidal interest in the enGty that is liable for the property taxes on the properry and that owns the property or is buying under a contract.
a�,.:: -�- x � . ". . �-� , .,i; CONTRACT.'RECORDED';.r-Y-',�.. �f�^r � �>fi ,r. ,,�� -
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ics���ir- .�1���:��it �..u"�.�=-��.s..-._.�.�.'�%'1: ..—bb _�S Y-� - ' _
It 6uying on conVad, Fee Simple owners name
Recordefs oifice where coniracl is recorded Rewrd number Page
Counry
If any
otthe
Toxnship
sWCWre w Ihe Wnd no�'exceeding one (1 j arre that
ice inwme. � 1 7�^ ` �
% YT ���
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Tating dislric� (cily, town, fownship)
� I ls the O�operty in question:
❑ Real property ❑ Mobiie Homo (I.C. 61.1�7)
surtounds that swcture is used to D��uce income, dewibe lhe use antl portion
�5�.`•,e X=3'"-�r �-'_'�� .s . � � � x . � . . . . . tY ;, . . . , j, . .
��.���"�xASSES50R USE ONLY�`���� i' "'� � R'������ �� ASSESSED VALUE � SHOMESTEAD r,.�� NON-RESIDENTIAL``' -� -��
�t��•. � �AT-100%OF�TN �'VALUE �� "'t'} '•"- a. ��`'t
a.= �:�`:���.. -�Ytt�;�3F.�._ ..Ss::_-�. +'� :�;� ir� _ ,� � v- f...e�.� �.� ,rd....: VALUEF...�� �rz€2
Land not exceeding 7 (one) acre immediatety ;'�.�.�'� � �`�"� `" , � "�c; � ;y �_
# .�e � 4� .IR'�
surtoundingresidentialimprovements. (�) =�f`-<�?s';.=g�„g,.+.:,:r�;�; ��
r +.-�e��'^. .�� �
Other land \ * �= �.,�,
(21 <L.Sv.'Le=� }�;4,. y ".
,,r.-an.:.:..ti .+�_�3
Total land (line 7 p(us line 2) (g)
Dwellin9 (4) 5 e� �t��,.�„r {�''J-r�7 � x+':';
ResidenGalimprovemenis ��`� ���"'r }Y'i'`'"'''s'*?s�.
�,�- ����r �,iy.-� . - �rcr v' :�.
Gara e �.� ,, �- � �� z �':
9 (5) ��L .:in�`,�+.,:.�'�"�; 1� =�:
� �. .h
Other improvemenls (6) ` -' ..s'� x`
.--i;,,.wy_ _
Total improvements (line 4 through line 6) (7) -
Tdal vatue (line 3 plw line n (8)
I hereby certify ihe above is We, cortecl, and Signature otnsseswr oate signea
complete.
Vrritying aclion - SignaWre of Niditor Date syneE
SgnaWre of Auditw
20 _ Pay 20 _
Lesser of 1f2 Homestead
Valuation or 56,000
3
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�FI��I�
APR 1 2 Z�»
— `�a ��
GIBSON C �NTY AUDITOR
ST\iE f00.f1!�w�R'/ fw1
1REVSL�l&PoR4.�-1.�
SiP \CEICVI.1"-!.1
InJividuals and rtu;riN coupl� are Iimi�N �o onc homeyead �tandard dMunion. As �he receipi of Itv� deduction beconres
more beneficiaL �hrrc i.. morc incrntive thin ecer for homesrcad fnud. Iiomn'ttaJ fraud causes hi�her ta� bills for all; Iherefwe.
HEA 13i-t-?IX19 rcquim uxpa.en ��ho recci.e ihe hanes�eaJ sundard JeJuc�ion to .erif�� �Ivt ehey art clieiWe io meei.e �h.
brnefi� an1 ro p�a'ide aJditio�ul idemiiri� inPormatmn �ices'vn� to allw� counn gm'rmment ro Ytmr rtwniror homeseaA
(lin2. This in(ormiiion will M Acpl conf.drnlial md can only !+c attr�uvl by amMrizN ronmr nlTaials.'I�M1e fkpannrent o(
lucal Govemment Fimm'e xill u.e �his informarion ro crcam twls tha� will h:lp counn� official> diminam Iromcstwd fmud.
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Taxnaver Name Prnperh' Address
Barrett, Jerry LlPhyllis J
$29
Jerry L Barrett
3344 W Mary Roberts Dr State Parcel NumAer
PrincetonlN 47670-8473
�i�n��i���i��n�ni���u��������n��ni�n��n�n�i�n����n� 2611-15100-p04.092-027
_— '_ _ . — _ — ' _ _ ._ __�� — __.,_ ___
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cnsviile IN �766i �I�
Leeal Descriotion
M C ROBERTS TICHENOR RD PH II 4
D-17
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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Spou;e First Middle Lut
�h�l/1� s ��s .eE�t
Mailine .4ddre55 (l�umber and Ntt4 �q', slale, and LIP code) � Sume as pmpeny addres
3 3 yy r,v �,� � Qo�e,��`s ,az �,�; �� � �o.� .� v�� �d
Social Sauriry� Numbtt (lu� 5 digi�s) DriverS Licensd5�ate ID N�unber Qazt 5 digits) Other (plc�se specify in Pan 4 below)
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Fach undersigned certifies, under penalty of perjury, that the abo��e and foregoing infurtna[ion is we and colrect and that he or she is elieible to
receive the homestead standard deduction on this property. Each undersignzd al;o understands tha� by claimine additional homestead deductions
unlawfully, he or she may be liable for back iases and substantial financial penalties.
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