HomeMy WebLinkAboutHomestead_Beasley�{ R�l10
t CLAIM FOR HOMESTEAD PROPERTY TAX
le '" CREDIT/STANDARD DEDUCTION
Stare Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side loi /iling instructions.
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I(We) ` ce ' on he-i/s�t �day:of Mar 7 I
�) occ i as our principal place of residence the tollowing described re roperry tor which a Homestead f��p��c�'letld, � ;� med
L, I(W owned ❑ Are buying under coniract
❑ Have a beneficial interest in the entity that is liable for ihe property taxes on the property and thai owns the property or is buying under a contraa.
.. CONTRACT RECORDED.': - -� v�. ^ _¢:. - ' � ..
If buytrg on contract, Fee Simple owner's name
Recorder's oflice where contrad is recorded Record number Page
Counry
portion o�
pmperty�
Township
Legalde!
or Ne lantl not
one (7)
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immediatety surrountls that siructure is used to produce i(xome, describe the use and portion
. � ASSESSOR USE ONLY :� ' TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL.
�� .. �� � � VALUE- VALUE VALUE : VALUE
Land noi ezceeding 1(one) acre immediately . -
surtounding residential improvements. (�) - �
d-. _
Oiherland (p) - � �
Total land (line 7 plus line 2� (3)
Dwelling (a) . ., ' � � .
Residential improvements .
Garage (5) - �
Oiher improvements (6) �
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line 7� (g)
I hereby certity the above is true, correct, and Signature ot Assessor Da;e signed
complete.
��=dtying action - Signature of Audiror Date sgned
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�- - - STANDARDDEDUCTFONALLOWANCE" .`�=`�,-_- , �
. 19_Pay19_
Lesser of 1/2 Homesiead
Valuation or $2.000 S
SgnaWre of AuEitor Date signetl
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
1887
John W/ Doris J Beasley
749 S Barn Lane
PrincetonlN 47670-8132
(tARfOR\1!!HIM_/)�MI
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1RFASURfA Po0.4:}U
InJiriJuaL< and marriN mupl�w arc limi�ed to onc homeucaJ .�andard �-dunion. As �he rmtip� oi ihis deduninn beconres
mo�e beneficfal. thrrr i> more incentne th�n e�er (or homeitrad frawl. flomu�ead $aud causcs hi�hrr ua 6ills (or ull: thercfore.
HEA 133�1-30(!9 requim uapaycn who rrmice thc hwnestead siandard dNuction in .erify ihat they are cliciNe to meene dn
brnefi� ami ro pnxidc mktitional iJentiirinc infurm:mun rn�san m allar counry� �w�xmmmt tu b;trer rtwnitw IwmrsuaJ
tilinf�. This inlnmutinn will M Aept crnlideruial anA nn nnlr Me atte�ud h�� authoriiN rnunh� o�Ticials. "fhe Ikryinmem nf
I.ucul Gm<mment Finanm ��ill mc this info�mmiun m areae uxds Ju� mill hcln mmn nfficiala eliminam M�mee��ad (nuA.
�i�n��ni�i��u�ni���ni�u�ini��n��ni�����i�����u�i����
Taxpacer Name
Beasley, John W/ Doris J
S[ate Parcel NumAer
2611-15-200-003.909-027
J
Prnoertc Address
Ka �
Princeton IN 47670
Leeal Descriotion
M C ROBERTS TICHENOR RD PH I t019T
D-17
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Owner I F'irst Middle Last
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ne Addrev (numbcr mid succ[, ciiy, scdm. anuZlP�codc) - -- ,p — �-- � _ '. rX^ur��crs pmperr� aidru�; _ _ _ _ _ _ _' _
7 i q S. a. r- n� �, V � i���e �o� LJ ' � Z� 7 D
Social $aurily Number (last 5 diei�s) Urivcrs LicensrJStale ID Nu r Qaz� 5 di�iL) O�he� (pl sptci(y in Pan 4 below)
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SEwu;e First Middlc Lut
�dRis JeoN ��4S�E`�
Mailin� Addre55 (Number and 51ree4 n�y. slaie, und LII' cu�k) j�'S�une ti pmperly eddrea
%YG S- �ft�N LN PKt�l�cFtcn� � �f�G'IC�
Social Stturip� Numbtt (lan S dieits) Drivcrs Liccnsc/Statc ID N�unbcr (lazt 5 digits) Ochtt (plcnsc s{kcify in Pax? bclow)
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Each undersitmed cenifies, under penalty of perjury, that the abo��e and foregoing information is trvz and correct and that he or she is zligible to
receive the homesiead standard deduction on this propeny. Hach undersigned also-unders�ands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back �axes and substantial financial penalties.
Owner 1� a De4^ Telephone
G.�- �1-17-�0 (
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