Homestead_Birchd..� �., CLAIM FOR HOMESTEAD PROPERTY TAX
x'� � ° CREDIT/STANDARD DEDUCTION .
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� .� State Form 5473 (R2/1-90)
�' '°'• ` INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
_ FORM YEAR
� -. .
MAY 2 3 ig91
I(We) �QAxd C` . �L U ��,c��certify that on t dif A�R..#9 �
'( We) occupied as ur principal place of residence the following described real pro���wh�iCF� a Homestead
Property Tax Credit is hereby claimed: ._.�]TWe) owned ❑ Are buying under contract
�Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
_ property or is buying if under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contraci is recorded Record Number Page
PROPERTY DESCRIP�LA� •
Town hiq �_ �_ Taxing Disjr' t jCiTry, town;
� ./�lAXJ�6ti� - (�-C'v-�+� ei� /�JY.(.IT �/
Parcel umber Legal Description -
�o� - o��f4s (�,� l�� - Nw 9-a -�o .�� an Ac.
If any portion of the residential structure or the land not exceeding one (1) 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
ASSESSOR USE ONLY � TRUE TAX VALUE � ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land'not exceeding 7(one) acre immediately
surrounding residential improvemenis (�)
Otherland (2)
Total land - line (7) plus line (2) (3) �
Residentiafimprovements � Dwelling (4) - - - - - - �
Garage (5)
Other improvemenis (6)
Total improvements - line (4) through line (6) (7)
7otal value - tine (3) plus line (7) (a)
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 7 991
Lesser of 1/2 Homestead
Valuation or 32,000
�
1997 Pay 7992
Lesser of 1/2 Homesiead
Valuation or 51,500
19—Pay 19—
Lesser of 1/2 Homestead
Valuation or �,1,500
Da e Signed
.� a3 - �
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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ST V E i0A\I!)M �Il' l f+Yl
TRFASURCII Po0.4 .11.�
Indiriduals anJ marriN coupk� are limi�ed io ore homevcaJ uandard d;duainn. As �he receipi ol �his dNunion hconree
murc bcneficial, therc is more i�rcrnme thm r�er for humn�ettl (nuJ. Ilumesuad fmuJ causa hi�her tas bilk (ur all: thrrcfore.
HEA 13a-1-7lH19 requim uapa.en who rcccive ihe Mxncsiced siandard JeJunion m.eri(y �fut they arc eligiNc m rte.i�r ihc
benefii am1 to pnn�id< adAi�ional iJentiirinc intwmanun �xce.'vrc ro allw� counn� gv.�rmmmt �o bmer monitor huncsrc.�d
lilin��.'ihis iniormaiion x�ill M lryw mnlidrnGal anA r.m only M� arre:.eJ br awhnriiM rnumy n(Ticials.'fM1e Depannrcnt nf
I.unl Gmcmmcm Fi(u�e aill ux Ihis inio�mation W cru�r twls �hat mill hclp cwnn� olficial> cifmmatc homn�cxl traud.
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Taxparer Nnme Prnoern� Address
Birch, Gary E/ Deborah D
"` — 3369 - —
Gary E/ Deborah D Birch
463 Spore Dr
Princeton IN 47670-8969
�i�u���n�i��n�iii���in�n�i���ui��i��i�in��un��u�����
R? 13oz 390 �
!'rinceton IN 37670
State Parcel NumAer Leeal Description
26-12-09-100-00�.445-027 006-0244500 PT W NW 9 2 104.211 AC
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O.��oer I First Middle l.azt
UA�2 � E /� L �.e �-�
' — ng Addrcss (number end �vee[, city, smtc, snd ZIP codc) — -- - '- ' — ' — u'Seme as pmpcm eddress — "' — —
`f(�3 �P02 E �,eIVE �2!lJL�ETD�tI L�cl 'f767o
Socol
Spouu First Middlc Laa
�Ego,�-,4H ./� f� =2�h
Mailing Address (Number aud svee4 �q'. sule, nnd "LIP cak) � Same u pmpeny add'ev;
`f �-3 SPoP ��2 i I/� P,e i�� To� Tti �7 7 0
Social Stturip• Numbtt (laz� 5 digi�t) Drivcrs Liccnsc/S�atc ID �wnbcr (1a.t 5 digits) Othtt (plcssc spccif� in Part+ below')
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Each undersif.med certifies, under penalry of pequry•, that the aboee and foregoing informatiun is true and colrec:t and that he or she is elieible to
recei��e the homestead standard deduction on this propeny. Each undersiened al;o understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable (or back taxes and substanrial financial penalties.
Owncr 1 $i�ma4uc Dsm Tdephone
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