Homestead_Blair.�•�•�•, CLAIM FOR HOMEST,EAD PROPERTY TAX
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:. : -, : CREDIT/STANDARD DEDUCTION � '
:� State Form 5473 (R2/1-90) - • • �
'°" � INSTRUCTIONS: See reverse side lor (iling instructions.
CERTIFICATION STATEMENT
FORM
HC10
YEAR
�D
v
I(We) _�A.�.,� � � �certify that on the 1st day of March , 19 ��
fWe) occupied as our principal plac of residence the following described real property for which a Homestead
roperty Tax Credit is hereby claimed_ �(We) 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 it under a contract.
If buying on contract.
CONTRACT RECORDED .
e Simple Owner's Name
contraci is recorded . , � , .
�_ PROPERTY DESCRIPTION
Record Number
town, township)
Page
Parcel umber Legal De ti n al'�– lO • Q�q n C_
c>o� - C�o I b'j � S� � �
If any portion of the residential struciure or the land not exceeding one (7) acre that immediatety surrounds that struo-
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
Township , , County , _ '
riereby certify the above statemenis aFe true. correci and
��m��e�e _ . •
Address (Street, number. ciry, state and ZIP code)
ASSESSOR USE�ONLY ' TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
MAY 7 1990
NON-RESIDENTIAL
VALUE
Land not exceeding t(one) acre immediately -
surrounding residential improvements (�)
Oiher land (2)
Total land - line (7 ) plus line (2) (3)
Residential improvements _ _ _Dwelling. _ (4)
Garage (5)
Other improvements (6)
Total improvements - line (4) through line (6) (7)
Tota� value - line (3) plus line (7) (8)
I hereby certify Ihe above is irue, 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
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2,000
1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 7/2 Homestead
Valuation or $1,500 Valuation or $1,500
SignatureofAuditor /� �• , ,-�/� I DSe�gOr
� � mn.� `1 1 L.-�.e.o �
Gibson County Auditor
101 N Main
PRINCETON IN 47670
.l
4053
si�rermi.��.�w�x:i....�
nnx�w'enar<r�rca�w�urrw?.�u�cv. evytr�emnrnrtoviun��rtr�aw�
Individuals anJ �w:ried mupks arc limi�ed io nce homeunJ �tandaN AMucuon. As Ne rmeip� of �his dNunion bccm�n
mure beneficial. ther< is morc incentive ihan e�cr (or M1umesienl $auJ. Ibnxittsl freud <auses hi_hrr tu bills (ur nll: thert(ure.
HE.\ I:.FI-7009 requires �a�pa)rn �ho rceivc Ihe hanesteaJ gandarJ dvluceion w ari(y ilut tLec am eli;iWc io recenc �hr
benefi� anl io p�w'idr azNlitiu�� �demii�'inc iniwmatwn neces'vn� �o allw' counn' gmemmrnt ro better moniror iwmesteal
liling..'lliic inlnrmninn aill M Aery cmfdemial anA can nnlv h� acm:.ed hy awhnriieJ coumy nfi�¢iaB. The Uepanment nf
I ucal Gwernnrn� Fi�uMC ��ill u.c this fniormaeion m crcate nxd_a that will hJn amre utfirials elimivte Iwmestod imud.
Tasparer Name
-' -- - � �' ' � �Blair, CfiaYl2s7 Betty' -
Charles / Betty Blair
2202 E 250 S
PrincetonlN 47670-8727
�i�n���n�i��u�in���ni�n���ni�n����ni����nn�i���in�
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C h ccr I �.s
g Addres (number end iv�H, city,
:�� � �.
Sccurity Numbcr (laa i dicin)
Pruoert�� Address
R . 4-a
1 ' emn�I\ 70
Leeal Description
006-00167-00 PT SE 21 2 10 .959 AC
D-10
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Sume as pmpem oddicss ' — —' _' " _ _
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�u;c Firstl Mfddlc /�
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iling AdJress (Num and slree4 ciiy, siale, and "LII' cak) �$�une es pmperiy address
aao� � a s6 s Pr ��e E z�.� ��o t'�-y.� �7� �
ral Stturih• Numbtt (las� 5 diei�c) Dmcrs Liccnsc/Statc ID Number Qact 5 digi[s) Oihcr (plcasc spccify in Pan 4 bclow)
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undersigned certifies, under penalty of pepury, that the abo��e and furegoing infortnation is true and correct and that he or she fs elfefble to
:e the homestead standard deduction on this propeny. Each undersiened also unders�ands that, by claiming additional homestead deductions
,fully, he or she may be liable for back taxes and substantial financial penalties. .
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