Homestead_Booker (3)d..� h, CLAIM FOR HOMESTEAD PROPERTY TAX FoRM
�� � : CREDIT/STANDARD DEDUCTION Hc�o
.� State Form 5473 (R2/1-90)
�'°° �� INSTRUCTIONS: See �everse side for filing instructions.
C –\b'�� CERTIFICATIO S ATEMENT� • �
��
I(We) rt y that on the 1 st day of March
C
19 I�
!(We) occu�ed as our principal place of re�idenc�t,�he, f�oltowing described reai property for which a Homesiead
Property Tax Credit is hereby claimed: k�l (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. .
. CONTRACT RECORDED
on contract. Fee Simple Owner's Name =
office where coniract is recorded
County
PROPERTY
DESCRIPTION
� d �,
Parcel Number Legal escription -
�o(o- 01031 ,� .- NuJ - Nc� �� -� -lh I• o� A�
If-any.portion of the residential siructure 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.
133D -� 10 U
PROPERTY OWNED BY CLAIMANT IN.OTHER COUNTIES
County `�
ce`rtify the above siatements are true. correct and . Signatur /� �
' K � '�� l l,u-�-4 R
s(Streei. number, city, siate and ZIP code)
ASSESSOR USE ONLV .TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
VALUE
land not exceeding 7(one) acre immediately
surrounding residential improvements (�)
Other land (2) �
Total land - line (1) plus line (2) (3)
Residential improvemenis Dwelling (4) - - - - - - � - - � �
Garage (5)
Other improvements (6)
Total improvements - line (a) through line (6) (7)
Total value - line (3) plus line (7) (8) -
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
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser of t/2 Homestead
Valuation or $2,000
A.J .
7991 Pay 1992
Lesser of 1/2 Homestead
Valuation or S1.500
19—Pay 19—
Lesser of 1/2 Homestead
Valuation or �1,500
� Signed
-8-90
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
3535
t1Ai£fOR,\I!JHIR:/��YI
tRV51%4FAfO0.N�11/�
CAN'c0.YMFN� (U:�tlCF IC sl! � �.1
LWiviJuaLa aod marriN couplr: are Iimi�eJ m onc hnmcucaJ aandtN U;rlu.�ion. As the recript ol �his Jeductan 6ttrn�a
more benencial, thzrc is morc i(rcrn[ire than e�er (or homotead frvud. Ilome>�ead tmud causes hi�her �az bili> for all: thert(ar.
HEA I:ii-2IXMJ requ'ues taiparm who reecirc ihc hanestcaJ standard drJuction lo ven(y �ha� �hey are eligiMc �o mcenc Ihc
brnefit attl to p�a'idr a4liGOnal iJentiiyim_ iniwnt�iron Mce>vn lo allw� counir eaemmenl lo Nner muniror humrve:N
filin��. This infn�ma�ion xill 6r Aq+1 ccuJiJeNial anA nn only M attr�¢d hy amMriztd rounlr o(Tcial�.'fLr IkNnnxm nf
I ocal Gmcmnrnt Pf�uMC xill mc ehis iniumution W crcam nvle tlut �rill help mmn� oSiiaL+ diminmc humes�ead Iraud.
, ' ' , , ' "
Tasoarer Name Prooem� Address
Ju e, Nelda
ao? s i so r:
Princeton W 47670
Nelda Judge
602 S 150 E
PRINCETON IN 47670-8825
���n��in�i��n�in���in�n�i�u�in���i�i�i��uin�i�ui���
N�Id�
� Add`css (numbcr nnd ivcc4 rity, sm[c, snd
�n D o2 .�t�-�'h l.
- ��
rr�a �,� i
Address (Number anJ �lree4 riiq, s'Iale, and "LIP cuik)
ity Numbcr (last 5 diei�s
�
undersiened certifies, under penalty of pequry, that the abo��e and (oregoing infoRnation is we and correct and that he or she is elieible to
•e the homeslead standard deduction on this property. Each undzrsigned al>o understands that, by claiming additional homestead deductions
�fully, he or she may be liable for back taxes and substantial financial penalties.
I " �wc ^ � Uni�e( I� ��/O 1'cicphonc � �
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