Homestead_Bracher (3)�`���" - CLAIM FOR HOMESTEAD PROPERTY TAX
l �° CREDIT/STANDARD DEDUCTION
:• �/• Stare Fortn 5473 (R2 / S92) •
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k(-,�FORM fp-�3 � S v ' YEAR
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�0`� 0� 1999
INSTRUCTIONS: See ieve/se side 7or filing instructions. . /�
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CERTIFICATIONSTATEMENT �J'^%�-a����y;;.;��_��. .'%
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I(We) certify that on the 1 st day of March, 79_
I(We) occupi as our principal place of residence the following described real property for which a Homesiead Property Tax Credii is hereby claimed:
I I(We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taues on the property and that ovms the properry or is buying under a contract.
� CONTRACTRECORDED
It buying on conVact, Fee Simple ownefs name
Recordels oKce where contrnct is recordetl � Record number Page
PROPERTY DESCRIPTION
CounTy Township Ta�ri 'ty, t , townshipJ �
Parcel number Legal descnption
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Ii any portion of Ne resitlential swc[ure or ine IanO nm exceeding one (1 � acre ihat immediatety surtountls that swcture is used to produce income, tlescribe Ne use and ponion W�
ihe property utilized to produce income. ,
. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township . Counry Township
Signatu of imant
iereby certify the above statements are We, correct and complete. -1
Address (number a sneet, dry, sfate, ZIP ) -
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ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately (��
surtounding residential improvements.
Otherland (2)
Total land (line 1 plus line 2) (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6)
Total improvements (line 4 Ihrough line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby Certify the above is true, GOVect, and Signamre of assesor Date signed
complete.
Venrying aciion - Signature of Auditor Date signetl
J�i. STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead � �
Valuation or $2,000
Signature of Autlit Date signed
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Gibson County Auditor
701 N Main
PRINCETON IN 47670
1827
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vrfswnmer n¢ o¢r�ui.¢vrcriawi c'RnE�.wm� rmw�rr rc«i.i _a.i
InJividual> anJ marriN coupb arc Iimi�eA to nnc homeaeaJ MandaN dNu.iion. As ihe �eccipi ol'tliis deductan 6ccome±
morc benencial, iherc i. more incentne than ner for homesieacl fr.mJ. Ilomesttael Gaml causes higher �ac bills tur all; therefore.
HEA I;Si-30119 requim uapa.en �ho receire the hanesn•eJ siandird deAuction m veril'v dut �hey are cligiNe �o mc.ne �Fe
benefi� amf iu p�a'ide aklitional iden:in'i`r_� intwmnwn �kmsan� ro allw� county �n'rmmenl ro Nner muni�ur humesreaJ
�ilinb. This inl'orma�im wiil M Aqv con6�emial and ren nnly h� arce:.eJ by autMri�N rnm�ry nRKinls.l3e Ik7vnmrnt of
Local Gw<mmrnt Pivirce will u.e this iniormation tu cr<atr �wls that o'fll h:lp eqmty offrial.� elimina�e humesteml Gaud.
John S Brecher
P O Box 156
PrincetonlN 47670-0156
�i�u��in����n�ui���ui��n�i����i�i�u��i���i�u��nn��i�
Taiparer \ame
Bracher, John S
S[ate Parcel Number
26-11-14-200-p03.548-027
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Prooert�� Address
7so s c�,n«� oK
Princcwn IN 47670
Leeal Description
006-03548-00 COLUMBIA VILLAGE SEC 4
25 PT
1' 1
Owner I First Middk Lazt
^/a s �ra�h�
�g Audress lnumbcr m�a strecY, eirv, smm. and ZIP code) _. — - — .. ' - .0 Samz :.; prop;.rry- od�'rs-,-- . _ _ _ _ '
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$ocol Securily Numbr� (last i dicits) Dmers License/State ID Nmnbcr (last 5 digiLt) Otha (plm5e sptcify in Part 4 below)
Middlc I.�s[
Mailine Address (Number and stree4 city, s�ate, and'GII' cwir) � Sume �u pmpeny adJreti
Soeial Sccurin� Number (Ian 5 digi�s) Drivtt's Limnsc/Sta[e ID Number (1azt 5 digi�s) Othcr (plcsse spccify in Pan? Mou�)
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. . . �
Each undersiened certifies, under penalty o( peryury, that the above and foreeoing infonnation is we and cortect and that he or she is elicible to
receive the homesiead standard deduction on this property. Hach undersicned al;o understands that, by claimine additional homestead deductions
unlawfull}', he or she may be lieble for back tases and substantial financiel penalties.
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