Homestead_Bryant (3)eE%" g CLAIM FOR HOMESTEAD PROPERTY TAX
s���: CREDIT/STANDARD DEDUCTION
;�: �'� State Form 5473 (F2 / 5-92)
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INSTRUCTIONS: See reverse side 7oi /iling instructions.
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I(We) /�' �"-'�-� ��� certify.ihai on ihe 1si day of March, 19_
�%) occupied as oi�principal place ot resid ce ihe following described real property for which a Homestead Property Tax Credit is hereby Gaimed:
u I(We) owned ❑ Are buying under contraci - . �
❑ Have a beneficial interest in the entity ihat is liable for the property taxes on ihe property and that owns the property or is buying under a contract.
� �. - � � - CONTRACTRECORDED � . , . ' � .- ��
If buying on contract. Fee Simple owner's name . ' .. "
Recordefs otlice where contract is recorded Record number Page
// � PROPERTV DESCRIP710N
County Townshi ' Ta<ing tlistrict (
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PR, qu per _ O� M�_. Legal descnption �
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If any pottion of Ne resitlential strucNre or lhe land not exceetling one (1) aae that immediately surround�.
of the propeny utilizetl to protluce incnme.
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township)
0
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structure is used to produce
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
p Couniy
�?by certify the above statemenis are true, correct and complete.
Address (number and sbeel. ciry. stare. ZIP code)
ASSESSOR USE ONLY
Land not exceeding 1(one) acre immediately
surrounding resideniial improvemenis.
Otherland
Total Iand (line 1 plus line �
Dwelling
Residential improvemenis
Garage
Other improvements
Total improvemenis (line 4 lhrough lina �
Total value (line 3 p�s line �
I hereby certify the above is irue, correct, and
79_Pay79_
Lesser of V2 Homestead
�Valuation or 52.000
TRUETAX I ASSESSED
VALUE VALUE.
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l2)
(3)
I4)
(5)
(6)
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(8)
Signature ofASSessor
STANDARD DEDUCTION ALLOWANCE
S
HOMESTEAD
VALUE
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income, descnbe the use antl portion
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/� %/
NON-RESIDENTIAL
VALUE -
Date signed
Date signed
Signature of Autli ( DaS1� signetl
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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2184
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IndividuaL+ anJ marriN mupies are IimitN to ore homc.maJ �tandnN ANunion. As the reccip� of ihis dedunan bttonres
merc bentficial, thrrc is morc incrntn< than ncr (or homntead fr�ud. Ilomn;racl fmud caass higlt+tac bilis fur all: thaefore.
HEA 13�73-?UIW requim uapa�cn who receire thc hanes�ead aandard JeJuciion �o .eri(y ilut thcy yc eligiMc to macne �he
benen� anl ro p�m�iJe additional identiiyfn_ infurm�twn nece.vry to allw� ewntr ememmmt tu b_uer munitor humesrc:r7
filin�,n.'Il�ix inlarma�ion u�ill M Aryu cm6demial xnd em nnlr FK aactt�ed M1y aWhorved rounn� ofTiciaL_ 7'he IXpanment nf
Lucal Gm'cmm<m Finance will u.c this iniortnation W crcatc twb �hat wiil h:Ip cnunry' olTicials climfnaic 1rc�mcstead fiauJ.
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Taxpe��er Name Prnpertc Addre�s
Bryant, Todd M/ Angela K
IL? I3ox 315M
Princeton IN 47670
Todd M/ Angela K Bryant
883 N 350 E Stare Parcel Number Leeal Description
PrincetonlN 47670-8951
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License/Suit ID Nmnber (la,� 5 digib) I Oiher (plcae
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Addmss (Kumbcr and atrecL d�y, siatc, and ZIP coJr)
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Pan 4
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curip� Numbcr (lan 5 digi�s) Drivds Liccnsc/Stacc ID Nwnbcr (laa 5 digitA Othcr �plq.ac spccify in Pan 4
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undersigned certifies, under penalry of perjury•, that the abo�•e nnd foregoin� infurtnation is true and comect and that he or she is eliefble to
�e the homestead standard deduction on this property. Each undersigned also understands that, by claiming additional homestead deductions
.�fully, he or she may be liable for back taxes and cubstaririal financial penalties.
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