Homestead_Burketta� ��3 g CLAIM FOR HOMESTEAD PROPERTY TAX
i� ;. CREDIT/STANDARD DEDUCTION
.•;�f State Form Sa73 (R2 / 5-92)
�s��
INSTRUCTIONS: See �everse side 7or liling insfructians.
FORM
HC70
YEAR
- . CERTIFICATIOrv��n�tmtrvi � - .
I�) T ceMrt�f�y��ha on th�n 1ns-t7 day of March, 19
) occupied as our pri al place of residence the following described real property for which a Homestl3O Pr� l��redit is hereby claimed:
❑ I(We) owned ❑ Are buying under coniract
❑ Have a beneficial interesi in the entiry iha� is Iiable for the propetly tazes on the property and ih� ns the�frq�erJy�i� §uy�,ur�r a contraci.
� � CONTRACT RECORDED � � ��
I( buying on contraa, Fee Simple bwner's name
Recortler's ottice where contrect is recorded Rewrd number Page
Counry
Township
Leqal description
If any ponion of ihe residential sVUCwre or [he land not exceeding
of the properry utilized to produce income.
�PROPERTY DESCRIPTtON
Tating disirict (City, (owq township)
� �..� �v w i � d� — � r i� �roc �-► c _
acre Ihai immediatety surmunds lhat 5[rucNre is used to produce inco e, describe Ihe use and portion
� PROPERTY OWNED BV CLAIMANT IN OTHEfl COUNTIES �
Counry Township County ' Township
I nereby certify the above statements are true, correct and complete. S� namre iaimam�
Address (numb andstreec ary. state, ZlPcode)
DX !
ASSESSOR USE ONLY � TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL '�
.VAWE . VALUE� VALUE VALUE -
Land not exceeding 1(one) acre immediately �
surmunding resideniial improvementa ��) -
Otherland (2�
Total land Qine 1 plus line Z� (3)
Dwelling (4) � -
Residential improvements
Garage (5) - -
Oiher improvements (6) �
Total improvements (line 4 [hrough line � (7)
Total value (line 3 p�s line � (g)
I hereby certify ihe abOVe is iNe. Correct, and Signature of Assessor ' Date siqned
rnmplete.
�i�g aaion - Signa,ure ot Auditor Date signed
19_Pay19_
Lesser of 1/2 Homestead
Valuation or S2.000
of
DEDUCTION ALLOWANCE
'��
Gibson County Auditor
101 N Main
PRINCETON IN 47670
•
51 _ _
Gary P/ Lisa R Burkeri
3482 W 50 S
Princeton IN 47670.8138
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Individualc anJ ma;riN coupla are Iimi�N to nre hnmeueaJ aandanl �:rlueiinn. As �he rcceipi of ihis deduriiun bemnrce
morc beneficial, thne is morc incentnr �han r�er (or humesteal frauJ. Ilomeixml &auJ cause higher ts 6ills (ur all: thrre(ore.
HEA.13i1-]qW requires ucpacm who rcci.c ihe hanes�caJ smndarJ deJuaion in .crilj tM� they am clieiMe to mcene the
benefit ani Ia pn„'ide adlBional iJrntiiyinc iniurmatiun �xce>sarc �o allw� counry gaemmrnt to betttr munitor homesttaJ
filim� _ This inlarmmion uill 6e 4.cp mnli�lemial and r�n nnly h. aoces.eJ M1y amMmcvl rountr niT¢iaL.. TM1e Ikpannrm of
Tuxoarer Name
Burketl, Gary P/ Lisa R
/ Stare Parcel Number
26-11-15-100-OQ3.701-027
n�i����u� /
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AEdias�numberunds¢m.city."sta�e.�endZlPcodej----- —
,�� R�� l,l) �v s �,�iYtr �� r
�
��� First
e Address (t�umber and 4ree4 riq', s1ale, und ZIP code)
��ga w�v ;
Sccurin� Numbcr (las[ 5 digits) DmxYs Licensc/5
Propert�� AJdretis
� R�13oxIS3
ceton IN d7670
Leeal Description
M C ROBERTS TICHENOR RD PH II 13
...._ �u�K�t�
—'— —�Snmcri�propcityaEdR.c;--- . .'_ - __
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O�her (pleise specify in Part 4 belox•)
� P��n. �a,�
Othcr (plcas'c spccif;� in Pan 4 bclow)
undersigned certifies, under penalry of perjury, [hat the above and foregoing infortnation is we and correct and that he or she is eligible to
:e the homes�ead siandard deduc�ion on this propeny. Hach undersi¢ned also und-crsiands that, by claiming addi;ioral homestead deductions
�fully, he or she may be liable for back �axes and substantial financial penalties.
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