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Homestead_Byrns (9)CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION State Form 5473 (R2 / 5-92) � ' ' INSTRUCTIONS: See ieverse side /or (iling instructions. � . ' � � ' CERTIFICATION 5 E'�� � � '. �' . ��� �� '.��8 2 ? 19�5 I(We) __���� Ll��/�� �- certify ihat onMV cd� Hd�bl March� 79_ I(We) occupied as our principal place of re d ce the following described real property tor which a Homestead Property Tax Credit is hereby daimed: � (We) owned ❑ Are buying under contract - . . � - ❑ Have a beneficial inierest in the entity ihai is liable for ihe property �axes on the properiy and that owns the property or is buying under a contract. Ii buying on contract, Fee Simple owner's name , Recordefs oRice where wntract is recordetl Counry Township . Parr/-? nu er legal de ' �i i-�- � If any portion of the residential strucwre or the land no ezcee of the D�openy utilizetl lo protluce income. CONTRACTRECORDED PROPERTY � Rewrd number Page �I C�.Y� /!/' // Ai�//� ane (7) acre that immediatety surrounds that swcWre is used ro produce income, tlescribe the use and portion PROPERTY OWNED BY CLAIMANT IN OTHER Counry Township Counry I hereby certify the above statements are [rue, correct and complete. Signamre of daim X Atldress (number and slreeL ary, state, ZIP code) IC f?sC—'i Pt..vcw.-,�..� T 47L7d ASSESSOR USE ONLY Land noi exceeding 7(one) acre immediately surmunding residential impmvements. Otherland Total land (line i plus line 2� Dwelling Residential improvements Garage Oiher impravements Total improvements (line 4 through line � I ne��' e (line 3 p�s line � ertify the above is ime, correct, and �complete. '(erityi� action - Signature of Auditor \ �. \19_Pay79_ � ;ser of 1/2 Homestead ��t ' � Valuation or 52.000 � ��� TRUETAX ASSESSED VALUE VALUE.:� (�) I2) (3) (4) (5) (6) (�) S gnamre ot Assessor STANDARD DEDUCTION HOMESTEAD I NON-RESIDEN'fIAL VALUE VALUE �- Date signed Dare signed ... � - � :� . . ., . �. :. (� Gibson Caunry Auditor 101 N Main PRINCETON IN 47670 � f[i ::� SIiRl0A41�W I�lf..Ml MANRG HMV 11.� ruxwem ev n�c uEr.unEV: or ia:u crn�cwa� mn.'cc rc��i.i.ia.i InJiriJuals anJ muriN rouple arc IimiteJ to nrc homc.tcaJ aandaN dNuc�iun. As �he rettip� 01 �hi> deduninn bttomes more beneficial. thrre is morc incrnme dun <�cr for M1umeste>I fnuJ. Homurcsl frdmi causu hi�her tai 6ills (or all: drcrtfar. HEA Ii�Fi-Z(N19 requim uxpa.ers .vho reccire the hancsteaJ smndnd deJuceiun w reri(y tha� �hey are eliciNc lo mttin• Ihc benefi� am1 to pnxide adJiiional idrntiiyine in(urm:nwn nemvn� to alluu� counro gm'emmmi ro berter mmiror hum�stt:d filin�. Ihie inlomutinn will M AryM crn�idenlial anA can only M1c accc:¢J F�� aulMrizN rnuNy o�cials.'fhe Ikpannrcnl nf Lucal Gwcrtvnent Fim�rce ��ill uw this intormation w crwte twls ttu� x'i0 h:Ip �ounn� ufhcials elimiwrc lromestead fiaud. , , , , , , . ' ' Tasoa��er Name �� ° Propem• AJdress Byms, Orville R Orville R Byms R3 Box 304 Princeton IN 47670-8435 �i�n��ni�i��n�in���in�n�i��i��i������i�ui�i�i�u���ni� State Parcel Number 26-11-07-400-003.384-027 J �.R3 Uox 304 ��D"J 50� 1'rinceton IN 47670 Leeal Description 006-03384-00 PT E SE 7 2 11 2.50 AC D-17-78 , . �2,r�c�� .. �,a y ...._ k� y2,�-s ig Addrev (numbcr and sttm. ciry, sm�c; and ZIP code) ' --- -- � -- � S�me as prep:ry, � a'.dr� -- s 75 o w ��D s ���ti�:�:��1 �. 4�,G�v �. Stturiry Numba (last i dicits) Ihiver's Licensd5�nte IU Nmnbcr (lau 5 digits) Oiher (plcut speciH in Pan 4 belaw) Address (Number and 51rce4 �i}'. slale, and "LIP cale) SccuriR� Numbcr (lazt 5 Sune u pmperty addrev Numbcr pau 5 digits) I Othcr (picasc spccify in Pa—=4 undersigned certifizs, under penalty of perjur}•, that the above and foregoing jnfurtnstion is hve and correct and that he or she is eli�ible to : e the homeslead siandard deduction on ihis property. Each undzrsiened al>o undersiands that, by claiming additional homestead deductions ��fully, he or she may be liable (or back taxes and substantial financial penalties. 4 - j6 ;Z%P----- �/