Homestead_Campbell (7)CLAIM FOR HOMESTEAD PROPERTY TAX
- � " CREDIT/STANDARD DEDUCTION
t � Slate Form 5473 (R5 / 10-01)
�•� Presaibe0 by the Departrtrenl ot Local Govemment Finance
INSTRUCTIONS: See 2verse side Ior filing instructions.
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FORM
HC10
YEAR
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I(We) certify thal on the 1sl day of March, 20_
I�occupied ur prindpal place of residence ihe (ollowing escribed real property tor which a Homestead Property Ta< Credit is hereby daimed:
I(We) owned ❑ Are buying under contract
�Have a benefidal interest in ihe entity that is liable for tlie property taxes on the property and that owns tha property or is buying under a wnUact.
I( buyug on canVacl, Fee Simple owners name
Recordefs olfice where mniracl is remrded
County
arcel number
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H any pottian o/
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To.mship Tating
—' ^ Leg91 des �ption _ _ � �
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strucWre w Ihe land not exteeding one (1) aae thal immediately e
ice income.
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Record number � Page
Is Ne pmperry in iron:
❑ eal prapeM ❑ Mobile Homo (I.C. 61. f-n -
�unds Ihat sWCNre is used to produce Incwne. des(ribe the usa and pwtbn
�( „m„A'F't:lr� ;a_ f • y � .,� ' i . - ,S °'� -s- .�s:z � �U • : c5���'�'tc:
�r"'�", -'s�' j . r- . ..,,,_a�c°�t,��ys�� ��STAN�ARD:DEDUCTION�ALLOWANCE'�L_.�,'�,-_',�,�:,.���'���--�'t.,��`�,�+�'?$?�s�,�a �
20 _ Pay 20 _
Lesser of 1/2 Homestead §
Valuation or $6,000
SignaNr9 01 Aud'ROr ' �ate signetl
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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M. SIIRFA f00.431.�
tQ'AL C�0.YMC.�T FP:�\CF.II'bl.l-L`a.l
InJiriJuaL, and m�rriN muple.: are limitnl �o ore hnmt.trad AanduN AeJu.�ion. As �he r¢eip� of ihis dnluction btromes
mure beneficial, thrrc is morc incrn[ne ttun r�er (or homrsusl frdiul. Ilort�'mad f2w1 causes higher ta� 6ills (or all: thert(ae.
H!A 13�7i-?IX19 requim mapayen who rccei.c ihe hanesecaJ <�ndarJ deJunion m.eri(y �lu� tM1<y are elieiNr m rtcene ihe
benefit ani m p`m�ide aiMiitional identiirinc iniwmauun necrs'vn� ia allw' coun�� ea'emmrnt ro b;trer muniiw Iwmrstt:d
Iilimp.'Ihis infomulim x�i0 6e AaryV tonfidcnlial anA can nnly R arrr>¢d br aWlamN counh' officialz_ Thr Ikpannxm o(
Lucal Guvemmrnt Fivnce �cill u.e this infomwtion w trcatr tds ihat will help countt ofTinals dfmf�te Iromesiaad haud.
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2750
Janice A Campbel� I"! I�
R 3 6ox 167
Princeton IN 47670-8503
Taspa��er Name
Campbell, Janice A
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State Parcel Number
Prooert�• Addres+
R R 3 Hox l67
� e on N i7670
Legal Description
�i�n��ui�i��u�n����u��n�n������inu��nn��i���n�n�� 26-OS-32-300-003.193-027 W&03193-OONSW321105.56AC
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