Homestead_Canslerdn��., CLAIM FOR HOMESTEAD PROPERTY TAX
. � -� ; CREDIT/STANDARD DEDUCTION (���
' ;' State Form 5473 (R 2/1-90) �
�'°�• � INSTRUCTIONS: See reverse side for filing instructions.
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CERTIFICATION STATEMENT
FORM YEAR
Hcio p
i
A
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that on the 1 st day of March , 19 �
I(We) occupied as our principal place of residence the fol ing described real property for which a Homestead
Property Tax Credit is hereby claimed: I(We) owned ❑ Are buying under contract
� Have a beneficial interest in the entity thai is liable for the property taxes on the property and that owns the
property or is buying it under a contract ^__ __
ng on contract.
County �/1� -
contract is recorded
Township
CONTRACT RECORDED
PROPERTY DESCRI
I�11.�' I:_';p
Record Number f
Parcel Number I Legal Des�pt n� - �\ 1 � I, / � ` ^ _� O ' / �
O � (n — O 0',2 �/ — Q� V.-� ( �f �< c0
If any portion of ihe residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
GANA /I7D �C
_,,,� 7�0o PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
�;ounty �— Townshi� County � Township---
I hereby certify ihe above statements are true. correct and S1��� /!% �—�..cli��
com�lete.
•ity, state
/ZJ ,
ASSESSOR USE ONLV
ZIP code) �
��.. G Y c.°.
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON•RESIDENTIAL
VALUE
Land not exceeding 7(one) acre immediately
surrounding residential improvements (�)
Otherland (2)
Total land - line (7) plus line (2) (3)
Resideniial improvements Dwelling (4)
Garage (5)
Oiher improvemenis (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true. Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 7990
Lesser of 1/2 Homestead
Valuation or $2.500
Signature of
STANDARD DEDUCTION ALLOWANCE
7990 Pay 1991 1991 Pay 1992
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or $1,500
79—Pay 19—
Lesser of 1/2 Homesiead
Valuation or $1,500
D Si ned
�-� - 9 0
. Gibsor� County Auditor
101 N Main
PRINCETON IN 47670
3394
Florence Cansler
1587 E SR 64
PRINCETON IN 47670
$ecuriry Number (last 5 diciu)
aan rmai v.r.�tii..ri
MANIIfAPoR4ilA
Indicidual> anJ rturriN rouplts are Iimi1N io onc home�eaJ �a�N Jidunion. As the rc[cipt ol this da¢Iuclinn hecomes
more bencficial. iAern is morc incrntnx than e�er for M1onm-reaJ framl. I lortb'nyi fmud cau.<s hi�her tas 6ills (or all: rherefae.
HEA li+i-'_�NW requim u�ry�ers r.ho recci.c ihc hanesvaJ <tandarJ JcJunion �o .erify that ihry are elixiNC io recrnc the
benefii anl ro pnn'ide a�Nlitiowl idemifrinc infwmatwn nem-vn� to allw' counn� gucrmmrnt ro b:trcr munita humrseaJ
filin��. This infnrmaiion will Le Aryv conlidrntiM mA can onl}' M. acm�cd by aulMrizcd roum}' oii'mial�.'fM1e Ik�unnrem of
Local Govcmmcm Finarn�c ��ill ua this intormation w cream 4vls �hat will h:Ip cnunn' uffatials dimin;uc Iromcst<ad BauJ.
.,' ,, ,
Taxnaeer Namr Prnoertc Address
Cansler, Florence Life Est Etal � 5$�j � S� �o �-{
�+i'-'�
1'rinceton IN i7670 ^(
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SWIC, and ZIP code)
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Driva's Littnsc/Sutc ID
.4ddres (t�umber and slree4 ��}', slale, and "LIP cak)
Numbcr (lan 5 dieits) � Dm•crs LiccnsUSUtc ID
State Parcel Number
2 E 12-09300-000.221-027
J
Leeal Description
OOCr00221-00 PT SW 9 2 70 .62 AC
�� orope�
J
� $ame ns pmpeny add�a.i
mdersignecl certifies, under penalry of perjury, that the abo�•e and foregoing infortnation is we and correct and that he or she is eligfble to
e the homesiead standard deduciion on this property. Each undersiened al;o understands that, by claiming additional homestead deductions
fully, he or she may be liable for back taxes and substantial financial penalties.
I SiEnahve Dsm 7'clephonc
nze�,�.� vYl, �'.�c,�.��,�P� _ '-�_i U
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