Homestead_Carey (3)CLAIM FOR HOMESTEAD PROPERTY TAX
° ' CREDIT/STANDARD DEDUCTION
t � State Farm 5473 (RS I 70-Ot )
� Prescribed Ne De
by partment af Local Govemment Finance
INSTRUCTlONS: See 2verse side /or �ling instnictions.
��we)
1({�Ve) occupied.Ns our principal place of iesidence ihe following described real {�f�perty for which a Homesteail�Pro'p�ity-Ta'i Credlis Heieby'daimec
U
I(We) owned ❑ Ne buying under contracl �
Have a benefidal interest in the entity tliat is liable (or the property taxes on lhe property and tliat owns fhe property or is buying under a wntrad.
FORM YEAR
C 10� �
�
APR � � 2003
20
If buying on conVact. Fee Simple owners name
Recordefs ofica where conVact is remrded
b
Co�nty
Twmship
aWCWra w ihe land not exceeding one (1) aae ihet
ice inmme.
Tavnship
Is �he
% LtC
surrounds
County
RecorO number � Pa9a
el propeM ❑ �bile Homa (I.Q 6f.1-7) .
is used tn produce income, descnbe Ue use end portbn
I I hereby certify the above statements are W e, wrted and complete. I Signat re ot `la� t ..'-n /'�,�I I
f X i `lY l
��Ad re s num6e� and sUeef, dty, s! ZIP cade)
3 L��c 1a� �i n�!cF� � r,�_� , 4'tc��o
��:�rr��}�.. _ T.��t°!�' a$J�°�_�iWTS4v �• i' _ �r"i�p.^�aa 5 .. .�.. : s^t'��-'�ly`.n
_--_.»,,, z�STANDARD:DEUUCTIONALL`OWANCE:��;�-.��:���-�"��-��€�.._�_ �
20_Pay20_
Lesserof 1/2 Homestead
Valuation or $6,000 $
Signature o( AuCitor " Date signeA
�
,
Gibson County Auditor
101 N Main
PRINCETON IN 47670
211
�lAlEfOR.\I��Vx
iRE15URERPo0.4 :SIA
O(N"_6YMfl.i fN.t�CE IC 41.LL`-LI
InJi��iduak and ma:riN roupla a�c limi�ed to orc homt�ead �tandtN Jedu7ion. As the receipt ol Ihis dcducnon become�
morc bentficial, there is marc incentne dun r�a (or homes�eazl frauJ. Homen�ead frami causes hi�her tac bills for all: thertfve.
HEA 1i�41-?IX19 requim uapacers aho �eceive thc homesrcaJ uandard JeJuction in rerify �hat they are eligiMe m mcci�c ih.
benefit aN to p�a�id< adN�ional iJemin'mc fniomutiun r�ecessary to nllw� <ounn� ga�emmm� to b:iter mmieor homrsteaJ
filin�.'lltis in(armaiion will br Aery mntiCential and edn nnly ku acressed by awtrori�tJ coum�' o(Teiuls. The Dry+annxm o(
Laeal Gmcnvncm fi�uMC �viil u�c ihis in:ormazion N arw;c cwls �hat wfll h:Ip cwntt of&iaLS elimina�c homcs�caA haud.
, • ' , . , "
Taspacer Name Propertr Address ��,{�
Carey, Ryan P/Natalie J ��a � �\�
a'�—°�-'�� � l�
1'rincemn IN -07670
Ryan P Carey
R3 Box 201 State Parcel Number
PRINCETON IN 47670-8530
26-OS-31-200-002.163-027
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Legal Description
006-0216300 NE FR 31 1 10 .733 AC
C-1
This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
(numbcr end;mx[, ciry, su�e, and ZIP
Numba (lan i diciu) � Urivers Licenx/Stam ID
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rirsc �
�,�.f�f�e vo
.4ddres (NUmber and stree4 �ly, slale, and "LIP cak)
Stturitr Numbcr (lasc 5 digits) Dm•ers LiccrtsdStatc ID Number �la;� 5 di�
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Samc
C� �e
n S�une us p`openy
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4
idersigned certifies, under penalry of pequq�, that the abo�•e and foregoin� infonnation is we and corrzct and that he or she is elieible to
the homestead standard deduction on this property. Each undersiened also understands that, by claiming additional homestead deductions
illy, he or she may be liable for back tazcs and substantial financial penalties.
$ignatluc [hte Telephonc
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