Homestead_CarpenterCLAIM FOR HOMESTEAD PROPERTY TAX
- ' CREDIT/STANDARD DEDUCTION
t � Sfate Form 5473 (RS / 10-01)
•µ Prescribed by Ihe Departmenl N Locai Gavemment Finance
� lNS7RUCTlONS: Sea reverse side fo� filing insfructions.
�FORM YEAR
HC10 � _
11 5--./
g
I(We) � 1��� �/`^' �^''�`�� `�c�,j�r'fy that on 151Aay oi arch �20_
/�i -...•�C-l�}"
I(We) ocwpied as our princip place of residence the (ollowing described real property fo which a Home�e�P.raperiy�%Credft-�s.he[aby daimed
❑ I(We) owned ❑ Are buyirg under contraG ���� GBSON CO�J„1 ' 4VUI :v� �
�Have a benefidal interest in the entity ihat is liable far ihe property taues on the property and that owns the property w is buying under a contract.
If buy4g on contract. Fee Simple ownefs name
Recordefs olfim whare contraq is remrdetl
Caunty
Tamship
7sing
L twn Is the property u
�� � S-�-fJ �. 1 �/'�C �`�}'�
�re w the land nd excecdinp one (t ) aae that immediatey wrtounes ihat stnict
e tome.
��- SE'� P�-S w S- �-/ D 33, 3�'« .
RecoM num6er �Page
question: U
teal DrcPeM ❑ Moblle Homo (I.C. b f. f-n .
re is used to protluce income. desvibe Me use arW portbn
20_Pay20_
Lesser of 1/2 Homestead
Valuaqon or $6,000
$
DateyQ p�—/O
�JO�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
�
Trrxuvx rai� �s�. .
IndividuaL. aud ma:riN couples are limi�ed �o ore homeucaJ xandaN Aedunion. As the receipt ol' �hi> dcducnon brcortres
morc bcneficial, therc u morc incenme than e�er (or homn�rad fiaud Homrs�ead faud auss higher taa bills (ur all: therefae.
HEA I?A-i-30(!9 rcquves mxpacen who receire the haneste�d standard Jnfuction �o reri(y tla� they am eligiNe to mcei�e ihe
benefit aN to p`w�idr aAUi�io�ui identityinc in(orti4itiun Massary to aliw' crounn' em'emment ro Y.tmr moni�or Mmesead
nli�g. This infnrma�ion will be Aery confiJauial and ean only Iw aececuvf by awhorized counn� ofI'mials. The IRpannmm of
Lotal Govemmem Pinanm �rill ua this fntorma�ion tu cr<am �wls �hat o�ill h:lp county ofSdal.a diminarc IwmesteaA fraud.
T•r�na�•er N•rme Prooert�� Address
Carpenter, John D
� I2r3 13ox 73d
Princewnl\ ;7670
643
Carpenter, John D
812 N Carithers Rd
PRINCETON IN 47670-8659
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State Parcel NumAer Legal Description
2Cr12-OS400-000.292-027 oos-o0292-OO PT SE 8 PT SW 5 2 10 33.38
AC C-1
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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.