Homestead_Carpenter (3)�a�� � CLAIM FOR HOMESTEAD PROPERTY TAX
���'� CREDIT/ST�NDARD DEDUCTION .
:..�.,,�� State Form 5473 (R2/5-92)
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INSTRUCTIONS: See reverse side lor fi/ing instructions.
FORM
HC10
YEAR
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I(We) /�/ � � ��-/ . certify.ihat dn�tlie 7st day of March, 19
�e) occupied as our principal p ce of residence the f lorring described real propeny for which a Homesiead Property Tau Cfedi i' hereb lai :
/
� I (We) owned ❑ Are 6uying under contract . . .. _ '-- �y;J , `yijilOa
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Q Have a beneficial interesi in the entiry ihat is liable for the pmperty taxes on ihe property and that owns ih _ ro�e�iy�Dt3s�wymg under a contract.
� � - � � . .CONTRACT RECORDED � ' � ' � .
It buying on contrec6 Fee Simple owner's name �. �
Recorder's oHice where contract is recortletl Record number Page
PROPERTY
Parcel number Legal description
�0 6- at 3S3 -oo _
It any portion ot the residential stmcture or the land not exceeding one (7) acre that
of the propeny utilized to produce income.
�—
I�L�
surrounds that swcture is used to produce irxome, describe Ihe use and ponion
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL_�
� � VALUE VALUE. VALUE VALUE
Land noi exceeding 7(one) acre immediately . -
surrounding residential improvements. (�) . � '
Otherland (2)
Tota1 land (line 1 plus line 2� (3)
Dwelling (4)
Residential improvements
Garage (5� � .
Other improvements (6)
Total improvements (line 4 th�ough line � (7)
7ota1 value Qine 3 pbs line 7) (g)
I hereby Certify Ihe above is Irue, correCt. and SgnaNre ot Assessor Da;e signetl
complete.
Verityirg action - Signature ol Auditor . Date signed
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Signature of
79_Pay19_
Lesser of 7/2 Homestead
Valuation or 52,000
STANDARD
3
_ �,..
Gibson County Auditor
101 N Main
PRINCETON IN 47670
1878
aurz mxa ��w i� iw.�
nrrww'vnar �r�re a��xn�s nm���c v.
nr.�cuArnrrnazu
anE�.�m� mnvice rc �i.i-iai
IndiciJuals and nu,-riN couplo arc limiitd to ore homeueaJ sundaN �L^dunim. As �he receipt nl ihis dNuction baxromes
more brneficial, there is morc incrn[ne dun �er (or M1omorcal fraud Ilomnrcad Paud cauxs highrr ta� billi fur all; thereiore.
HEA 131-1-?IX19 «quim u�pa7crs x�ho rereive �Ae hancstc+J standud deJuc�ion m ccri(y ihat tM1ry yc cliciMc to mccne thc
benefit anJ ro pnn'iJe aJJitiunal iJrntifring infurmatmn �xars'vn ro alluu� counn gmemment to betmr muniror homes�e:Ki
filinga. This inl'mmaiion aill Fr Arpt confidemial anA r.m nnly M� acrosuA M wlhnrived rnuny' offmial�.'I'ht Depanment of
I.ocal Gm�cmmrn� Finance will use �his inturmazion W crcate twls ihm will h:lp c�xmn� ufficials diminam hum<srcad fiaud.
N Joyce Carpenter
2686 W Jill Drive
PrincetonlN 47670-8124
�i�n��in����n�in���ni�n�ini��u�i���n��u�u��n�n���
Tasoacer Name
Carpenter, N Joyce
Prupert�� Address
Ri Ibx 135h Jill DR
Prinrelon IN d7670
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State Parcel Number Lesal Descriotion
26-11-15-101-002.353-027 006-02353-00 SANDY RIDGE EST SEC B
72
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Oxner 1 First AfidNe La4
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�2o»7L r�� �e-
�n'g Address (numher und�ms[, rirv. smrc, and ZIP caiej" - ' - -' '--- - — � Sum: as prp:.r: a.dres; - ' ' ' -
oi68� ia.s. �i I! J�Y�Ye. �vf nee�"an�l/�l `f'167�
Sceial Security Numbcr (Ws� 5 dieits) Driver's License/5tate ID Number Qau 5 disiLS) Othcr (pleace specify in Part 4 bdox�)
Middlc Last
Mailing Addrecs (Numbrr and svec�, cily, sWle, nnd'LIP cale) � Sume az pmperty add�a',
Social Stturity NumMr (lazi 5 digia) Drivcfs LiccnsGStatc ID Ninnhr Qast 5 digi�s) O[hcr (plc�cc spccify in Part 4 bclow�)
sma
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Each undersigned certifies, under penalty of pepury�, that the above and foregoing infortnation is we and coirect and that he or she is elieible to
receive the homestead standard deduction on �his property. Fach undersiened al>o understands that, by claiming additional homestead deductions
unlau�fully, he or she may be liable (or back taxes and substantial financial penalties.
Owna I Signawrc ^ Uaic 'i'dcphonc
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Spousc Siputurc Uatc Tclephonc
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