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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R2/5-92)
INSTRUCTIONS: See reverse side lor liling instructions.
FORM
HC10
YEAR
CERTIFICATION STATEMENT
I(We) certity that on the 7 st day of March, 19_
I(We) occupied as our principal place of residence the followin des 'bed real property for hi a Homest r ax " i y ciaimed:
❑ I(We) owned ❑ Are buying under contract
❑ Have a beneficial interest in the entity that is liable for the property taxes on ihe property and that owns r a contract.
CONTRACT RECORDED
If buying on contract, Fee Simple ov+ners name �" �
�� M f
Rewrders omce wnere contrect is recorded � GIBSON ��,°�d4""n'�SI70R Pa9e
PROPERTY DESCRIPTION
Gounry � Township Taxing district (dry, town, township) • -
umber LegaldescripUon
� ��� i�-a-�� . �
It any ponion of the res ential siructure or ihe land not eaceeding one (1) acre that immediatety surtounds thai s[ruaure is used to produce income, describe the use and portion of
the property utilizetl to produce incame.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
ign re of daimant
�ere y certify the above statements are true, correct and complete. a-�h
res,s (nomber and street, ciry. state, ZlP cotle) .
L/�d /L. /Ztff- S7i. Ps.���e f�i.. ?'sv
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land no[ exceeding 1(one) acre immediately (��
surrounding resideniial improvements.
Otherland (2)
Total land (line 1 plus line 2) (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6)
Total improvements (line 4 through line 6J (7)
Total value (line 3 plus line 7J (8)
I hereby Certiry ihe above is We, correCt, and Signature ot assesor Dare signed
complete.
Veritying acuon - SigraWre oi Auditor Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 7/2 Homestead c�
, Valuation or 52,000
Signature of Auditw Dat � ned� —
claiEfnRN!"W lti/�'+'1 IRFATIII[AfOR4:3-IA
n�rqtn'E�BI'�1nTEbNPpKMV�lT�.9• ll.f_YITIBm�YilllpF�ARMf.VI(KL(MLCAt2LVNR.ii4:A'CEIfFI.I"- 1
Gibson County Auditor
101NMain ��� ' � � � � ���� � � �
PRINCETON IN 47670 lndividuaLc anJ mvriN ooupk. are limited �o one homesteaJ �andaN �ifunion. As Ne reeeipt ol ihis dcdunian becmrec
� more benencial, thrrc i. morc incenmx th�n rcer for homeiteacl &aml. Ilo��eael faud causes hi=her tu bill> fw all: therefae.
� H8A li�t+-]IN19 requim u�pa.en whn reeeire thc hmnestead sianda�d deJunion to .erily iMt thq� are eligiMe m reaei�e ihc
brnefii an1 ro pnn'ide adtitimul idrntiiyine inWrmatiun nem'vey io allw' counp� grn'emmeni tu bever munnor homesttaJ
Bli��. This inlnmutinn will hr Ary+l mnlidrntial and c�an only M accesYd by amMrv[d coumy o0kie6. Thr Ikpannrem of
Local Gmarvnrn� Fi�u�rce ��ili u.e this infurmation w creatt muls Out wll hcln munn� uff aL. dimimim M�n�a�ad f. ud.
T:IXpB�'2f �Alfle
Cartwright, Mark M/ Gloria J
—F'RI\CLTO� IN J7670
1836
Mark M/ Gloria J Cartwright
C/O Charles Cartwright
PO Box 428 State Parcel NumAer Leeal Description
Princeton IN 47670-0428
' I II 1 I1I I1 I1 II' II I I"I II i"I II I' I I 26-11-14-300-000.302-027 p�s-�oo302-0o PT W SW 14 211 4.617 AC
1 �
Owner I First Middle l.ut
�%r� � i7� .� ee �����n„- y_,
— g Adarzss (numbcr-and�succt, eiry, sra�e, and LIP code) —� — ' � Sun�c u, pru�ny�uudna.+ — ' - — — —
v i� �C- '-I a- ''�i �" C e�i- � �s c�
$ocial $ecurity Numbe� f,last 5 digib) Uriver's License/Slate ID Nmnber Qazt 5 digiL) Other (pleaSe specih in Part 4 belaw)
Spou;e Fi�t Middlc Last
C`�'� � c.-- J 1..� � W V �`
Mailinc AddreSS (Number and stree4 cii}', sWie, and LIP cak) � S:une as pmpeny addrtai
ec� a�k �i� S P•�,a«i�.� �� � ��-70
SocalStturity Numbcr (laat 5 digits) Drivcrs LiccnsdS�are ID Niunbcr Qa i 5 digits) Othcr (pleuc spcci(y in Part: bclow�) -
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Each undersigned certifirs, under penalty of perjury, that the abo��e and foregoing infortnation is true and correct and that he or she is eligible to
receive the homestead standard deduction on this propeny. Each undersicned ai;o understands that, by claimine addiiional homestead deductions
unlawfully, he or she may be liable for back ta�ces ;tnd substantial financial penalties.
Own<r I SibmeWre Untc 7'elephmc
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