Homestead_ChaviseE ^"� � CLAIM FOR HOMESTEAD PROPERTY TAX
;��;€ CREDIT/STANDARD DEDUCTION
���� State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side for liling instructions_
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�1 . i- � certify th� � �eL� c�p.�fa cF a�
I�v.e) occupied as our principal place of residence ihe following described real property for which a Homestead Property Ta1AfGr��Tyy� Y Caimea
I(We) owned ❑ Are buying under coniract
Have a beneficial inierest in the entiry ihai is liable for the property taxes on the property and that owns the property or is buying under a contraci.
� CONTRACT RECORDED
It buying on coniracL Pee Simple owner's name . . � ' .
Recorder's oHice where contraa is recorded Record number Page
Counry
town.
Parcel number Legal tlesc � '
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If any pottion ot the residential struaure ar ihe land not exceeding one (1) acre that immediatety surtountls that structure is used to produce ircome, descrihe Ne use and portion
ot the pmpeny utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township � Counry �
certify the above siatements are irue, correci and complete.
antlsneef. aty, sfate, ZIP
ASSESSOP USE ONLY � TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL
.VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately - .
surmunding residential improvemen[s. (�)
Otherland (p)
Total land (line 7 plus line Z� (3)
Dwelling (4)
Residential improvements
- Garage (5)
Other improvements (6)
Total improvemenis (line 4 fhrough line � (7) �
7otal value (line 3pbs line � (g)
I hereby certify the above is true, correct, and Signamre of Assessor Da�e signed
c�mplete. �
��ing actlon - Signature of Audiror • Date signetl
19_Pay79_
Lesser of 7l2 Homestead
Valuation or 52.000
Autlitor
STANDARD DEDUCTION ALLOWANCE
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.�lr1Un'iLBYat�tEIXMPOW!![�t:�T3.Tri P4f9lAIBmBYTlFDFIMMLYIUFIQALC-0��RVMlAliP:A'fElC61.1-1J1
Gibson County Auditor
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PRINCETON IN 47670 Individuals and ma,-riN muplrs are limimd m orr homeweaJ eundtN A:�du.�ion. As Ne receipt ol �his deductinn becomes
merc beneficial. thrrc i> more incenme dun e�er (or homea'teacl (raW. Homo�eael frauJ causes hi�her ia� bills for all; therefue.
HEA 1 i+i-?U09 requim uapayen who receive ihe hanestead slandard dNuction m mri(y iht� they am elicide lo mcrice �he
� benefi� aN ro p�m�ide additional iJCntiiyinc in(wmatiun Mcessary to allw� counp� grn'rmmenl to betrcr muniror hamesrcad
hlin��. Ihis informat�on x�iil be lcTw crntideniial anA nn nnly h. accec.e.l hy awhnriud rnunn� officiuls. The Ikpannrcm o(
Local Gwcmmrnt Pfwnc< uill mc thi5 infortnarion W arca[a 4nls tha� �rill hcin �wnA' ofixiaL+ dimiwrc huncstcad fraud.
335
Emmitt E / Emestine Chavis
R 3 Box 270
PrincetonlN 47670-8409
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Tazpaver fYnme
Chavis, Emmitt E / Emestine
State Parcel Number
26-11-05-300-000.313-027
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Prnpertc Address
R3Dox?70 / �`/
Princeton f\ a7670 h �
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Le�al Description
006-0037340 PT SW 5-2-71 3 AC
D-18 C-1
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Owner I First Middlc - Lasl
,En-r m,`TT �/m o G h a v; s
�g .Address (numhcr end sum, city. stdlc. entl`LfP code) - � ` - — -- ' " - - � Sw�rc n � pmpem aldre�;— — — ' — ' - - --
9�SN 50o W ��r���ce.fcn JN �7G']o
$ocial Securii}' Number (Wst i dieils) Driver's Littnse/Staic IU Numbcr Qast 5 digib) Other (pleue specify in Part 4 bcbw)
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Spoa;e First Middlc , ��
�'rn�s7in� - . i��'�-ctVls
Mailine 9ddrtss (NUmber and streel, ciq', sW1e, and ZIP code) � Same u pmpeny addrtss
�/S� 1� SovvJ I�rinczlo�; /h y7��a
Saciai Stturity Numbcr (last 5 digits) Dmds Licensr/SUtc ID Niunber pa.t 5 digits) Oe6er (plcasc spcciF in Part 3 bclow•)
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Each undersigned certifies, under prnalry of perjury, that the above and foregoing information is we and cofrect and that he or she is elieible to
receive the homestead standard deduciion on this propert}•. Each undersi¢ned al;o understands that, by claiming additional homestead deductions
unlawfully, he or she may bP liable for back taxes and substantial financial penalties.
Ou'oer I Sicnai�uy%�„�/%wfl� Dzt,/ 7'clephonc / (/ /�'
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