Homestead_Christy�� ^���
a1t� 'i CLAIM FOR HOMESTEAD PROPERTY TAX
�� �. CREDIT/STANDARD DEDUCTION
J Siate Form 54i3 (R2 / 592)
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INSTRUCTIONS: See reverse side 7or liling inslructions.
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I �we) `T OYydl•i .� � certify that on the 7st day oflvTarch. 19-f-/
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I(We) occupied as Obf principal place of residence ihe lollowing desc d real propetly br which a Homestead Property Tax Credit is hereby claimed
L`�' �'/�/e) owned ❑ Are buying under contract
[�rve a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contrad.
- . r . . � CONTRACT RECORDED .
II buying on conlracl. Fee Simple owner's name
Recorder's oNice where contract is recortletl Record number Page
Parcel
II any portion ol Ihe residential siructure or Ihe land rwt
of 1he propeny ulilized to produce income.
PROPERTY
lownshrp)
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one (71 aue lhat immediatety surmurMS that swcWre is used to produce income, desaibe lhe use antl portfon
- � - PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township _ County
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I hereby certity the above siatements are hue, correct and comptete. Sg�amr 1 claimant n� )
ciry. srate. La
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� ASSESSOR USE ONLY -� TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL
, VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediately
surrounding resideniial improvements. (�)
Otherland (2) �
Total land (line 1 plus line 2� (3)
Dwelling (4) - , �
Residential improvements
Garage (5) � .
Other improvemenis (6)
Total improvemenis (line 4 through line � (7)
�alue (line 3 p�s line � (g)
1 hereby Certity the above is true, CorreCL and Sgnature ol Assessor Date signed
complete. •
Verifyirg aciion - SgnaNre of Audilor . Date signetl
� " � � STANDARD DEDUCTION ALLi
79_Pay19_
Lesser of 7/2 Homestead
Valualion or $2.000 $
Date s : �eu� �
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
3515
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IndiriJuaL.� anJ mvried coupk. arc Iimiicd �o one homcucad �ra�MaN Acilu.00n. As the rcccipt ol �his deducunn brconrcc
morc 6eneficial, there is morr incentne than aher for home.,ieacl fnm1. I lome�ead fiaud causes higM Li: billi tor all; thertfae.
HEA li�t1-?IN19 raquim ui�u�en who racive the hanes�rad standard Jnluaiun to veri(y dui they are eIi_iNe m mcei.e ih.
brnent anl m pn*�ide aikfitional iJentiiyine informa�iun �irvn' tu allux' counq� ga�emment tu bertrr mmiror IromrsrcKl
filin��.'lliix info�matinn will Fr Aqv mnli�lemial anA can only ha um:cnl 6� amhnrived rnunry� o�cial.. The Ikpannrcnt of
Lucal Guvemmrnt Finance afll ux this iniormation W creatr LLvls �hat will h;lp cvmin� officials diminate homa�caJ fiauJ.
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T•rxparer Nnme Prooertr Address
Christy, Kelly P/ Lisa Rhodes �
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1'rinccton I\ ;7670
Kelty P/ Lisa Rhodes Christy
2973 E Top Hat Rd
Princeton IN 47670-8859
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Sccuriry Number �last S digiL+ Drivers LicrnsNState ID Number (1a;t 5 digils) Other (pleuc spccify in Pan 4 bclow)
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undersi�mad certifies, under penalN of perjuq•, that the abo�•e and foregoing infonna[ion is truc and corrzct and that he or she is elieible to
re the homestead siandard deduction on this property. Each undersianed al;o undemands that, by claiming addilional homestead deductions
rfulh�, he or she may be liable (or back taxes and substantial financial penaities.
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