Homestead_Clark (5)d�•�., CLAIIUI FOR HOMESTEAD PROPERTY TAX � FeRM veaR
:�'"`' �'; CREDIT/STANDARD DEDUCTION Hcio �1
���' State Form 5473 (R2/1-90) •� � ' • � v �
'°�• INSTRUCTIONS: See reverse side for liling instructions.
CERTIFICATION STATEMENT
(we)
on the 1 st day of March , 19 �
�(We) occupied as our�irincipalpta �of residence the�fefiowing described real property forwhich a Homestead
Property Tax Credit is hereby claimed: I(We) owned ❑ Are buying under contract
�Have a beneficial interest in the entity that is lia le for the property taxes on the pro h e
property or is buying it under a contract _ �� �
If buying on contracl. Fee Simple
Recorder's office where contract
CONTRACT RECORDED
DESCRIPTION
r.
( X�10 - V I l`t�-Twl t' i- J(1� r T -��- J�l -1 - l � �• u u u,e � � j�
If any portion of the residential structure or the land not exceeding one. (1) acre that immediately surrounds that
ture is used to produce income describe the use and portion of the property utilized to produce income. �
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
ASSESSOR USE ONLY - TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not ezceeding 1(one) acre immediately �-' , .
surrounding residen[ial improvements (�)
Oiherland (2)
Total land - line (7) plus line (2) (3)
Residentialimprovements Dwelling, . .(4)
Garage (5)
Oiher improvemenis (6)
Total improvements - line (4) Ihrough line (6) (7)
Total value - line (3) plus line (.7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1997 1991 Pay 1992
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,000 Valuation or $7,500
19—Pay 19—
Lesser of 7/2 Homesiead
Valuation or �u1,500
Signature of Auditor I Date Signed
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Gibson County Auditor
101 N Main
�PRINCETO� 4�6 0
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MAY 3 ZU1U
GIBS� ""NT "�_ ITOF
862
IndiriduaL. anJ rturriN coupl� are IimitrJ to om homesead aundaN Jeduaina A� Ue rmtipi oi this dedunion beconxe
rtqrc benenciaL �hne is morc incrnm< dun aer (or homestead itawl. I Iomn�raJ &awl eaius hi�her tac bills (or all: therefwe.
HtiA 13ii-7IX19 requim taxparen who receive thc hanes�eaJ standaW Jnluction in .erify dm �hry are elieiNr b mccuc ihe
brnefit anJ ro pnn'ide a�Mlitio�ul iJemii��ing Informanon �xarz'vn tu alluw epunty Eryn'rmment �o Y.�2r monitor homrsrcaJ
filin�,�.'Ihi. inlnrmmion will M Aryv emlidential anA can nnly h: acec..xtl Fy authnrized rounly nf6ciuls_ The Ik7+annrcnt ni
I.�ral Gw<mmrn� Fivnm e ill uw this intormation w cream 0.ds dul �rill h:lp cwnrv uffieiat. dfmin, ie Mrtnesiead fiaud.
• � �
Taznarer Name � �' re .
Clark, Wesley T/ Tina M ,
Wesley T/ Tina M Clark �
R 3 Box 44-a
PrincetonlN 47670-8620
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State Parcel Number
-0534300-001.745-027
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R 3 Roz �1-1-a
1'rinceton 1\ 47670
Le�al Description
006-01745-00 PT SW & PT SE 34 1 10 3.00
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$ccuriL)' Numbcr (last 5 digib) Drivers Littme/Sutt ID Nmnbcr (las� 5 digits) O�her (pleue specify in Pan 4 below�)
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. First Middle
— � e� G
g Address (Number and �vttl, cily. slalc, and ZIP cude) �Same as pmpeny adJto;
SdiFi�) I Drivcrs
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ID Nwnbcr Qa � 5 digits) � Ochcr (plcssc spcciF in Pan 4 bclow�)
undersiened certifies, under penalry of �pury•, that the abo��e and foreboing information is hve and co�rect and that he or she is elieible to
re the homeslead standard deduction on this property. Each undersigned al>o underslands that, by claiming additional homestead deductions
,�fully, he or she may be liable (or hack taxes :u�d substantial financial penal�ies. _
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