HomeMy WebLinkAboutHomestead_Clemei��� ; CLAIM FOR HOMESTEAD PROPERTY TAX FoRM YEaR
;���; CREDITISTANDARD DEDUCTION rtCio C�
� State Porm 5473 (R2 / 5-92) �
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INSTAUCTIONS: See reverse side toi liling instmctions.
I,flNe) A���,(X'_(,x C�Q./17'1 � _certify that on the tst day of March, 19J�
r o, y�n
�occupied as our pnncipal place of residence ihe following described reai property for which a Homestead ��Ta�yrg�g�ereby claimed:
[� I(We) owned ❑ Are buying under contraci j� /�
❑ Have a beneficial interesi in ihe�eniity ihai is liable for the pmperty taxes on the property and that owns tiQIL'�opety/oAE bu�.+yYQH6a contract.
� CONTRACT RECORDED�� � �
It buying on contract. Fee Simple owner's name � - ,
Recortler's oHice where contrect is remrtletl Rewrd number Page
County
Townsitip
PROPEflTY
Parcel number Leqal description �
o��-oas��-c� :- p� c� ,v� � a-�o 3.3ya ��
I1 any portion of the resitlen:ial simcwre or ihe land noi exceeding one �7) acre Ihai immediatety surwunds that swcWre is used ro protluce income, describe the use and portion
of the property utilizetl to produce inmme.
ASSESSOR USE ONLY _TRUE TAX ' ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE� VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential impmvements. ��)
Oiherland (p�
Total land (line 7 plus line 2� (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6)
Total improvements (line 4 th�ough line � (7)
Total value �line 3 pUs line � (g)
I hereby certify ihe above is W e. CorreCi, and Signature ot Assessor Date signed
complete.
-wing action - Signamre of Auditor Da;e slgned
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e
f I
m
19_Pay19_
Lesser of 1/2 Homestead
Valuation or 52,000
b
STANDARD DEDUCTION ALLOWANCE
S
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
3370
Tarnsuerx
IndiviJua� and nu;rieJ muplr: are Iimitni io nrc hnmcxeaJ aandaN J.-Uunion. As �he ��cip� ol ihis dNucuon bccome�
mure brneficial, thrr< i. morc i�rcrntne dun acr (er homesieael GaW. Ilomn'.ead fraiul cau.es hicher u� billc tur all: therefar.
HEA I��i-IIN19 rcqu'vn mapa.en..�ho reeci•e the hanev,ad sianda�d deAunion in .crily thn �hcy am cliciMc to mcrnc ihe
benefit ani tu pnn'iJe aJUitional identiiyinE in(wmaron nttrvey lo alluu� cuunp� gm'emment ro beucr muniWr homese:vJ
filinty. Iliis infmmaiion aill be l.ryw contidemial and r.in nnly h� accec¢vl M1p amhnrivnt rounp� nnicials.'I hr Ucpanmem nl
Lucal Gw<rmnrnt Fivnce W fll u.c this iniormacion w crcam ¢ols iha� �rill hclp cwnrc ufficiaL. diminam homesttad GauJ.
.,, ,• ,
Tazpaver Neme Prnpertr Address
Clem, Richard L
Richard L Clem
499 Spore Dr
PrincetonlN 47670-8969
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g Addrtss (numbcr and strm, city, smtc, .
Y ip Si°ar� � ��
$ccuriq' Numbcr (las� 5 di¢iu) Driver's Licemd'Jtate ID Nmnber Qact 5 digi
Addres (Number and rirttl cily, stalc. and'LII' epie)
Stturiry Number �lace 5 digits) � Drirers License/51aee ID Nwnber Qazt 5
State Parcel Number
26-12-09-100-002.517-027
V
Middlc
R? Ibx 3RA G
Princetun I\ a7670
Leeal Description
006-02517-00 PT W NW 9 2 10 3.342 AC
C-1
G� ���
� Same u pmpeny addres
4 bclow)
Each undersigned certifies, under penalty of perjury, that the above and foregoing infunnatiun is we and cortect and that he or she is elieible w
receive the homeslead standard deduclion on this property. Each undersi¢ned also unders�ands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taces and subsiantial financial penalties.
I Sibmewrc
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