Homestead_Collinsd`��="�� i CLAIM FOR HOMESTEAD PROPERTY TAX
i,��'� CREDIT/STANDARD DEDUCTION
„ ,�y .,;�� Slate Form 5473 (R2 / 5-92)
�eii
INSTRUCTIONS: See reverse side !or /iling instructions.
occupied � our pri�iaal placeLY residence the following
��
F� e 7 ���
HC10
� ng-X�¢�= certify thai on the 7 st day of March, 79_
real pieperty for which a Homestead Property Tax Credii is hereby claimed:
I(We) owned ❑ Are buying under contraci ,
Have a beneficial interes� in Ihe entity ihat is liable for the property taxes on the property and that owns the property or is buying under a contract.
- CONTRACTRECORDED �� -
If buyirg on contract, Fee Simple owner's name � • . � �
Recorder's ottiCe where con(ratt is recorded Record number Page
County
Parcel number
Township
Leqal description
PROPERTY
Oistnct (tity, town, tawnship)
� �u� -uc�:�3�"2-tsoi -
It any portion of Ihe resitlen;ial strucmre or the IanA not exceeding one (7) acre that immediatety surmunds that structure is used to produce income, descnbe the use and portion
of ihe pmperry utilized to produce inmme.
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VA�UE VALUE VALUE
Land not exceeding 7(one) acre immediately ,
surmunding residential improvements. (�)
Otherland (p) .
iotal land (line 7 plus line Z� (3)
Dwelling (4)
Residential improvemenis
Garage (5) �
Oiherimprovements (6)
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
I hereby cenify Ihe above is true, correct, and Signamre of Assessor oare signed
rnmplete.
Verifying aaion - SignaWre of Autlitor Date signed
�
. .
lliTE f00.M!! W Iti / f WI 1qFAS11EFA fO0.V'}IA
/�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
1302 �
r
Angela L Collins
1877 Outer Lake Rd
Individuals and in�rtiN wuple� arc IimiieJ to ore homestead sandaN JcJunion. As �he retttip� of ihis deduction becomes
merc bcneficial. Iherc i> morc incenm�e th�n e�<r for home>'teacl frdud. Ilomcaeazl &aud caa.cs hi�hrr ta� bills ior all: therefar.
HtiA 13id-?009 rcquim uxpa�en who receirr Ihe haneneaJ sundud �kvluction w.eri(y tha� �hey are elieiMe to recei.e Jre
btnff� d(MI t0 �1M'id� 0ddI1WM1l1 iJentitrin_ informanon nemsan� tu allw' vounq� gurmment to betmr munitor Iw�msrcad
filv�. This inlurmation x�ill be Aryv conf.dmtial and ran only h an'e-�cd 6y aNMr¢cd rounn� n17tialti.'ILe Ikrynnunt of
Local Gmermn<m Fina�rce ��fll me �his iniormmion ro crcatt awls tlui �rill hdn �n' a�+a� eliminarc IwmatcaA fmud.
Tas arer N�m
Deputy, Angela L
Prupern� Address
1877 OuaT lake Rd
PrinciKOn I\ 47fi70
PRINCETON IN 47670 State Parcel NumAer � LeEal Description
26-12-09-400-000.332-027/ oos-00332-o0 PT NW SE 9 2 10 3.78 AC
./ C-i
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This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.