HomeMy WebLinkAboutHomestead_Craven (3)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
t State Fortn 5473 (R6 / 4A3)
Prescribed by Ne Departrnent of Local Govemment Finance
INSTRUCTIONS: See revarse side /or filing instn,cfions.
\J
FORM �� YEAR _
I (VJe). - � -. '- . .- . G�ie-Q/ ertify thal on t1�eQ5t,d�aytid�A� . 20
1'(We) occupied as our principal place o( residence the foil 'ng described real property (or which a Homestead P Tac Credit is her"e6y daimed:
� I(VJe) awned ❑ Are b ^ �"���N COUNTY AUDITOR
uying under contracl
� Have a beneficial interest in Ihe enfity that is Iiable (or the property taxes on the property and that owns the property or is buying under a contract.
It buying om m�trad, Fee Simple ownefs name
oifice where contract is remrdeE
County
Tamship
Parcel number �„ Legal description
�10-� �-"IS� d-�Q—��`�. l�n—Da.7
Rewrd number � Page
the property in question:
�Real pmparty ❑ Mobila Homo Q.C. 67J-7)
If any poM1ion o/ the resitlential sWCture w the Wnd not exceedinp ona (1) aae that immeCiatety sunounds that swUUre is used b protluce income, describe 1he use and poNon
of tha properry ulilized to produce income.
Pr � NE �s-�-io i. iv ,�c
County
I hereby certify the above statements are lrue, wrtect and complete.
a��street. cr stale, ZlP�7CO,de)
(fZ �j.F �-l.% �j �/��nCCt.fp��
Tavnship
�� �"'�ASSES�SOR U�SE= Ot LY�� "�� � '�� ��TRUE TAX� y ASSESSED VALUE �HOMESTEA� ��NONpRESIOENTIAL -;��.
��„y,.�r,: ;ir_�,�,.x'�',..�.�,..�t��¢',�R.��-�VALUE�'-i....,�^r�AT-100°/,�,OFIIV��,;�VALUE..,.��.� t .a^'..�*`','.-�.ri.VALUE�,ey
Land nol exceeding 1(one) acre immediately � �? ;�� � m 5;*�'��'�i;
suvounding residen6al improvementa ( � .����. +�3�r��� ni
�'u M c?c.. Ue l �"Y. �-•
� G -�'-�eK' .
Other land �Z) :,�;��G��
i:�-_„
.�-.�,.::�:_.: ��
Tdal land (line 1 plus line 2) (3)
.t : r= .c t�
' Dweiling (4) =�yY ��� ���� . ��4r
Residential improvements or Mnualy �-���' = ��
0.ssessed Mobile / Manufaciured Home Garage 5 ����� f. - ��.:� �;:
( 1 Y,�Lk- .. �_i�y��
��a�✓tdY��; ,..+...{i%�;_'_
.?'� 02-.-;-
���'-�r
Otherimprovements �6) �3`�'i;�="�' � ;,�„�
i�::��.�'��-�
Tdal improvements (line 4 through line 6) (�)
TUaI value (line 3 plcs line � �8)
I hereby certify Ihe above is We, correG, and Signature of 0.ssessor Date signed
complete.
Verifying aclion - Signature oflwdimr Date signed
��,��-,`-�e..`' �„".'?S'+.'�`.�.'2iat �x�'.�T��'�c�i��.'`.-"'V`STANDARU'DEOUCTION'ALEOWANCE �,,Y°.�s4�.[f:W�A`�``sr 3z'�.�,3.F`1r_�` t��€�."�u''.3.`��`��::�.
20_Pay20_
Lesser W V2 Homeread
va�uanon w S35.p00 S
Signature oflwEitw � Date signed
Gibson County Auditor
101 N Main
PRINCETON IN 47670
•
{i\TE 100.M ��MI.C�/ f+Nl
A��RT'[pBT �I\IE IY.NRD
TIACUAFAfORV:11A
hWiriduak and ma:riN coupks arc Iimi�N �o nre homcsteaJ uandaN JMuction. As �he �ecript of ihis deduaion becomc
more bcrnncial, thrre is morc imrntne dun r�er for homn�ead (nud. Ilame�eal fiaud caLLSS higher tac bilk for all: thercfae.
HEA li4-F-?009 requim mipa�m nho receive ihe hanestmJ standard �kilunion m verify �hat �he� are eligide �o rccene �he
benefii and ro p�m�ide a�Witional idenui�'fnc iniwmanon mre.sarr to alluw counn� gmrmmrnt co Detrer munieor twnrstc:x7
filir�;�. This in(ormalinn x'ill 6e l.ryv mnlidcnliil and can nnly fti avre+.ed M1y aulMrvd cnumy oIT¢iuls.'@e fkry+annrent of
I,ocal Govcmmem Finant< �vill mc this in(omutiun tu arcam Wuls �ha1 �rill h:Ip �txmt}' ufficials dimi�rc Irc�m<srcad fiauJ.
• � � � � �
Tacpaeer Namr Prnoertc AJdress
Craven, Patrick T/Joella S
/_ `�none
�
1328
Patrick T Craven
3079 E Curtice Lane
Princeton IN 47670.8869
I�I��II���I�II��I���III���I��I�I��l��ll��l�l��l���ll�l��l�l��l
State Parcel NumAer Leeal Description
2fr12-15-200-004.316-027 006-Oa315-oo PT W NE 15 210 1.10 AC
- . - -� - -- - - c-' -- -- -- - - --
This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
�• �
Oune First Middl< Last
� lL�i� � �-V Gr
ng Address (number ond s�cct, ciry, smtc, and ZIP codc) e-5ame as pmpem eddres;
O�g � • Cth^ �7�E C-N.
Swial Security Number (las� i digiLS) Uriv�r's License/Siate ID Nmnber (lu� 5 di=ils) Oeher (plcsse specif,v in Pan 4 bdow)
� -�
Spoux Firt n A1iddlc �%� Last
� p�/ Ji! L �-/�l�V�
Mailin� Addrcss (Numbcr and Nttt cily, sule, nnd ZIP cale) �me u pmpmy adJress
30�9 �. ���« ��_
Social Stturiry Numbcr (lut
�
- -- � —
Fach undersiened certifies, under penalty of perjury, that the above and furegoing infortnatiun is we and correct and that he or she is elieible to
receive the homesiead standard deduciion on this property. Each undersiened al>o understands tha� by claimine additional homestead deductions
unlawf'ully,,he�she may be liable for back taxes and substanhal financial penalties.
Owna I Si �
gnapnc Uetc 1'cicphonc
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