HomeMy WebLinkAboutHomestead_Cundiff (5)� R�\
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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
Sta;e Form 5473 (R2 / 5-92)
INSTRUCTIONS: See reverse side lorliling instructions.
FORM
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YEAR
I�We) ` v -� �y t�i t Ou'Zhe/a�9t5�"�t�d�!/al�March. 79
��) occupied as our principal la ot residence the following descri ed I property tor which a Homestead � Ia�OGiedit is hereby claimed:
� 1(We) owned ❑ Are buying untler contract
❑ Have a beneLCial in;erest in the entiry that is liable tor the properry taxes on ihe property and that owns ihe property or is buying under a contract.
CONTRACT RECORDED �
IIf buying on ConUact. Fee Simple owner's name
Recorder3 ott�ce where con:ract is �ecortletl Record number Page
Parcel
II any
ot the
iownsnip
o� the reSiCential SIruCNre Or Ihe lantl
y milizetl Io produce inwme.
PROPERTY DESCRIPTION
one (M1I acre that immediateF� surmuntls that stmcNre is used to produce fncome. describe the use and Donion
PROVERTY OWNED BV CLAIMANT IN OTHER COUNTIES -
ICounty Township Counry Totwship
� � Sign `�•e ol claimani ^
��eby certify the above statements are true. correct and complete. � �
�.�
�,,A�dd�ress (�numb�er and sveet. ciry. s�ate. ZIP crotle) -
� - ^—� ��-�� �iLV�..cA.�c� /� �7( �
ASSESSOR USE ONLY � TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL .
VALUE VALUE VALUE VALUE
ILand not exceeding 1 �one) acre immediately I I I
surroundingresiden;ialimprovements. (�)
Other land (p)
Total lantl (line 7 plus line � I�3� I (
Dwelling (c) I I I
Residential improvements
Garage (g)
Oiher improvements (6) I
Total improvements (line 4 through line 6j I(7) I I I
7otal value Qine 3 p6s line � (8) I I
I hereby certify the above i5 true. Correct, and Signawre of Assessor I Da�e signetl
complete.
Verifying aqion - Siqnawre of Autlnor Daie signetl
,�
STANDARD DEDUCTION ALLOWANCE
79_Pay19_ .
Lesser of t/2 Homestead
Valuation or 52.000 S
SignaNre ofAUtli;or Date signed
•
„ = - .
Gibson County Auditor
101 N Main
PRINCETON IN 47670
n
2223
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InJiriduals anJ ma:rinl <ouplex are IimiteJ to onc Immeucad sanAaN J:tlu.�iim. A> ihe rtteipt of ihi� dedunion 6aronxs
more beneficial, therc fs more incrntive dun ner (ar honx'iead fnuJ. I lomraeael &aiul causes hi¢her taa bills for all: thereforc.
HEA 13J-t-]IN)9 requim uapa.en who rocci.e Ihe hanes�eaJ gandard Jnluctiun m.crilv that they are clieiMe to rece'ne ih.
benefi anl ro pnr�ide aiklitional idrn�iirin_ in(wm�twn Mcr.vrc to aliw' counn� gmrmmrni �o betrer munittu Iwmese:vJ
filin�h_ This inlnrmalion will he Aep mnfidrnlinl and �n only h: aettsced M1� mnhnnutt county nRcials. Thr I�anmrn� nf
Lucal Gmerrvnem Fimnce ��ill ua< this information w crcam [cvis tlw� �cill h:lp counn' ufficials elimiwrc Mrmencad naud.
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T�xoa��er Name Prnpert�� Address
Cundiff, Daniel M/ Jetta J -
R 7 13ox 1 I
on IN 37670
Daniel M/ Jetta J Cundiff
1144 E Taftown Rd
PrincetonlN 47670-8604
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State Parcel NumAer
26-12-OS-400-001.510-027
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Leeal Description
006-0151400 PT W SE 5 2 10 2.553 AC
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Sccurity Numbcr (las� 5 digits) Ihivers Licenx/5utc IU Numbrr (la;i 5 di:iL)
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Fim
= l TA �'4�[�-lE
e Addreis (Numbcr anJ stree4 �i}'. »�e, und "LII' cak)
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IDNumbcr (last
'7 L 7 0
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� S;une u proprm addrca
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Othcr (plcasc spcciN in Part 4 bclow)
Each undersigned certifies, under penalty of �rjury, that the abo��z and foregoing informution is true and correct and that he or she is elieible to
receive the homestead standard deduction on ihis property. Each undersi¢ned also understands that, by claimin¢ additional homestead deductions
unlawfulh�, he or she may be liable for back taxes and substantial financial penalties.'
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