Homestead_Davis (31)/- � .
AR•n� t CLAIM POR HOMESTEAD PROPERTY TAX
''�"" � CREDIT/STANDARD DEDUCTION
` � � > SUte Form 5473 (R5 / 10-0t )
PreStribed by Ihe Departmen� of Local Govemmem Finance
INSTRUCTIONS: See reverse side /or filing instrucfions.
'L� �;t`:.'� " a �-='-';. .. ... .. - .. . . . . S.F-RTIFICAT
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I(We) �$'' " n ihe 1st a arch,
I(VJe) oc pied as our principal place of residence lhe following described real pmperty for which a Homestead ere6y� , ane
(VJe) owned ❑ Are buying under contracl
GIBSON C �
�Have a benefidal interest in the entity that is liable for the pmperty taxes on ihe property and Ihat owns the property or is buying under a contract.
t,�.: s:2 1�"' , .�:';,.��y,:� �-:- ,� v?- � ::CONTRACT'RECORDED.�:t:. - ' ; y.'�� ,
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If buying on contracl, Fee Simple ownefs name
Recoiders ofice where wntract is recordeC Rewrd number Page
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County
Partel number�
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If any ponion ot ihe resid
o1lhe property utilized b
PROPERTY
Tavnship
Legal de tion
w the land not exceeding one (1)
21PT �N� . �r i -��_-w. . ,�...,, . _
di ri (ciK�wnshiP)
Is ihe property in question:
❑ Real propeRy ❑ Mobile Homo (I.G 67.7d)
surtounds that sWUUre is used to Orotluce inwme. describe the use and portion
County Twvnship Caunty
1 hereby cerG(y ihe above statements are W e, correct and wmplete. Sig atv�
•••reu (num6er and 5treet, ciry, stafe, ZIP code) _' ^
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TwvnShip
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.������i �*' -�} �� -" �`�-- - �TRUETAX � �ASSESSED VALUE .'�HOMESTEAD �� a NON-RESIDENTIAL r �- •
�Ey'�T r��` AS�ESSOR USE„rONLY r - `.�� _ �, VALUE-- s �- �� AT �00%OF:T,N =� VALUE£y r. ;"� � ��.. '.VALUE-��j'��.il,?°..�
Land not exceeding 7(one) acre immediately �� f-rv �' -'= 3 `z'
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surroundingresidenGalimprovements. (�� t' �.°'� �>;��; �; ;?"'.�;:;�
x :
Other land (z) `. ��;, ' t,s,..e � a
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Total land (line 7 plus line 2) (3�
�� �x �
Dwelling (4) �~a ~ S '� i..ri.�, ti+u u��`5t�'1_
Residential improvements * x "�" � '�"'''z �O � � �
Garage (5) :.:I�.-� �qT} �����,�� �s'� .;:
�, .�a....n.rr:r�..-_..c.?fi�c ..l �.
Olherimprovements (6) - � �,����;j-
^#; -,':`iiF�,'
Tolal improvements (line 4 through line 6) (7�
Tdal value (line 3 pl's line n � �g)
I hereby certify �he above is We, correcl, and Signature ofnssessor Date signed
complete.
Veriying actbn - SignaWre oflwditor Date signed
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20_Pay20_
Lesser of 1/2 Homestead
ValuaGon or 56,000
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Signaturo of Auditor � Date signM
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Gibson County Auditor
101 N. Main Streei
Princetan, IN 47670
�94%
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Ift:ASO WAl00.Y �5:3
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InAicidua6 anJ mvrrtd couplc�. are limitttl to onc honwi<aJ s�arularJ dNuctim�.:\> ihr rttei0� o( :hi> dnluctiun hcomc�
mon hncficul. tlx�c is morc ircrnti.c Oun c�tt Ibr hom:�uvd Gaud H�vn.�cad frauJ cauas iishcr �ac bill. for all: ihcm(ur_,
HF.A 131?-'OW reQuirs uzpoyrn xiw mtice thc home�itaJ ,.�andicl deduction m�eri(y �hm Jre�� arc cligihlr m rmei�c the
btncfii anJ �o prrniJC a4fi�ioml idcmifrim_ ir,iiamauon m:c.vn' io all.�w mump em'cmmcm �o bn¢T mimi�w homruca�
filiru Thi. inl'ormatim �cill � Aep cmfiJallial md nn onh' be aar.>eJ by authwinN counn' ofliciale. The Depanmem o(
Harold L Davis
3985 W 75 S
PRINCETON IN 47670-8141
illii„iil,iil,l,i„Iiili�il��il��Iluiii,iii�piud,iihiiPi�i
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TaxpayerName LocationAddress
Davis. Haroid UDeanna F
3985 W 75 S
PRINCETON IN 47670
Il�llu�ll�ll�ll�lll�ll ulll� II ull II�I�I� II II
State Parcel Number Leqal Description
26-11-16200-004.137-027 ROSE A LINDA 2
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.
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1ailing Addrtss (numbcr and svcc4 ci�y, s�a[c, and ZIP todc)
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�ocial $ecurin' Num'oer Qsst 5 Jie�G) Drive?s Littnsc/SLUe ID \urt
Add�sss (�un�rr rnd s:rm, ci�y. s�ate. and 71P
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(las: 5 Jigi's) �
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Same as propem� addsss
Same as properrv add�css
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Othet (Pleme spec.(y ir. Pan 4
undersigned cenifies, under penalty of perjury, that the above and foreeoing information is true nnd correct nnd that he or she is eligible to
� e �he homestead standard deduction on this pmperly. Each undersiened also understands lhat, by claimine additional homcstrad deductions
rfully, he or she may be liable for back taxes and substamial financial penalties.
�1 Si�mNm Dnte Tclephoae '