Homestead_Deffendall�..�•a
a� '' ' i CLAIM FOR HOMESTEAD'PROPERTY TAX
s� �. CREDIT/STANDARD DEDUCTION
r State Form 5473 (R2 / SA2)
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INSTRUCTIONS: See �everse side 70� /iling instructions.
n - . � � " _ roonnrwT�
FORM
HC70
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I(We _ ' � �_ certify that on the 7 y rc�,V
el upied as our principal place of resid nc the following s ibed real property for which a Homestead Property Tax Credit is heretiy cla e
I(We) owned ❑ Are buying under contract . , , � �Y O J }yyjf
❑ Have a beneficial inierest in the entity ihat is Iiable for ihe property taxes on the property and that owns the property oyis buying under a contrac
- CONTRACT RECORDED - �
If buying on contract. Fee Simple owner's name
Retorder's oflice where wntract is remrded
. I Record number I Page
' PROPERTY DESCRIP'fl �� - ��
Counry ' Township � Ta�cing di riC (a . 5hip) .
� mber.� /� ( legal desaiption �
\J(/�
li any portion of the resitlential swcwre or the lantl not exceeding one (7) acre that immetliatey surrountls ihat struciure is used ro produce iricome, describe Ne use and ponion
of the pwperty utiiized ro produce income.
Couniy
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township County
certify the above siatements are true, correci and complete. � Signa re o� daimam „
number and streel, pry, state. ZIP code) �
,P +� / 40 CC
. ASSESSOR USE ONLY -
Land not exceeding 7(one) acre immediately
surmunding resideniial improvements.
Other land
Total land (line 7 plus line �
Dwelling
Residen�ial improvements
Garage
O�her improvements
Total improvemenis (line 4 through line �
Total value (line 3 p�s line �
I hereby certify the above is ime, correci. and
complete.
Ventying action � SgnaWre of Auditor .
79_Pay�9_
Lesser of 1/2 Homestead
Valuation or �2.000
TRUE TAX
VALUE
(U
(z)
(3)
(4)
(5)
(6)
i�)
(8)
Signature of Asseuor
S
ASSESSED I HOMESTEAD
VALUE VALUE
Township
NON-RESIDENTIAL...
VALUE
Date signed
Date signed
Signamre ot Autlito� �,� ��_ jy � �. �f ,y � f I Dare
Gibson County Audilor
101 N Main
PRINCETON IN 47670
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RATEfq[]I!!Klti/}WI
iIlASUI[A W0.4 .7-�.�
InJiriJua6 anJ ma:riN anuplo are limi¢d �o ore hnmcaeaJ �anJaN Jn7uninn. As Uie raript ol'this daduninn become_
morc beneficial, thrre is morc incemnx Ihan e�er for humesteacl fnuJ. I lomc �ead frawl causes hi_her ta� bills fur all; thercfae.
HEA 13A-F-3009 requires taxpren who reccive ihe hancst:ad standaN �kvluctiun io .eri(y du� �hey am eligiNe io mcei.c thc
benefit an1 ro pnxiJe adlitio�ui idemit}'im_ inform�nun nemary to aliw' ewnp� �nemmrnt ro berter mmitor Iwmc;teael
lilinc . lliis inlnrmaiinn x�ill M Aryu contidentiN anA nn only h� accr..uA M1y authnrized munn� off¢inls.'ITe IXpanmrni o(
Local Govemmem Pi�unce xiil ux this inIOrmation W crea:c uwis �hat e'ill hclp rqmn� ufficials dimina�e humMead fiaud.
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Taxoacer Name Prnpertr AJdress
Deffendall, Fariey R/ Terri L
�t,�� t�. I Sa.'�+u"�/�
�il �illY aOCC
1§incemn1Nd7670 LLe�o«S
Farley R/ Terri L Deffendall
1218 W 150 S
Princeton IN 47670-9307
�i�u��ui�i��u�ui���ni�i�nn�����ni�ni�in���n�i�n�i�
imbcr end�strect, ciry, succ,-and ZiP codc)�
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lim; Address (tiumber and slree4 d�)', sWle, and "LIP cak)
�g LJ, ISO .S'_ ��i
Numbtt(IaztS
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State Parcel NumAer
26-11-13-300-002.157-027
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Leeal Description
006-02157-00 PT SW 13 2 11 1 AC
D-1
� `P�K d�-���
:u N�ujxr,:-aALr� '--_
Othcr (plcax speciF in Pan 4 below)
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a� propeny addres;
. 426't�o
Othcr (plcasc sperify in Pan 4 bclow)
undersi�ned certifies, under penalty of perjup�, that the aboae and (oregoing infocmation is wz and coirect and that he or she is eliyible to
�e Ihe homestead standard deduclion on this property. Each undersiened also understands �hat, by claiming additional homestead deductions
�fvlly, he or she may be liable for back taxes xnd substantial financial penalties.
I Sipiaw¢ Uau Tdcphonc /