Homestead_Dewig�' CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
` ` Slate Fortn %73 (RB l 7-07)
Prescribed by Uro DeparlmaM of Local Govemment Finarxe
INSTRUCTIONS: See raosrse side 7oi filirg instrucfions.
��
FORM
HC10
YEAR
I(We) �`i certiry that bh`t11� 1S`t �ydf YA2rch. 20_
I(We) occupi as our prindpal place of residence the fdbwing described reaI property fo wh a Homestead Prop`e-rtyy �T,mc Credit is hereby daimed:
1 I(VJe) owned ❑ Pre buying under contrad (/'! �,��
L� Have a benefidal interest in the entity �hat is liable tor the property faxes on the property and that owns th���(y��gp�r�ntraq.
Ii buying on conuacl, Fee Simple ownela name
wnlraa is recortled
Tavnship
d number Legaldescnplion
��o -� � - �S-i �O-OC3 � �-08-�
It airy pwUOn of lhe residerriial sWCWre w the lantl nd exceedi
otihe pioperty WGZetl In pmduca income.
Coun�y
7vnnship
Tacing distnct (city,
Is Ihe pruperry in quesGon:
(i) acre lhat immediately wrtountls Ihal
I hereby certify tl�e above slateme�fs are We, correct and complete.
(number arM streeC dry: sfate. end ZIP code)
Record number � Page
Mobile Fbme (IC 61.1-7)
is usetl �o Orotluce inmrtre� descriDe Ihe use antl P�bn
Twrnship
•' •
� • . � • �
�� . •
Landnotexceedingt(orre)acreimmediately ��� ;� y��i,:�a�.. �' �•-'` -
surrounding residential improvements. _ - _ _
Y - '
.::y,,
Other Wnd (2) � e y' �' �
t,.. :;x-.� '"
Tdal Wnd (line 1 plus fine 2) �g�
`s � k . �.,
� y, -r xn5�+ ' . y�
Residentiai improvements a Mnually �n�� (4� � Y `�>s- a>;ri `,
i155855Ed MObI�C � iYi3f11f�2CbIBd iiORM. '� 4'�'�.�� (r 1�.. i-� i
��e �5� - ° � ✓d 3 <`;:✓ !s '
Otl1Bf irtl(XOV2RIEfIfS (6) .•: ' •'�.�''•�•� •.
.' �i�:�-.
Tdal improvements (/rne 4 through Gne 6) �7�
Ttiai value (line 3 p!(s Gne n �g�
I hereby certify Ne above is W e, corred, and Signawre of nssessw Date sipnee (month, day. year)
complete.
Vaifyinp adion - SgnaWre of �ICr Date signed (month. daY. Y��
p _ PaY 2� _
Lesser of 12
Homestead Valuation
a n
45.000 for 2007 pay 2008 42,000 for 2010 pay 2011
44.000 for 2008 pay 2009 47.000 for 2011 pay 2012
43,000 for 2009 pay 2010 40.000 payable after 2012
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- • . • • SGtEFONM'15M1�11&IU) lAFA51.lLYiOCMiS1.�
� � YnTnxvR�TFPtuY1�I1f�MIpMG%M tREYROmBTT11EDFPANTfE\TOFIMALCA'IfA\MEYTFlYA`lQ�Cbll-IId.l
Gibson County Auditor • • � 1 � ' ' `(��1rAi�
. 101 N. Main SVeet Indi�iduals and married rouplcc are limitxd [o one hamutead standvd deduction. As :he receipt af this deduction becoma
PfIf1CRt00, IN 47670 morc bcneficial, ihcre is mom incemive ihau erer for homatcad Caud. Homrnad (aud causcs highe; �ac biils (or all; there(orc.
F I L E I� HEA 1344-?009 requires ta�pa�m wtw recenr [hc homesicad standard dcducuan to �erify that they arc cligible [o rcren•e thc
� bmcfit and to pro�ide edditioval idrnufi�ng information nttessacy to nllox� counry gwemment to bcucr monimr homesvnd
filings. lltis information xill bc ktpt confdrn�ial md can onW be actcsud by aut6ari�ed cor.vty o:Ticials. The D�parunent of
I.ocal Gwermnrnt Finance w'i0 use this infortnation [o create tools that witl he1D counry officials •:lim��te homestead fiaud.
JUL 11 2011
.C.'J.n�.: " V
� GIBSON COUNTY AUDITOR
1901
Brett A Dewig
544 S Country Lane
PRINCETON IN 47670.8102
u�lhu�lilll���i��i��ilv�lh��llll��lluu�ldhh��ih�hll�i
TaxpaverName LocationAddress
Dewig, Brett AlKendra G :
� 544 S COUNTRY IANE
PRINCETON IN 47670
II�I�III�0111 �II I QIII �II I��III01011�11�011�11�1111�1�1� III�I�II��II�II01�I� II III
State Parcel Number Leaal Descriotion
26-11-15-100-003.720-02�C ROBERTS TICHENOR RD PH I 4PT
D-17
I
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.
�Pjre++ I �
ailing Address (number and street, city, state, and Z[P code)
54y S Caurrfr Lahe, I�r�nce�on, [N 4�C��o
�cial Security N�ber Qact 5 di�u) Drivels Licensd5tau m N�rmber (last 5 digis)
�/ I l I
�i ¢.hd ra j � �
uling Address (NUmber and svice� city, state, and ZtP code)
5�4 S Cc�u v��f`r y l.an.e , I� r � n ee-ta�t , I I�l
cial $ecuriN Number (lazt 5 diQiu) Drivets License/Stau ID Number (latt 5 digiu)
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��.w�g
S31RC 85 PfOPCf�}' BdAIC55
�I Othcr (pleax specify in Part 4 below)
wm I
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� $amc as pmperry addrces
4�C��o
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undersigned certifies, under penalty of perjury, that the above and foregoing information is we and cortect and ihat t;e or she is eligible to
�e the homestead stendard deducrion on this property. Each undersigned also undecstands that, by claiming addirional homestead deductions
�fully, he or she may be liable for back taxes and substantial financial penalties. �
���PR�� �, Da[e Telephone �
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