HomeMy WebLinkAboutHomestead_Dyer (4)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stata Fortn 5�73 (RB / 4-03)
Rmrnbed by the DepeMwirt d Lofal GovanmeM Finaxe
INSTRUCTIONS: See re�bao dda bR"ng im8utliy�s.
FORM � YEAR
HC10
I(VJe) �� V l. ertify that on th�lj5�da�of��r�l�p_h.20_
I(VJe) occupied as our principal place residence the following descnbed real property for a Homestead Property T rE di s e Dy L9aimed:
❑ I(VJe) owned ❑!ve buying under cont2ct `'�� /�,��
, Have a benefidal interest in ihe enfity that is liable for ihe property taxes on Ihe property and �hat owns ihe property or i5�6Gy�r,S"�un�€�-��conVact.
If buying om m�traa, Fee Simple owners name
Recofdefs ofice whera contraU is recorded
�n-•m�'"�,� ".�,,.."�`-s'ss::��
t•�,<<,,,%7FA ,S�i...�A4s�..:�..�5,� .�+t����z��
County 1 � ..--.. Tamship
If any
ot tha
County
ol the residential sWCWre or the land not exceeding one (1) aae that
y uliiized b produce iMOme.
Toxnship
1 hereby certify the above statements are W e, correct and complete.
ciry, state,
Tacing Eistrict (ciry,
� I Is the
County
�
that
Remrd number � Page
ique5lion: �
Real property ❑ Mobile Hwno (I.C. 67.1-7)
ue ia used b produce income, desttibe the use antl portion
,` 7�I.
7G
Twvnship
"iF2�Sr"*— i .�..`�•!—� �'rsi�:..� i�.� ,.�s, w-�+ � w .�.w. � _ . - < - � - .�' , ,� .
�F,.'�Y� `��ASSESSOR�USEONLY � ;'�'wyp�UE�°�' pT100�OP'TNE �N�VALUE�� � � NON=RESfUENTIAL ��
u�:�.�Y�'i".�,.,:�'SS' �"'�°'�%r�e.._. ` � _ � �t' ._._ . . �:�z +� � � „y...... c�s a5c�, „�^._T-w�" ��..r��'',� VALUE. a;i���
Land nol exceeding 1(one) acre immediately �3���'Y-q,�r F"�> } f'�`}i �y��;
surrounding residential improvements. (� ) .�,-*'�' v`�'�`�'. �' +� `Y' �.L'� ��r',
�..�3.a'�_�. E�Z'd��# z`
Otherland �� ��'��;�
�� �,,,�
(2) x-ic *
�.�.�.�''e'�_
-v,,.�..�- . :�
TUaI land (line 1 plus line 2) �3�
Dwelling (4) � � �� �.` r `3�"aY:� �""�=
�Rasidential fmprovements or MnuaOy =�"��"���`�� ��
As�ad MobOe / MarwFacNred Harrm Garage (5) ����-�Yt�^�: �:`Ui.�`,s�,`i
��:�'�'i�-��:-:s���
Other improvements (6) �'t-(� ��-
' ,r
:� 3-.
�, i-.�7�:�f."��m . '
Tdal improvemenis (line 4 through line 6) (�)
Tdal value (line 3 pl/s line n (g)
I hereby certi(y �he above is We, coved, and Signah�re of Assessor Date signed
complete.
Verifying action - SignaWre aflwditor Date signe0
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
2065
cl\R PoAM!) W Iti /�^nl
1PfASUAER Po0.V 31A
IndiriJuals and irt�rried couplec are IimimJ to orc homeueaJ uandartl Jnlunion. As ihe rarip� of ihis dnluction betomei
merc bcneficial. therc is morc fncen:ne �han e�<r tor homrstead (raud Ilomn'read fraud caus� hi�her tac 6ills trn all: thertfae.
HEA IiJi-?0(19 rcquim u�pryen who remive the hanestead siandard d�rluctian to .eri(y ihat they art elicible to recene tAe
benefit aM to p�a'ide addiuort�l idenuirin_ fnformation nems�arr ro albx' eounp� gocemmrn� �o berte� moni�ur Iwmotead
nlim2_ This in(armaiion xill be Aep crnl'drniinl anA can only h: acmzceJ by auilrorized cown� ol5cialc l3e Ikpanment af
Local Gwernnem Fi(u�rce will ux this inta�mation to create tmis ihm w'ill he!p counrv olTirials diminarc hemiesmad fmud.
� � � � � � -
Taxna��er Name Prnoert�� Adtlress / �
Dyer, John W/Ruth ��O j . �eV�U�c✓1
R 2 I3oz 253-M1 �
Princeron I\ i7670
John W Dyer
830 S Deer Haven Dr
PRINCETON IN 47670-8854
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g AdOmss (number end >mx[, cirv, sute, and ZIP codej
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Leeal Descriution
00601477-00 PT N�A' 15 2 10 2 AC
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iiling .4ddrcss (NUmber and aree4 ��y. 51a1e, and "LIF' code)
'�J � o�� �CC� 6J'✓ i �V' I VLC2�- l%�1
'1�1 Same u pmpeny add`a., �.
lJ
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' specify in Part : bclow�) ,.
undersibmed certities, under penalry of perjury•, that the above and foregoing infortnation is we and correct and that he or she is elieible to
+e the homes�ead s�andard deduction on this property. Each undersigned also understands that, by claiming additional homestead deductions
,�fully, he or she�ay be liable for back taxes and substantial financial penalties. ,
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