Homestead_Friedman�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
2490
Anthony J/ Joyce M Friedman
1860 N 100 W
PrincetonlN 47670-8540
tl\t£ fO0.N!)JMIR'/ f+r�l
Indiriduals and nur�iN couple. a¢ limited to ore homeacad 9aiMaN JeAunio2 As �hz retttip� o( �tis dedceiion becrncee
more beneficial. �hrrc is morc incen[ne than e�er (or homntead frdud Hame�ead fiwA nuses higher ta� bills iw all; thereiae.
HEA li�i-21N79 requim uzpasen x�ho receive ihc hanestmd standard deduction m verity thm thcy afe digiNe io rteei.e �hc
benefit an1 ro pnr'ide aiLliiiuwl iJentiirim_ infwmanun �xcrevn• ro allw� ewnry grn'emmrni ro be¢er moniror humesmaA
fili�. This iNOrmatim w�ill Ae F.ery mnlideniial and can nnly F+z acmcseJ b.� author'�N rnuntr officials.'ILe IkYunnrcm o(
Lucal Gmemmem PinaM'c wili u.c �his info�.nation to cr<am [wls �hat �vill hclp ca�nrv official. eliminam homesmad (nud.
, • ' , , ,
T�xnacerName Prnpert��.lddress
I�I��II���I�II��I���III���I��I��I�I��I��III����II��II�����II�I
Friedman, Anthony J/Joyce M Trusl
/ V
State Parcel Number
zs-oa-ss-aoa000.sos-oz�
Y
R3 13ox ? I S
Princcton f\ .17670
Leeal Description
006-00608-00 PT S 30 1 11 4527 AC
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Ou�ner I First Middl< Laz�
r��'I�on JOSe �'1 �i^i� d���'1
I ,g Addresc �nwnbeF an snee[, ciry, sm[c, and ZIP codej — -- - — — -' � -- '—'— '� Suma � pmpem-oL.in�.,---- --�--'
Social $
S�au;e First Middlc Lut
i
�� / �� /�aXi`ne Fr�'e d•,-, an
Mailine Addres5 (Number and stree4 cin', s1a�e, and ZIP eotk) � Same as pmpenr add�eci '
Social Sccurip� Number Qazc 5 digics) DrivcYS Licrnsc/SUtc ID Numbcr (lazt 5 dicits) Othcr (plcasc spccify in Pazt 4 bclow) �
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Each undersicned certi6es, under penalty of pepury•, thaz the aboae and foregoing information is we and colrzct and that he or she is elieible to
receive the homestead siandard deduction on �his property. Each undersi¢ned also understands that, by claimine additional homestead deductions
unlawfully, he or she may be liable for back taxes and substanrial financial penalties. �
Owner I Siymawr< Uste Telcphonc
`i , i �- �-,o �
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�E ^��R
e1 " f CLAIM FOR HOMESTEAD PROPERTY TAX -
i; �� CREDITISTANDARD DEDUCTION �
,�%�� State Form 5a73 (R2 / 5-92)
�7J
�eii
INSTRUCTIONS: See reverse side lor (iling instructions.
FORM
HC10
�
YEAR
��e) �. c� ,e o k �� `� �� I IXS�--�- �' "vicertify that on ih t d M�rcFA 7�
e) occupied as our prin�l place of residence the following described pr ny f which a Homesiead Property T redit is ere��med
�(We)owned ❑ ArebuyingundercoNract . . , . F1PR 2+� ��9�
Have a beneficial interes� in ihe entity iha� is liable for ihe property taxes on the property and ihat owns the property or is buying under a contract.
� � Y•I-,--/�,�,
!1\T/��l //
. CONTRACTRECORDED .
If buyinq on COnVatl. Fee Simple awner's name � . _ � . -
con(raa
County
Parcel number
tl any�
of the pwperty u
PROPERTY
Township
township)
Record number � Page
I Le9al description
l iJ
or the lapd noI exceeding one (71 acre that immetliatety surrounds ihat swcmre is used to produce income, descnbe the use antl portion
� .. ' ' - _ . . '
PROPEFiTY OWNED BY CLAIMANT IN OTHEfl COUNTIES � �
County TownShip Caunty TOwnShip
�reby certity the above statements are true, correct and complete. Sign re f ciaimam
�_ _
Address(numberandstree ury.state,ZlPcode)
/Q Q 6 � � � �r � � C �P fon 7j Y7 � 2 !�
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
.VALUE VALUE VALUE VALUE
land not exceeding t(one) acre immediately
surrounding residential improvements. (�) -
Otherland �p�
Total land (line 7 plus line Z� - (3)
Dwelling (4) I
Residential improvements , .
Garage (5) I
Other improvements (6)
Total improvemenis (line 4 thiough line � �7)
Total value Qine 3 p6s line 7� (g)
I hereby tertify ihe above is true, CorreCt, and Signature ot Asseswr Date signed
mplete.
�yirg aaion - Sgnamre of Audiror Date signed
19_Pay19_
Lesser of 1/2 Homestead
Valuation or 52.000
STANDARD DEDUCTION
�
Signature of Audiror (� �f(� I Date
�Q �v. � VJ 1 ` \ C�i \.i Qad . .