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Homestead_Gress�"`�'""°< CLAIM FOR HOMESTEAD PROPERTY TAX ; � CREDIT/STANDARD DEDUCTION '� ��• State Fortn Sa73 (R2 / S92) �r � . FORM HC10 YEAR 1` . INSTRUCTIONS: See reverse side far (ling instrvctions. ' � , CERTIFI ATIO TATEMENT I(VJe) � certify that qybFe �t�iYlAh�rch, 79_ I(We) occupied as our principal place of residence the follovring described real property for which a Homestead Property{�az Credit isli�ereby claimed: ❑ 1(We) owned ❑ Are buying under contract ❑ Have a beneficial interest in the entiry that is liable for the properry taxes on the properry and that owns the . GIBSON COUhTY AUDITOR CONTRACT RECORDED � � If buying on conuad, Fee Simple owners name � Recordels ottice where convact is recordetl - Record number Page PROPERTY DESCRIPTION � Counry Township Ta<ing tlistrict (ciry, fown, fownship) PROPERTY OWNED BV CLAIMANT IN OTHER COUNTRIES Counry Township Counry Township Si . re ot dai t ereby certify the above statements are true, correct and complete. �/ v— A Ar (numbe�a streef, ury. sfate, ZIP , � �� O - O g � ASSESSOR USE ONLY TFiUETAX _ ASSESSED HOMESTEAD NON•RESIDENTIAL VALUE . VALUE VALUE . VALUE Land not exceeding 1(one) acre immedia�ely (�) surrounding residential improvements. Other tand (2) . Total land Qine 7 plus line 2) (3) Dwelling (4) Residential improvements Garage (5) Other improvements . (6) Total improvements (line 4 through line 6) (7) - Total value (line 3 plus line 7) (8) I hereby certi}y the above is true, CoveCt, and Signature of Assesor Date signetl complete. Veritying action - Signature of Audimr Date signed STANDARD DEDUCTION ALLOWANCE 19_ Pay 19 _ Lesser of 1/2 Homestead c� Valuation or �2,000 Signature of AuCitw � �at°� ?�9=�^ �_ O /J C.�l � Gibson County Auditor 101 N Main PRINCETON IN 47670 0 David W Gress 631 S 350 W PRINCETON IN 47670-8139 ���n���n����i��rtr:T i iTTI �1�� � ST�R f(1RN!"M12'/.ti�l InJi�•iduaLc aod muriN coupb are limiud io onc home9eaJ &andaN A.1:duaioa As ihe «ctipt ol �hit dnlunion bcconre� more bencficial, ihere is morc incenmr dun ewr for homesteacl frauJ. Homen'read frzud causes hi�M Iax bills (or all: thertfore. HEA 134i-?0(19 requim uxpayers.ho recci.e ihe haneneaJ standard �rluc�ion m rzrify thai �hey am eligiMe �o mcrnr the benrfit anl to p�w�ide adJiiioml iJen[ifyinp inWrmatiun ritt�r.'vn� to allw� counn� eucrmmenl ro Y,tmr muniror homesttaJ lilin��. This infortnaiion will M Aryw mntidemial and nn only h arecssed hy awhoriuvl roumy ofTciali'I'he Ucpanment of Lucal Gwemmem fi�u�rce will ux ehis intormation m crcme twls ttut n'iIl h:Ip camn' olixtials dimfn�h Iwmc>1caJ fiaud. .•' ,' , Taxoarer Name Prnoerh� Addre�s i Gress, David W/ Karen S \� R i Ho� �I RS � �CLTO\ It: A7670 L / I III�I�I�u�Ilnu'In�l'I � �� I �l�',, Addres, (numbcr and snm. <iry. starc. and ZIP code) —,— — � � � � �/J (/� �� . ;� n � �i ��% Stare Parcel NumAer 26-11-16-200-004.099-027 J RlidNe �� � % `CGrr., I � iiling .Address (Number and svee4 cily, slate, nnd "LIP coJe) �3/.S' 3SG vr/ �,�s,ePl�---i- � " 0 � � Le_al Description 006-04099-00 J 8 M TICHENOR 1 D-17 �es5� u DroPNV ttiJra:' � � $ame as pmpeny address �G7G si�ccifi� in Part 4 bclow�) undersitmed certifies, under penalry o(perjury, that the abo��e and foregoing infortnation is We and correct and that he or �e the homesiead standard deduc�ion on this propeny. Fach undersi¢ned al;o undentands thaL by claimin¢ additional hon rfull}', he or she may be liable for back taxes and substanrial financial penalties. sipunve U G/l� ( � d tllLlble [0 deductions