HomeMy WebLinkAboutHomestead_Hackler,+.,�� -
eE ` i CLAIM FOR HOMESTEAD PROPERTY TAX
}; ��; CREDIT/STANDARD DEDUCTION
�.;;• State Form Sa73 (R2 i 5-e2�
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INSTRUCTIONS: See �everse side /o� tiling instructions.
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�) _C� � • � �w� "^"'�^" 7v , C� ce�lify that on thg�y�p�t�'����cTh�, � .S
I�.ve) occupied as our principal place of residence ihe following described real property for which a Homestead Property Tax Credit��par�yvami d:
�1(We) owned � Are buying under coniract _,
Have a beneficial interest in ihe entiry ihat is liable for the property taxes on ihe pmperty and that owns the property or is buying under a contracL .
� CONTRACTRECORDED .
It buying on contracL Fee Simple owner's name .. .
Recorder's oHice where contraci is recordetl Record number Page
County
11 any portion Of
oi the property i
to
fown,
s-a —�c, ► �6 A�
or the land not exceeding one (1) aue that immediatey surrounds that strucmre is used �o produce income, tlescriDe the use arM portion
ASSESSOR USE ONLY . TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land noi exceeding t(one) acre immediatety �
surrounding residential improvemen�s. (�)
Oiher land (p)
Total land (line 1 plus line Z� (3)
Dwelling (4) '
Resideniial improvements
Garage (5)
Other improvements (6)
Total improvemenis (line 4 through line � (7)
Total value (line 3 p�s line 7� (g)
I hereby certi�y lhe above is [rue, Correci, and Signanre ol Assessor Date signed
,�mpiete.
ing action - Signature of Auditor Da;e signetl
DEDUCTION ALLOWANCE
19_Pay19_
Lesser of 1/2 Homestead
Valuation or 52.000
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
• FIL,EI�
APR 1 4 'LUtU
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418SON COUNTY AUDITOR
1318
Thomas W Hackler
SliiElORM
!V_4AIPEnBYiIIf UE�MMEff[�FLOGL
1RFASUAfRfOR411A
InJiridualc and ma:�ied roupks a�c limi�ni �o onr ImmeucaJ �randard Aeduc�ion. As �he �cceipi of �hi� dcdunion txY�a�re:
more benencial, thrrr is morc incenmr Ihan ecer (er homd'teael fiawL Homnttad (mud cauus hi�hrr q� bills fw all: thercfne.
HEA li4i-3009 r<quircs uxpa�m who reccire thc hanmruJ <�ndvd dNuction w rerily ilu� che} me elitiNe io recene the
benefit anJ ro p�w�idc a4fitiunal idrntiicinc infurmatiun Marssin� m allw� counh� gm'emmrni ro betmr mmiror homeslead
filin�. This infnrmalion will 6e Aep1 mnliJential anA on nnly fm accessM by amMriicJ rnonp� n(lioialx.'Ihe Ikpanmem o(
Local Govemmem PivM< ��ill u.c this in(ormanon W creah twls that �rill h:lp awnrc ufficials diminme Iwmest<ad traud.
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T•uxoaver Name Prnpertc Addres�
Hackler. Thomas W
Rr2 Dos ?67a
Prinremn Ih' a7670
3097 E Curtice Lane State Parcel NumAer Leeal Descriution
PRINCETON IN 47670-8869
I�I��II���I�II��I���III�„I��I�I��I��II��I�I��I�I��I���II�I��I 26-�z-i5-200-000.282-027 a�as-oozaz-ooPTW,VE 15210 1.006AC
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This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
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Owner I First Middlc Lut
�/Y1�5 W //.yl'K �/C
ng Addr�s (uumbcr mid smx[, city, smte, and ZIP <ode) � Same ac pmperty adMcv
�3047 � �r,efZC� L�r
Social Securily Numbcr (last 5 dieils) Uriver's Liccnse/State ID Numbcr (lait 5 digils) Other (please specif,v in Part 4 below) -
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Middlc // Last
K. I � � � //�!�-/1 /G /�
Mailing Address (Numbcr anJ stree4 cit}', state, anJ "LII' cuJe) .�.I Same u pmpeny adJrts
�30 97 � �. �e fi�c J�v �a�
Sacial Stturirv Numbtt (latt 5 digits) Dm�crs Lice2�e/State ID Number (la;t 5 dicits) Other (ylase specify in Part: below)
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Each undersicned certifies, under penalty of perjury, that the above and furegoing infortnation is true and cotrect and that he or she is elieible to
receive the homeslead standard deduction on this property. Fach undersiened al;o understands thal, by claiming additional homestead deductions
unlawfully, he or she may be liable for 6ack taxes and substantial financial penalties.
Ownu I Signnnnc /%// Ihu 1'elephonc
� (_e./. C�]��zC��lC=eaiL � 08/0/0 � � �
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