Homestead_Halbig_
_ ` CLAIM FOR HOMESTEAD FROPERTY TAX
CREDIT/STANDARD DEDUCTION �''�
t Steta Pwm 5473 (R6 N-03) ,\ �
� Prasaibed by Ne DeparUneirt of Locel Govemment Finance
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WSTRUCTIONSr See reverse side lor filing instrvctions.
FORM
HC10
YEAR
I(We) certify that on Ne tst day oi.March, 20_
1(VJe) occupied as our prind lace of residence Ne following described real property tor which e Homestead Property T�c Credit Is hereby Gaimed:
�I(We) owned ❑ e buying urMer contreci
Have a benefidal interest in ihe antiry Nat is lieble for Ne property texas on the property and Net owns Ne property or is buying under a conVaa.
on cotmap, Fea Simple ownets name
RecorOefs atfice
Counry
P Qu�'bp,
Uo
conVacl
��� ��re a � �� �o�
tc produca incorne.
RecOrd number � Paga
tawn,
Is Ne property in queStian:
, iG -a� io �-3/a 8't�� vrocam ❑ Mobile Hwna (I.C. G7.7-�
ane (7 ) acre that immediatey wrtounES Nat sW cture is used to produce i�oma, describe Ne use and poNon
_ _ . _ _ _ _ _.. ...
_i a� S`:. e!'�:'.':Y o�a.K-"'t'.`:�.`.�i�.t`?�'i�"xz�PROPERT,Y,�OWNED;BY,CL`AIMANT,IN'OTHER;COUNTIE3?� .t ? ..J*:`, . F , �r:,� _i .. °'.i�r". i„ :::r.
County Tw.•nship Counry Tv.vnship
I hereby certify the above stetements are We, correct and complete. Signature ot claimant
ress (number aM sUaef, ury, afare, ZIP ooda)
Tx rE?§ `a.�":s>� -�"�.��. K�_:,:��'4-"37�; :3.:_+iiSTANDARD��UEDUCTION`ALI:OWANCE.� - - , �
20 _ Pay 20 _
Lesser of 12 Homestead S
Valuation or $35,000
SlgneNre o(AUdltor Data signed
l�
Gibson Counry Auditor � � � � � � � � � � �
101 N. Main SVeet � i„d��d�is and marricd muplcs are limi[ed m one homestcad standard deduction. As the receipt of this deductian 6ecomes
Pnnceton, IN 4767(�--� ���c ial, is mae incentive Itw� n2r for twmatcad fnud. Homalcad Gaud�causcs higher ux 6ilk for all; thereCore,
r;. 0 HE 009 uires iacpa�2rs who rccei�e Ihc homestad standard deduc[ion to verify�that thc�� art eligiblc to rccci�'e thc
� .�� m�iM addilim�sl idrntifying infortnation necessary W elbx' counry gm�emmeci to betler momtor homestend
� filings. 7tus mformation uill be tept canfidenrial and can onN be attcsud by authorized counn• officuls: The 0.pazLtrcnt of
M�V .oca mmrn[ Fnznce aill use this information [o c�eate tools that will heip rnuntv ofAcials elimina4lwmestwd (aud.
I �' 1 1
C��' ��TaxpaverName LocationAddress
Halbig, Kenneth/Shawnee
OIBSON COUNTY AUO i0�
1151
Kenneth Halbig
1945ESR64
PRINCETON IN 47670
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II�I�III��III ull
State Parcel Number
1945ESfi64E
PRINCETON IN 47670
II� II� �II� II� IIW �I I�I� IIW II� I I�II� II�I �I� III IIII
Leqal D?scriotion
26-12-16-100-000.074-027✓PT E NW 1Cr2-106.31 AC
This form MUST be returned to County Auditor's off ce.
Please do NOT send this form back with your tax payment to the county treasurer.
�d sMC4 ciry, statc, and ZIP code)
b�� �
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ailing Address (I:ua:lr_r. e:.d svcc4 c
�cial $ecurity Numbcr Qas[ 5 digiu)
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Samc az prop add`ess � .
Other (plea5e specify in Pan S below) �
Stcc
I�_Ii,_
Othet (picau specify in Pari 4
undersigned certifies, under penalty of pequry, that the above and foregoing informa[ion is we and wrrect and ihat he or she is eligible to
�e the homestead standard deduction on this property. Each undersigned also understands that, by claiming addirional homestead deducrions
+fully, he or she may be liable fyr back tazes and substantial fiaanci�l penalties. ' .
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