HomeMy WebLinkAboutHomestead_Hardiman (13)ca �°„�CLAaM�FOR"HOMESTEAD PROPERTY TAX
a���� CREDIT/STAPEDARD DEDUCTION .,
.+�.` � S�ate Form�547J (R2/5-92)
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INSTRUCTIONS: See ieverse side lor7iling instrucfions.
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. � _ . .. . . ' . .. . �.. � '. CERTIFICATION�STA7EMEN7 � � :. .: .. , ,._._.. , . ... .rt
��� e) � � . that on ihe 7st day of March, 19
? occupied as our principal place of residence4he following described real property 1 r �hic Homesiead Property Tau Credit is hereby claimed:
�i' (We) owned ❑ Are buying under coniracl _ . .
❑ Have a beneficial interest in the entiry ihat is liable for Ihe property,taxes on the property and that owns ihe property or is buying under a contract.
'- � .:r' '. � .. ' , �CONTRACLRECORDED',-" � , � . .. �� _
If buying on cantract. Fee Simple owner's name . � - - ' � "• , . .
Recorder's oHice where contract is recorded qecord number Page
� � � - � . . . �PROPEiiTY DESCRIPTION � . - - � . . -
Counry . . - " Township � ' ' 7axing � trict.(city, town, (ownship) . .
Parcel number Legal tlescription _ _ . ,
tx�lo-C�3$oa-�o . . . ; . . . .
It any portion of the residential structure or the land not exceeding one (7) acre that immediately surrounds that structure is used to produce income, describe the use and ponion
of the property utilized to produce income. ,
-- � PROFERTY OWNED BV CLAIMANT IN OTHER COUMIES ` � � ��
County Township Counry Township
�by certify ihe above statemems are irue, correct and complete. i re ot claima
Address (numberantlsheef. ciy state, ZlPmde)
'ASSESSOR�USEONLY � TflUETAX - ASSESSED HOMESTEAD NON-RESIDENTIAL.
� �VALUE . VALUE .VALUE VAWE � �
Land not exceeding t(one) acre immediatety �
surrounding residential improvements. . (�) � ��' �
Oiherland (p) �
Total land Qine 7 plus line 1j ' (3) �
Dwelling (4) � � � -
Residemial impmvements �
Garage (g) _ .
Oiher improvemenis (6) �
Total improvements (line 4 th�ough line � �7)
Total value (line 3 p�s line � (g)
I hereby certify the above is true, correct, and Signamre of assessor � oace signed
complete. . �
VPdryirg action - Signature of Auditor Date signed
� � � � ' - - � STANDARD DEDUCTION ALLOWANCE � �- -
19 _ Pay 19
Lesser of 7l2 Homestead
Valuation or 52.000 S
5" nature ot Audimr Date signed .
Gibson County Auditor
101 N Main
PRINCETON IN 47670
— JAN 14 2011
— G'�.n�
�,�gSON COUNTY AUDITOR
1$56
u
PRF4AfPFII BY TIG UEPMMLYI f F
iRfASURfRfOR4:SIA
InJiriduaLc anJ rtu;riN rouples are IimimJ to ore homeueaJ sundaN Aedunion. As ihe �ecript ol Ni:: Jedunion beconres °
morc beneficial, ihcre is marc incenme dnn n<r (or M1ome>'teaJ fnud Ilartwvrael fmuJ cau� hi�her tai tills tur all: ther<tne.
HEA 137i-?IXM) rcqu"va ia�paren who recci.e ihe hanestrad smndarJ JeAunion �o veri(r tlut they are diciNc io recci.e ihe
benefi� an1 io p�w'ide a�Witional iJentiiyim; information �a�vn� to allw' cwnn' gmrmment ro bertc mimiror homesttaJ
61in�-. Iliis in(nrmaiinn �ill be kc�w ennli�icmial anA can nnly he ame: mt by awho�iinl onunty oflitiaL•.'fhr Ikry+anmem n(
Lucal Gmvmmrn� fivnce ��ill mc �his info�mation to areatt 0.uls ihat will h:lp av�mty ofi'xtial. climinne homestead fiaud.
Wendell / Jacqueline Hardiman Sr
586 S Country Lane
PrincetonlN 47670-8102
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Sccurily Yumber Qast 5
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T•rxpa�•er Yame
Hardiman, Wendell Sr / Jacquetine
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Prooert�• Address
R7 rl#K
on IN �4$70
State Parcel NumAer / Lesal Description
26-11-15-100-003.802-027 /�`�1 G ROBERTS TICH_NOR RD PH I 5
� D-17
Middlc
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Q1NChTo� IN. ��6��)
diviB) Other (pleasc specify in Part 4 below)
i : 1'Sume:u pmpeny udJres,
L11
�ci� To�1 1J1� 6
(last 5 digits) Ochcr (plcuc spccifi� in Pan
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mdersi±.med certifies, under penelry o(perjury•, that the abo�•e and furegoing infonnation is trve and correct and that he or she is elicible w
e the homeslead standard deduction on this propeny. Each undersi¢ned al>o undersiands that, by claiming additional home_tead deductions
fully, he or she may be liable for back tares and substantial financial penalties. .
1 Signevue ��� Uate Telephone
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