HomeMy WebLinkAboutHomestead_HigarR: , CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
j State Fortn 5473 (R6l {-03)
Prescri6ed by t�e DepaNnent of Local Govemmenl Finance
INSTRUCTIONS: See revcrsc side /o� liling instmr,fions.
FORM
HC10
� M�e) �C �\ Y�,/�,Y�� ��1.�M 1� certifyMt}fi�l orW�e
I(We) occupied as our principal pl oi residence Ihe following desuibed al property (or which a Ho j tead Property Ta
❑ I(We) owned ❑!ve buying under contract �c :1�� y.% [
(�;v`.._. . cr,�
� Have a benefidai interest in ihe enlity ihat is liable (or ihe property taxes on the property and Ihat owns the-propBrtypf ii
If buying on wnUad. Fee Simple ownefs name
RewNefs otfice whera conirad is recorded
H any portion ol l�a resitl
of Ihe propery utiized in
County
Tamship
Taing
I L� V � Y 1\ . �� d�Ol ls the pro�
or the land na exceeding� (1) aae at immediatety wrtounds that
Tvxnship
I hereby certify the above statements are We, corred and complete.
Ad reu (nom6er and stree(, city, sfa(e, ZfP code)
;f��.iC �2 ��y-,c 2 �15 „�....
Land not exceeding 1(one) acre immediately
surrounding residential improvements.
Other land .
Total land (line 7 plus line 2)
Dwelling
Residentiel improvements or Mnuaily
0.ssessed Mobile I ManuFactured Hwne Garage
Other improvemenLs
T�ial improvements (lina 4 through line 6)
T�IaI value (line 3 plts line n
I hereby cerlify fhe above is We, corred, and
completa.
Verifying aclion - Signature of Auditor
n
20 _ Pay 20 _
Lesser of 1/2 Homestead
ValuaUpn or $35.000
(�)
(2)
(3)
i4)
(5)
(6)
��)
(8)
Signature ofPSSessor
County
5
Record number
YEAR
of March. 20
is hereby daimed:
contract.
Page
�I property ❑ Mobila Homo (I.C. &7.7-7�
is used to produce income, describe Na use and portion
Date sgneE
Date signed
��
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
3539
R Quentin Higar
R 2 Box 245
PRINCETON IN 47670.8848
t1VEfOR\I ��'MIR'/�M1
1RFASUI.lPil10.N:SIA
IndiriJuaL. anJ nu:rittl couplo are limi�ed io oce homc.teaJ 9andard J,�lunion. As the rmtipt of ihu-dMuction becmms
mure beneficial, there is morc incrntne than reer (or home'rcacl Gdud. I Iomraeacl (raud caLL�es higher u� 6ills tor all; thertfare.
HE.\ IiJ-I-]009 requim uxpa.en x�ho receire ihe hanrs�caJ standard Jnfuctian tu .erify tlu� �hcy am elieiNe to mcene ihe
benefi� an1 ro pnn�ide aAUitiunal iJentiiyinc infurmatiun necesvry ro allw� counry gucrmmem ro be�rerjmonitur homesxe:d
liliny... 77tis inlormuion x'ill be l.ryu mnlidenlial and can nnly k� amc.uJ by authorixJ cnwiry� n(fciuls.'Thr Ucry�nnrcnl nl
I.ocal Gm�crmn<m FiiuMC �vill u.c this in(ortnation ro crcatc tuuls �hat wi0 h:In camn officials dimirmtc homatcml fiauJ.
���n��in�i��n�n����n��u���u�n�n��n�n���i�in�i��n�
Tasoarer Name
Higar, R Quentin
!/
Prooer�v Address
{
IL' 13ot?�ii
Princeton 1� 4,76�� �
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State Parcel Number Leeal Description
26-12-16-100-002.224-027 006-02224-00 PT NE i6 2 10
75270 1.14AC .
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1 AC PT NW
1' 1
Ourer i F'irst Middle � � Lasi
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g Address (number and etreeL ciry. s�e�e, and ZIP code) __ . _ . . . _ _ ... _ . - - .�j 5amc � Per7' ��¢ _ _ _ _ _ .
u
2�I5 ' lo stT %r•n.�cL?'o,J Tn� �t 67v
$ocial Sccurity Numba (last i dieils) Driver's Lica�srlState ID Nmnber Qut 5 digiLS) Other (pleace specify in Part 4 below) {
Middlc � Last
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Mailing .4ddress (Number and stree4 ���y. swie, and ZIP cuJe) � S�une ai pmpeny addrcs. �
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Social Stturin• Number (last 5 digi�s) Driver's Liccnsc/5tatc ID Numbcr (la;� 5 digir,) Othcr (pkasc spccify in Part 4 Mlow) ,
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Each undersitmed cenifies, under penalty of peqary�, thu the abo��e and foregoing information is we and correct and that he or she is elieible to
receive the homeslead standard deduction on this propeny. Each undersi¢ned also understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable (or 6ack tases ;uid substantial financial penalties. �
Owner I Signe Dete 7'clephmc '
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Spou>e Si nawe pytc Tcicphone \ j
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