HomeMy WebLinkAboutHomestead_Hoffhaus��"4 CLAIM FOR HOMESTEAD PROPERTY TAX
� � CREDIT/STANDARD DEDUCTION
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i .State Fortn 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side lor liling instrucfions_
FORM
HC10
YEAR
CERTIFICATION TATEMENT �
I(VJe) certi at on e s day o arc , 19_
I(We) occupied as our principal place residence the fol owing descnb I property for which a Homestead Pr T �feQ ereby claimed:
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❑ I(We) owned ❑ Are buying under contract
❑ Have a beneficial interest in the eritity ihat is liable for the property taues on the properry�and that owns t roperty or is�Duy under co ct.
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CONTRACTRECORDED ���J�Y� '
It buying on convact, Fee Simple ownefs name
Recorders oKce where contract is recor0etl ' Record number Page
PROPERTY DESCRIPTION
Counry Township 7auing distdct (ciry, town, tovmship)
i mber Legaldescriptlon
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If arry portion of the �esiOential siructure or e IarM not e:ceedirg one ) acre that i ediately sunounds ihat s cture is usetl to produce inco e, descn Ne use and ponion of
the property utii¢etl to protluce incrome.
� PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES �
Counry Township Counry Township I
Sig t e a�mant
�reby certify the above statements are true, correct and complete.
Ad . (�ntl sl ci , sfafe. ZIP code) � � � � �— �—�—
!� ry
�C 3 � _ �j 6 70
ASSESSOR USE ONLY E TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE . VALUE VALUE VALUE
Land not exceeding t(one) acre immediately (� �
�surtounding residential improvements.
Oiherland (2) I
Total land (line 7 plus line 2J (3)
Dwelling (a)
Fesidential improvements
Garage (5)
Oiher improvemenis (6)
Total improvemenis (line 4 through line 6) (7)
Total value (line 3 plus line 7J (8)
I hereby certify the above is true, correct, and Signamre of Pssewr Date signed
complete.
Veniying action - SignaWre of Autlitor Date signetl
� STANDARD DEDUCTiON ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead S �
Valuation or 52,000
Signature of Auditor Date signed
u
Gibson County Audilor
101 N Main
PRINCETON IN 47670
0
1897
RitE fnRM!!.W �IL/vwl
Individual. anJ rtu:riN couplc. are limiied �o onc home.ar�J .,undaN iLnfu:�ion. As �he rmip� of ihis Jcduciion bcconre�
murc beneficial. therc i> morr incencirr Run e�er (or M1omntesl G.mJ. Ilomn'ttad fiauJ causes hieher tan billi (or aIC therc(ure.
HEA 13�ti-?fN19 requim uxpa�en who reccirc Ihc hanestead s�andard deJuc�ion �u vcrify Ilu� �hcy arc di^_iNc lo rccei�c �Fc
6rnefi� an1 to pnn'ide akliiional idrntiirin_ in(orm��iun nemvry �o allw' cwnry go.�zmment eo betrcr monrtw IwmrsrcaJ
filin�,�.'lliis inlnmu�ion will M t,ryv crntiAemial anA cnn only h. acrrc.eA M1. amhmiied munry� nRci�al��lLe IR�wnnrem nf
Lucal Govcmmcm Fnumc will ua this iniortnation m cream muls ihat will h:lp counrc official.. climina�c Iwm<s�cad traud.
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Taana��er Name Prnpertr AJdres+
HoHhaus, Chnstopher G I
R� Box :3fi
I
1'rinccton IN 47670
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Christopher G Hoffhaus �
969 S 350 W �
Princeton IN 47670-8155
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und succt, city, smtc; and GIY codcj " '-
S[ate Parcel Number
26-11-16-200-000.068-027
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OOCr0006&00 PT E N_ 16-2-11 1 AC
D-17 i
p�uperty oddr-=;
ocial Securiiy Numbcr (last > dieiu) Uriva's Lice2�dSute ID Number Qasi 5 digiLS) OLACf �PIC15C SPCCI� in Part 4 below)
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pouu First �� Middlc
�'� �r < D ' i !I D�%1 a r.� s
7ailing Addttv (Numbcr and atrce4 cily, siale, and LI I' cotk) �ume as pmprm addres,+
Qast 5 dieiti) � Ochcr (pleasc spccify in Pan; bcbw)
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undersiened certifies, under penalry oP perjury, that the abo��e xnd foregoing inform�tion is true and corrzct and that he or sl�e is eli5ible to
:e the homestead standard deduction on this property. Each undersi¢ned al;o undentands that, by claiming additional homestead deductions
��fully, he or she may be liable for back taxes and substantial financial penalties. I
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