HomeMy WebLinkAboutHomestead_Housea%�°' { CLAIM FOR HOMESTEAD PROPERTY TAX
i;l�� CREDIT/STANDARD DEDUCTION
�.;;� State Form Sa73 (R2 / 5-92)
�au
INSTRUCTIONS: See reverse side7o�7iling instiuctions.
FORM
HC10
YEAR
! �j'y'7
I IWe) H�-fln� ��I`f N�! ; /C ._/� D(t S� . -• - cepiWhaloeih�Jllday of March, 79�
I IH�
. � occupied as our principal place of residence ihe following described real property for which a Homestead Pmperty Tax Credit is here y daimed:
[� I � We) owned ❑ Are buying under contract . ��� �.
❑ Have a beneticial inierest in the entity ihai is liable for the property taxes on the property and at o���$�s buying under a contract.
� � . CONTRACT RECORDED - �
If buyirg on coniract, Pee Simple owner's name � _ . � . . � _ . .
Recortlets oHice where contract is recorded � Rewrd number Page
PROPEHTY DESCRIPTION
Counry � ' � Township � • ' c Taxing dislria (ciry, towq (ownship) ,
�! /.�S o ..1 ' � � T- � � - _ �
Parcel number Legal description �
D -o0.�ds�oo ' �r .�[.� 9--2-/0 .G9 �
It any portion of the residential swcwre or Ne land nm exceeding one (1) acre that immediatety surrounds that structure is inc , desa nion
oi the property utilized m produce income. . • . A�DITOo . - _
N 1 fl
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Caunry / Township Counry Township
I�T//3so�/ /Tro�cA
�eby cetlify the above statements are true, correct and complete. Signamre ot Gaimam
�i
Address (number and stree(. ciry. state. ZIP code)
� 2 /ja x 3 �/6} �iu�„- .{ � 7 0
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE . VALUE VALUE
Land not exceeding 7(one) acre immedialely
surrounding residential improvements. (�)
Otherland (p)
Total land (line 7 plus line � (3)
Dwelling (4) I
Residentia� improvements
Garage (g) ' �
Other impravements (6)
Total improvemenis (line 4 thiough line � (7)
Total value (line 3 p�s line � (g)
1 hereby Certity the above is lrue, corrett. and Signa[ure ot Assessor Date signetl
complete.
_�ying action - SignaWre ot Audimr Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay19_
Lesser of 7/2 Homestead �
Valuation or 52.000 S .
Signature ol Audiror Dare signed �
- 'k
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
0
3418
Alan K House
1851 Outer Lake Rd
PRINCETON IN 47670
Address (numbcr ond saec[, ciry,
� � d (��L�
-
SIAiEf(1RN.'�W �R'/SW1
.VMIT'FDBI'<t.�TEEfHP�1M V�R�\'R.9r�
ieruuauwzv:zu
6Wividua� and nur�ieJ coupk: arc limiied m om hnmc.tcaJ �a�anl dnluc�ion. As ihe rttrip� oi ihii dcJunan bccomcs
mure beneficial. tlarc is marc incencra than ecer (er home�reaJ fraW. Ilome�ead 8aud nuses hieM taa b�ilis for all: there(ae.
HEr1 13i:-?Of19 reqdues uaparen xho teceive Ihe hanes�raJ s�andard dnlunion iu mrilv ifu� they art cli¢iNe to recene iFt
beneni an1 ro p(w�ide aklitional iJentii�'inc infwmutiun necc�vrv lo allw' coun:c gm'rmmem to Y[tri munimr homrsreaJ
�ilinf�. -Ifiis inlormatinn will M Acp conlidential anA een nnl�' M. acars¢A M1� wihoriznl connty ofTicial�_ �Ihe IXranmeni nf
I_ocal Gov<mment Fina�rc< wll mc �his intormmion tu arcam cvls ihal x'ill hclp cvunry ufficials diminilc humcs�cad haud.
.�� �. �
T•rxpacer Name P�nprrt� Address
House, Alan K
lxsl outerllkcRU
� Princeton 1\Ia7670
' codc)
K�
Nc N r' I
Address (Numbcr and Neel cil)', slnte, and'LIP cuik)
��
State Parcel Number Leeal Descriution
26-12-09-302-000.565-027 oos-oo565-0o PT 5 W 9 210 .69 AC
o�
✓
U J SH
� P�y�m� �a� —
2/NC �Tvn/ L
5 dieits) O�hec (plcue sptcif in Pan 4 bdow)
� Same � p�vprny addrcs�
5 digits) � Other (plcazc spccify in Part 4 bclow�)
7G
Each undersi�med certifies, under penalry of perjury•, that the xbo��e and foregoing infortnatiun� is we and wrtect and that he or sHe is elieible to
receive the homestead standard deduction on this property. Hach undersiened al>o undersiands that, by claiming addilional homeitead deductions
unlau-fully, he or she may be liable for back taxes and substantial financial penalties.
Dwner I Signame lhtc Tdcphonc '
Sipiamre
/�/ U 1� �
,� ��� o ��
, Telephone
\ /