Homestead_HueyCLAIM FOR HOMESTEAD PROPERTY TAX
- ' CREDIT/STANDARD DEDUCTION
t' � Slale Farm 5473 (RS / 70-01 �
��� Pres�ribed by Ihe Department ol Local Govemment Finance
INSTRUCTIONS: See reverse side lor �ling inshvctions.
FORM
HC10
I(V✓e) certify thal on the 1st day of
I(We) occupied a o pn d I place residence ihe following d 'bed real p erty for which a omestead Property Tac Credit is
❑ 1(We) owned ❑ Are buyi under contract
.. Have a benefidal interest in ihe enfiry that is liable for the property faxes on Ihe property and that owns the property or
I( buy'vmg on wnVap, Fee Simple ownefs name
Recordels olfice where conirad is recorded
:-�5.''�'i�1�tB"��'x�'':��2 t�'�-.�+�E�`z' � '-.�� x
County � Toxnship
Record number
YEAR
n�"�( 1 = 1��J
ing under a contrad.
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Page
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mher L escri tlQn Is the property in question:
-0���7-� ��.,��M C�l Pl}3 �,�,��, ❑ MoblleHOmolI.C.61.1-�.
N any po onr�f o/ the resitlentlal atrupure w Ma land not exceeding one (1) aae thet immetl� y wrrounds that suuGUre is used b produce inmme, desuiba the use and pwtbn
of the ProPertY utif¢ed tu praduce i�oma. �
I hereby cerfi(y the above stalements are W e, corred and complete.
atafe, ZIP
Land nol exceading 1(one) aae immediately
surrounding residential improvements.
Other land
Tdal land (line 1 plus line 2)
Dwelling
Residen6al improvements
Garage
Other improvements
Rlal improvemenis (line 4 through line 6)
T[fal value (line 3 plts line �
1 hereby certify the above is We, corred, and
complele.
Verifying action - Signature ofluitlitor
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(3)
(4)
(5)
(6)
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Signature otASSessor
signed
signed
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
3381
i
SIATE flMN �!!MIP_/YYI jl%FASLtfA i(10.411A
A�pMn'E11NYC��TFMaPDnf.M'v<t�:it.!iaw PRF3AI�m0Yi11l.UEPMT6Vi(KISAALGD�2L4MCI:IfO:A�CEICSI.I�l'1.1
' � ' • � � � I . . � � . � .
IndividuaL. anJ ma:riN couple are IimitN �o onc homesicad �tamlaN dNuc�iun. A. the rcrcipi of ihisldNunion M1cmnms
morc beneficial, thrre i> morc incentrr ttun e�cr (or homnteacl fraud. Ilomn�eaJ fiaud caasrs higher ta� bll> tur all: thercfore.
HE.\ I333-3fN19 requim ucparen who romire tbc hanes�cad s�anAard d5luction m.erifv dui ahey am cliciblc w reccnc �he
DfOffll'JN 10 �IRT'IA<:IJJIIWfI]I idemiipinc fnfumiatmn neic.san io allw' vounn� garmmeni ro berter muniror humesread
lilin��,<.'Ihis informaiion will M1r Aqw mnliucdial mA nn nnly h• acm.�eJ M1y autMri�d ronnry� ofTicia6lThr IMpannrcn� of
T8Sp8\'ef NAlfle
Huey, Jeffrey D/ Angela R
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1'rinceton IN
Jeffrey D/ Angela R Huey
1474 E Indian Creek Estales State Parcel Number Le�
PrincetonlN 47670-8971
26-12-09-103-004.017-027 oo�-oaot�-oo
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�c Addmss (number ond �mxt, city, s[eic,
14��I-
undersiened certifies, under penalty of perjury, tha� the above and foregoing informatiun is we and correct and that he or sfie is eligible to
�e the homestead slandard deduction on this propeny. Each undersiened also understands that, by claiming additional home jtead deductions
�fully, he or she may be liable for back taxes and substantial financial penalties. �
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