Homestead_Jones (6)•
Gibson County Auditor
101 N Main
PRINCETON IN 47670
2103
�
tlU£i(11[q �!KI�(�'NI
InJicidwl> anJ �narriN couplc a�c IimiiN io one hmnc9caJ �tan�N Jcvluninn. A> �hc rceeip� of ihG dNuaion bccomes
merc beneficiai, therc is morc incenti�e tlun emr (or homeste:el (nud. Ilomrsttael f`auJ causa hi�her tac bills fur all; therefore.
HEA I3�41-?IX19 requim u�papm .cho receive iM1e hanes�c+J slandarJ drJuc�ion in .crity �lu� �he�� am eligiNe io recene iFe
brnefii anJ to p(m�ide a�Witio�ul iJemiiyfn_ fniwma�wn Mcn'vrv �o allw' cuunir grnemmrnt �o b:uet munitur Iromeac:M7
filin��.'Ihi. in(nmutieu� will M Arry cmfidmiial anA �n only h: actt+ud by amhorizeJ rnunly nfTicia�s. "Ihe Ikyunnum of
i
Lucal Gwermncm Piiunm ��ill u.e this in(o(ma[ion w arca�c nvis �hat �riil h:ln cumn' ot5cuts dimiiatc hunastcaJ trauJ.
Roger/Nancy KJones
699 W 350 S
Princeton IN 47670.9376
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Taxnaver Name
Jones, Roger / Nancy K
�
State Parcel Number
zs-i �-ss-zoo-000.�sz-oz�
V
RI f3ax �94 U il�
�
Prilrceton I � 57670
006-00732-00 PT NE' 36 2 17 1.60 AC
D-17 1
�Owna I First Middle
C(Ar�i 5 �D��r �oN�'S
�- i� Addrtv (numb.�r �d simt.:ity. s:atc, and ZIP cod_)� � ' ' . � camc ac property.odd�. _
(C99 %l� 350+5, �r�NCe�a�l ��V y7%70
Social5ecurity Numbcr (lan 5 digiu) Urivers Licrnx/Sute ID Number (lut 5 digits) Other (plesse specif in Pan 4 brlow)
-�
l�iQ N � Y
ling .4ddrc>s (Number and e'veeL ciq', siate. and'LIP cu�k)
�Same
ai Security
/
JoNes
� s;�,� � P���� m�
Oficr (ple�sc spccify in Part 4 bclow�
undersiened czrtifies, under penalty of perjury�, that the above and foregoin�y infortnution is trve and cortect and that he or sne is elieible w
:e the homestzad siandard deduction on this pmperty. Each undersicned al;o unders�ands that, by claiming additional home;tead deductions
,fully, he or she may be liaible for back taxes and substantial financial penal[ies. I
I Signxwre Uatc Tclephonc ��
%__�o_, , n�.� _ y����o (
� �
�t n��
a1 � CLAIM FOR HOMESTEAD PROPERTY TAX
ir��� CREDIT/STANDARD DEDUCTION
.�,; � State Porm Sa73 (R2 / 5-92) .
iei�
INSTRUCTIONS: See ieverse side, lor tiling instructions.
FORM
HC10
YEAR
I fwe��� �� / }- �� _(/J �-d" �. cenify that on the 7 st d�y-ot.�arB�,i1��
1 ied as our pri ipal place of reside .,e the tollowing described real propeAy for which a Homestead Pmperty Tax Credity�1.nreOby�aimed:
�J I(We) owned Are buying under coniract ,Lr igg7
❑ Have a beneficial interest in ihe eniity ihat is liable for Ihe property taxes on ihe property and thai owns the property or �ying under� coyrijaci. .
It buying on contract, Fee Simple owner's name
Counry
Township
� . CONTRACT
PROPERTYO
Record number � Page
�idential simcwre or the land not exceeding one (1) aae thai immediarety surmunds that strucmre is used ro produce income, tlescribe ;he use antl portion
to produce income.
PROPERTV OWNED BY CLAIMANT IN OTHER COUNTIES
certify the above statemenis are true, correct and complete.
(numbe� and sireet. dry. stale. Z/P code)
— . _ �-. . ��, ..
ASSESSOR USE ONLY
Land not exceeding 7(one) acre immediately
surrounding residential improvements.
Oiher land
Total land (line 7 plus line 2�
Dwelling
Residential improvements
Garage
Oiher improvemen[s
Total improvemenis (line 4 through line �
Total value (line 3 pUs line �
I hereby certify the above is true, co« ect, and
complete.
Verifvirw action - Sianature of Audimr
TRUE TAX
VALUE
(�)
i2)
(3)
(4)
(5)
(6)
1�)
(8)
Signature of Asseswr
of
ASSESSED I HOMESTEAD
VALUE VALUE
NON-RESIDENTIAL
VALUE
signetl
signed
STANDARD DEDUCTION ALLOWANCE
19_Pay19_
Lesser of 1!2 Homestead
Valuation or 52.000 S
SignaWre of Audi;or Date signed
r,