HomeMy WebLinkAboutHomestead_Keene (3)� CLAIM�FOR HOMESTEAD FROPERTY TAX
° CREDITISTANDARD DEDUCTION
� Stata Fwm Sa73 (R6 / d-03)
' Prescribed by Na Daparhneni of Local Govamment Financa
� INSTRUCTIONS: See reverse side /or filrng instnictions.
`� FORM
`� HC10
\��
YEAR
I(VJe) certify that on the tst day of Merch, 20_
I(We) occupied es our pri cipal place of r nce the following described real property for which a Homestead Property Tac Credit is hereby daimed:
�I(VJe) owned ❑ Pre buying under contraU
Have a benefidal interest in Ne enliry that is 1ia61e for Ne pmperty texes on the property and thet owns the property or is buying under a conVacl.
11 buyfng on conVSCI, Fee SMple ownefs name
Recordefs ofice where conVaG Is racardad
Caunry
Ci6�f� ' �
If any portion of
of Na proparty t
Twvnship
��� � �f y�t s.�_�-�o
identlal sWClure or the land not exceeding one (1) aae ihat
W produce Imm�e.
Is Ne
Rewrd number � Pege
al property ❑ Mobile Home Q.Q &1.1-n
is used to Droduce income, describe Ihe use and portion
�E'�''����"'`�'`ny� � � �'�` g`�''�' ''�t�� `''i7(tUE�TAX% � ASSESSED VALUE HOMESTEAD � ":' 'NON=RESIDENTIAL F�' �
�±��S�E�SSORUSEONLY��,�k�,��_�VALUEa�^;.,,'FAT<t00XOF'T7V ..�VALUE-F' -.;'wyi�yn��VALUE�"�"+;s,�x' -
Land not exceeding 1(one) ecre immadiatery � �`'� �a t� ' i`�-' `�t+".,.,s.,.,� y�
surroundingresidentialimprovements. ( � ��,,ry.`.1,y'k?,i^,:r,y.�.�Y�t,i:�
. - � �. .--� a3� . -
Other land �y� �,-n <?' �.� _'
s:. y..� r: „
Tctal land (Ilne 1 plus line 2) (g)
�.::/ .��F��-- _'1*f�4a.p.i§' "�e
Dwelling (a) ' � r'�: s��r .�� '�``�.
Residential improvements orMnually K * �+�s�,'--. ' +- _ t .�.� .r .�
Assessed Mobile I Manufactured Homa Garage 5 ��'. .� '. f+riYi,-,� ��.�r�`� ��
( 1 :,r; . Y�... ; .`i.:.� r:,y, _
-:d.
O�het improvements (6) ,
T�el improvements (lina 4 through liire 6) �7�
Tttal va�ve (line 3 plus line � �g�
I hereby certity Ne above is We, cortecC and _ Signa�ure otossessor Dace signed
complata. �
Verifying eqion - SlgnaNre of PLditor Data siBned
�^ n�ycJr^_.,�a��:�,7"d'`�yy$:�{.`�`.in...��'h�.`r"�Y`fi... `STANDARD;DEDUCTION'ALLOWANCE._ s ...' . .
�.L . � ' 4 L J��Y {.. ...y �..��. �.$�..i� �......
.... i. . �.� Y:r - �.f': .......� �.
20 _ Pay 20 _
Lesser of tl2 Homestead
Valuatlo� or 535,000 g
Signature ofPudKw Data bigned
' : �� � SGiF{OM19kV(PJ/&10) .• . _ . (�. .TFFASUPFALOO.NTS-IA
.� ' . APPROVFDOYSTATlPW0.00i�(YpI1ViS,1(p9 ' �PREYR19m0YT�OdARiNE�iOF1.(M.�LGOYEi\MEY!lMAVCEIC61.I�ll-E.1
Gibson County Auditor � � � � � � � � � �
101 N. Main Street �ndiriduals and married muplec are limited to one homesread standard deduaion. As the receipt oithis dnluctian hecnmes
P��CEjO�, �N 4�6�� �morc brneficial, there is more inctntivc ihan c�'c (or homeuead fiaud. Homa�ead ffaud cauus higher iu.i bills for all; therefore.
. � HEA i 34»-20Q9 mquves uxpayers airo recen�e the homestcad standard deducuan m.rrify thai chey �.vic eligiblc w recei�c thc
� brncfil and ro� prm�idc addiiimul identifying in(ormation necessery tu alla.� camry grn�emmrnt m teucr monitor homestead
•, � � � filings. lltis infotmation will be k'.yt wnfidrn[ial and can only be accessed W auWOri�ed counry offi:ials. The IXpa�unent of
I_apl Gm�emmrnt Fi�wrce will use tLis infoemation to cceate tools Ihat will helD �iY el5cialx elimifutt homestead fiaud
184
Taxpaver Name
Keene,Tracy ,
�
7865 Dunla{i Dr
PRWCETON INI47f
Tracy Keene � II�I�III��II�III IW IIII uIIIW�III�I�II�II��II�II�IIIII�II�I�I�II
1865 Duntap Dr
PRINCETON IN 47670-8633 � ' � �- ° '
II'IIIIII��'I�'���'lll�l�"��'9��'I�I'19��1��'I"�I��'�I��"'�' State Parcel Number Leqal De
26-OS33-200-001211-02�PT NE 331 70 7 AC
--- - - F I L E � - - - - _-----
APR 18 2011
c�.
M�,
This form 1�1�33'°I�6�'WeRY}YiiLd to County Auditor's office.
Please do NOT send this form back with your tax payment to the cou
�I �II�IIuI�I� III III
ription
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treasurer.
/ �vl . , . Fvs[ . ���� Mitldle �/ � �,
% ��
Addnss (number and streel ciry, state, and Z[P code) � � Same e5 property eddrtss
��5 �un�� �r. �r►nc�,zi�I����� . i
uvriry• N�ber (last 5 diAts) Drivels LicensrJState ID N�ber (last 5 digits) ..�� ... Othcr (plcase spxify in Part 4 6i low)
/ � L 1� 5� r
�J.e,n i se �
1 g(� S �un (
Numbcrllazt 5
r.
n�
�
l�-e��n-e_
Other (pleau speci(y in Pan 4
undersigned certifies, under penalty of perjury, that the above and foregoing infortnation is We and correci and that }
�e the homestead standard deducrion on this property. Each undersigned also undecstands that, by claiming addirional
�fully, he or she may be liable for back taxes and substanual financial.penalties.
u
�
� � I� , � ,
II �ll
l��l�►
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;ligible to
deducrions