HomeMy WebLinkAboutHomestead_LassiterCLAIAfl FOR HOMESTEAD PROPERTY TAX ,
-° _ CREDIT/STANDARD DEDUCTION �
t / Slata Fortn 5473 (RS / 10-01)
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Prcscribed by the DepaMienl of lacal Govemment Finance
INSTRUCTIONS: See reverse side (or (ling instrucfions. � R
FORM
HC10
YEAR
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I(VJe) . , �� �,{� no ��� certi at; n the 1t st day o�erch, 20
I(We) occupied as our principal place ot residence ihe following descnbed real propeprty for1 which a Hanestead Property T�c Credit is hereby daimed:
❑ I (We) ownad ❑ Are buying under contract � _� / —\ � �o— �) � � � � ^ [UU�
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�Have a benefidal interest in the entity that is liable for the property xes on the property and tliat owns the property w irbuying under a contrad.
If 6iry'vig on wntrad, Fee Simple owners name
Remrders atfice where conirad is recorded
H eny portbn of
W the property �
Tamship
7azing eisvict (riry, town,
D���'i°,�.' � -o�-�D / ��9�
ar Me land nd exceedinp one (1) aue ihat immeEiatey wrrountls ihat
Record number � Page
TW'�G.1�\� v.�^-'T�.
icttion:
� wcwm ❑ r,ma�e Home u.a a�.,-n .
is used to produce Ncpne, tlescribe the use and portbn
Gibson County Auditor
� 701 N. Main Stre � �
t�4 70
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MAY 2 7 201i
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. ` GIBSpN COUNTY AUDITOR
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lndividuals and married wuples are limircd m ane hamcsread ztandard Jeduttion. As [he «ceipt aF this deduction becomes
more 6eneficial, ihcre is more incrnti.c Ihan axr for homcstead Gaud. Homa�ead Gaud rauses higher ux 6ills for all; �hcrefore,
HFA 13Y4-2009 tequira uxpa}xrs w1ro recei�r the homestcad standard deducuan to �xrify that [hcy are cligible to �rcceive �he
brnefit and to pro.�de additional idrnufiing in(omution necessen' to allox' crnmly gm'ertvneci lo �xtter monitor hOmestead
filings. 7}tis infomu[ion will be kept wnGdcntial and can�onW M accrs.ud by au�horiled county aBicials. Thc Dcparcmcnt of
I,acal Gm�erommt Finance wili use �his infortna�ion m cmam rools that will heln counb• offrc�als elimi�te homeo'tcad frtud.
2290 �
Debbie ���
28 E Lake Inwood Dr
PRINCETON IN 47670-8668 _
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Taxpaver Name�
Miller, Debbie
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III0101111�111 II I IIIII�II
_ocation Adclress o.
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28 IAKE INWOOD DR
PRINCETON�II� 47670
�ill 01101�111��11 II II I�I III II
State Parcel Number � � Leqal Deiscriotion
26-12-06-100-001.434-02� P7 NE 6 210 1.14&i'AC D-1
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payrrient to the counify treasurer.
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Addmss (numba end svcct, city, stau, and Z[P code),
�� E; �-a-K� .� woo� �Y�v� �r;
ecuriry Nt�6cr (last 5 digiu) Driver's LicensrlStatc ID Nt�ber (lazt 5 digi6)
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Addrtss (\umber and strcc4 ciry, sta[c. and 7.1P codc)
ecuriry Number (last 5 digiu) Ihivers LicenselStare ID
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as property add,us
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. O[her (pleau speci(y in Pan
Each undersigned certifies, under penalty of pequry, that the above and� foregoing information is We and�correct and that
receive the homestead standard deduction on this property. Each undersigned also unde�stands that, by claiming additionz
, unlawfully, he or she may be liable for back taxes and substantial financial penalties. �
Owntt I Signa[ure � " Date
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or she is eligible to
�mestead deducrions
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