Homestead_LundbergR�
} CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn SC73 (RB /403)
Prescribed by lhe Department ol Local Govemmen� Finance
INSTRUCTIONS: See reverse side (or /iling instructions.
� (Wel ' / �
I(We) occupied as our princip place of residence the following descnbed real prop (or which a h
❑ 1(We) owned ❑ Are buying under contract
' Have a beneficial interest in the entity Nal is Iiable for the properry taxes on the property and that
If huy'ug on contraq, Fee Simple owners name
where conUact is remrdeA
County
Tamship
N any portion of Ne residmlial 5W Gure w the IanA n
of ihe property utilized b proEUCe income.
�b(o - C�y �.3� --�D
Ta�ing tlistrict
FORM YEAR
HC10
.�� ��
-� t�,� �
� 3;=s�?f��•g�".°�'`` =�..'t'�i�s a���"� =?._"z
ha�t on the f3iOday of March, 20_
'roperty Tac'Credit is hereb'v daimed:
a contraU.
Record number � Page
W� �-+' /O �y m� Rw o o�m ❑ Ddobile Homo (I.C. 67.1-7)
one (1) aae tnat immediatery wnountls �hat s re is used b produca income, tlesaibe Ihe �se and portlon
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
2198
STARlO0.Y!!Y+IM:1vN1
Inr.�tu�cawxunin
f�R.W16T iQ:1.\YE M H.1 :]J J
InJividvaL. anJ marricJ couplo a�c IimitN m nnc hontr.ucaJ �andaN �-duaion. As �he rttrip� n( thii dMunion becomee
murc beneficial. �herc is morc incentnx than c�er for homesieml G,mJ. Ilomesreacl fnwl causcs highcr tac �ills lor all: therefar.
HEA Gii-Ml9 «quims uzparen v:hn receirc ihe heancsicaJ sianda�d dniuction to verily th�� �hcy am?licible io recei�e ihe
beneF� aN ro pnside aiklitional iJemiirin_ Infurmanon nece.'vn ro allw� counn go:rmment �o berter monlmr humestc:rl
filinys. This inlnmuiinn will M f.ryu rmfi2rnfal nnA nn nNy h� arce_uJ h�� awhnr'ved rounry n(Tciu1:7'he Ikpanment nf
1_ocal Govemm<m FinaMC will u.e �his iniorma[ion m arcam ttols �hat �rill h:ln evmn� ufficials dimieia�e Mmcu�ad fmuJ_
Matthew D Lundberg
603 E Rolling Hills Rd
PRINCETON IN 47670-8657
���ii��in�i��n�ni���ni��������������i�in���inii��i�in��
T•rzpa��er Name
Lundberg, Matthew D/Misty,D
State Parcel NumAer
26-12-OS-100-004.232-027
�
I 6, n Firstl ` hliddle
/V�ol' ' vl e 1� �
g'ALdrcs; (r,unb.:r arL ��:; :ir: sa:c: and�ZlP code:. — __ _ _ _ _ __ _' _ ' _ _
(� 03 � �� l�� ,� � ; ��S �� �r ; :, cef�,
Srcurity Number (last i diciLS) tYiver's Lice2�el5u¢ ID Nmnbn (lut 5 digils) Oiher (plcut
'
603 F Rolling Hills RD
1'rincc�an INI47670
W6-04232-00 N NW i5 2 10 3.00 AC
L � � ��P �9
S�mcospmpcm.oddrc:c:_ ...
1-/V , L! % G %�
f: in Pan 4 bclow)
First Middlc
� �I ; s�y � ��� ����
�.4ddfea} (Number and sttttt, cily, sWle, and'LIP cale) � Sarne u pmperiy addnss
603 � ��/J�`h N�'/5 i�c� , ��'�8)�G�oT�/ .! � r ��b
Stturirv NumMr (laa 5 digics) Dri�xrs Licensc/Stam ID �wnbcr (la,t 5 digir) Othcr (plcuc spccify in Pan = bclow)
'�
0
idersigned certifies, under penalry of perjury, that the above and foregoing infonnatiun is we and correct and that he or sFie is elieible w
�he homestead s�andard deduction on this property. Each undersigned al;o understands lhal, by claimine additional homeslead deductions
dly, he or she may be liable for back taxes and substantial financial penalties.
I���
�
5%d//o
�I(� lio
(��'-)