Homestead_MatthewsCLAIEN FOR HOMESTEAD PROPERTYTAX
CREDR/STANDARD DEDUCTION
sm� r� s�re (rn i sa�
PreanbeA by R�e Depatrrient ot Laml Goranrerd Frw�m
wsraucnonis: s� �� �da �. R�y msm,�a��.
FORM
HC70
0
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i cwe) �s1,t�-�1�, dc>t.�m. /��h�.l.�ra. �n;rr mec «Jp're i� a¢r 2�f193�. �—
I(YVe) ocwpied as our pr'v�dpaf pla� of rnsiderice U�e fo0owirg desabecf real poperty for which a Hamestead Property T�c Credt is hereby daimed:
�I iWe) owned ❑ Me bymg unda cmtract � �
Have a henefidal interest in Uie entily ihffi is liade br ihe propeAy �ces m the property and Mat owns the p��� ��r,� hact
u:y� z � i:r.. .-¢' _ . n, a..�, �� R'.:�r t �
ri. i.: ,. � � ,. r . �' ...u;.� � :. �!f.�,: i.'3%.�..,.v_ . .. C�i7RACT1I�CORDFDi,1N'.'" .7' �..:w4ii.+�"^+'!? �..�t...�: .{:xYi?v�4r51�i'"�i,S.G'`�'}i'�'I�m�:..€;
. ._ . .. .. . . . . .
tt GqnO om m�4act Pee Sirtqle awrefa r�ma _
f�mrdds ol6m �hara mbed'u remded Retud numher Pege
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�.-. �:.v�+Ht.. �r�..�� 7 +:.'._..• .. '•: -'t.a ? ..�-?;'•9..'=PROPERTY.DESCRIP.TION:':" •:,�"; l,:.� }:x?rs.E.�..G '�'��.;tr�...fi.fi�<
Canly Tan61uP T�g disl+iG �c!Y. Oorn. fpms/i0) �
��g . 1 md A�gpi ' IS UIB .
P�oDeM1Y ❑ Mahib Fiortie (dG 61.1-� �
tl airy portiui ol the �idarial struc4ve o Cie Imd na �rg we (1) �e tlrat imred�alely axrou� tlisl atrucCae is usatl m pmACe'rnmrre. dasabe Me iae and pation
d V�e paQaAy �Ciimtl In pmtl�ra'v�mrie.
�(Qe..)(o-a-10� $�r`�- _ . . . . . . _ ..� , _. a
a�(P-/a-lb- � -ooy.�3/%-0
. . ��" � ' 0.SSESSOR USE ONLY � ` - � �� �;y+.�.' � TiBJE TA7C :� ASSESSFD VALUE d �TEADi . s„i �*NONRESm@RIAL •h
:�3'L. �.- sv:r r., '�� a +-. {. :i%�``�`TSath . `a �E.} �t . ATitOD%OF 7Tly r ���YALUE at Jy.. �,..�ha}a„�N'- VALUEy �..t� . -,�J'
Land Irot e�ng i(one) aae imr�ately �i) �t �>yl f�-��s�. .�s �.� k'�x�<�3
S�ufqYidv�g residenfial ir�vrErr�ents. n.�1`��`� fa�y'v�`�- ��f.`s-�.-,'t'��.�1
OM�erl2rd �Z) : ,;�,Ci'1;.?_: `�;�, .
.' ':kfi�;r;:is;
Td� land (I'a,e 1 pAis !are � �g)
` ZiZ.t��,b:4: �t� Y5�'��'-,�Sw,�h!J�.
Resaensal unQ.wer.,enLS a. nnrwaly °"�eR"g (4) ��' -�+ �C' .�r�'s�t""z'�`�'.+*i'�:tFt%3i?�
r 'J t 'rs� z r'y,�'a" .� +:�
A�ed Modle / AlarWtat�ded Fi0rt18 � ( ) _ �`i���f��r,�� {�`��:i- ,'��,{rr:
� 5 �- °��0.?"r:<r?�"t Ji.� ��s{����x
...,�.5'�F?�'YF;-'?.
Ofherimpwernents (6) f a .:;,�„ s �; -
TUeI unp�ovemer� (fere 4 tlwu�h ffne 6) � i7�
Ti1al value (line 3 phs Gne n (9)
I Aereby certify ihe abwe's hue, oartecl and SiBreare of nss�nr Date s'gied
mrnplete. .
�M�e aeMn - Si�eLre ol Nd'itw Dalu signed
_�..':>:ti"'• •
20 _ Pay 2b _
Lesser of 12 Homestead
Valuation w S35.000
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
1348
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lRF`XRIOm
1RFATIiRiA f00.V ZIA
rtfe:�V'F�r.i�.r..ti •
InJieiduaL and ma:riN couple a�e IimitN to onc homc�teaJ AandtN AcVunion. As �he receipt ol tlus deduction 6econrc;
mum beneficial, therc i> morc incrnen�e dun e�er for hon�rc:d fqud Ilomes:eael fmud causes higher tai bilk for all: thertfore.
HEA 13A3-?0(19 requim taapacen x�ho reccire ihe hanes�cad sundard deJuction w verity �ha� �M1ey me elieiWe to mcenr the
benefit anl tu prtwidr additional idrnniyfnc inWmmuun Mce.vn m allw� counrc gm�emmrn� m beqer moniror homesrc.�d
filingc'ILis inlmmation will M Aaryw conlii+ential anA rvn nnly f+e acceti v1 6y awhori¢d ammly officinls.'I'he Deryvmceni of
I.ucal Gmemmrnt Pinancc will u+c this iniormazion �u crcmc Wuls ihat wfll hJp camn� officials eliminaie hom<nt<ad fiaud.
. • , , ' , "
. Taana��er Name Prnprm• Address
Matthews, Keith/Susan L
�� \9C
Princ�MOn I�l �7670
Keith Matthews �
664 S Persimon Lane State Parcel NumAer Lesal Description
PRINCETON IN 47670-8847
II II,III'tl11III'1,I11II'I11I II'1I'1I11'I"II1'11I 2612-16-200-004.317-027 W6-04317-OOPTNENE162102.81AC
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V
This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
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Address (number end �amt city, sute, and ZIP code) �me sc prapem eddmss
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Firsc Middlc
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Address (Numbcr and slreeL,ci�y, sm�e, nnd ZIP caie)
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Numbcr (last 5 digits) Drivcrs Liccnsc/Statc ID Ninnber (la;t 5 digits)
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ame u pmpem address
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Othtt (plcaSC spccify in Part 4
ra
undersicned cenifies, under penalty o( perjury�. [hat the above and foregoing infonnation is we and correct and t}mt he or she is elieible to
:e the homes�ead standard deduction on this propeny. Each undersiened al;o understands that, by claimin¢ additional homestead deductions
rfully, he or she may be liable (or back taties and substanbal financial penalties.
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