Homestead_McCormick�f RI�
4� ^' a CLAIM FOR HOMESTEAD PROPERTY TAX
i��'= CREDIT/STANDARD DEDUCTION
,�:,��� State Form SC73 (R215-92)
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INSTRUCTIONS: See �everse side !or /iling instructions.
FORM
HC10
VEAR
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1��1 K� V X/ X� / \.CJ V I' ���— �. certify that on the 1 s[ day of March, 79
—p't
1 ccupied as our principal place ot residence ihe tollowing described reat property for which a Homestead Property Tax Credii is hereby claimed:
I (We� owned ❑ Are buying under contract . . � � � � y �
❑ Have a beneficial interest in ihe eniity ihat is liable for the property taxes on ihe property and thai owns ihe o e o s du n �gl� contract.
tl Wying on convact, Fee Simple owner's name
Retorder'S oftiCe where contraa i5 recorded
County
iownship
PROPERTY
. . (�C/)'�-��_�_
Page
�/'� ' '
r n� mber Legal description
�.9-� /���OC�
I( any portion of Ihe residential siruaure or the land not exceetling one (1) acre t�at immediately surwunds that structure is used [o produce income, tlescribe the use and portion
of the pwperty utilized ro produce income.
PROPERTY OWNED BY CLAIMANT IN�OTHER COUNTIES � �
Counry Tawnship Counry Tawnship
�� �
�_
certify ihe above statements are Irue, correct and complete.
;number and streei, dry. state. ZIP cotle) �
ASSESSOR USE ONLY
Land noi exceeding 1(one) acre immediately
surrounding residential improvements.
Oiherland
Total land Qine 1 plus line 2�
Dwelling
Residential improvements
Garage
Other improvemenis
Total impmvements (line 4 thiough line �
Total value (line 3 p�s line �
I hereby certify the above is we, correa, and
complete.
i�a action � Sqnature of Audiror
19_Pay19_
Lesser of 1/2 Homestead
Valuation or 52,000
TRUE TAX
VALUE
1�)
(2)
(3)
(4)
(5)
(6)
(�)
(8)
Sgnature
�
ASSESSED I HOMESTEAD
VALUE VALUE
STANDARD DEDUCTION ALLOWANCE
�
! N �-f-%(o'7(�
NON-RESIDENTIAL
VALUE
Date signed
Date siqnetl
ieo �
a�-9�,
,
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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�URlOIl11 �l'M12'/ YYI
TPFA4�AfA Po0.4 :SIA
Indi��iduaL. and ina:riN mupk� are limited m crrc homcwcaJ sandaN ildunion. As �he rcceip� of �hi� Jcduc�inn heconx_
more benefidal, there is morc imm�mr thin r�er for homnieaJ fr,mJ. Ilomr.aeal frduJ causa higher tac bills fur all: thrrefore.
HEA GI-i-?fN!9 requim mapa�m ��ho recei.e ihe hanesmeJ standard JNuaion m.erify rfut thep a�e d cide to recene ih.
beneti� anJ w pnn'idr adAi�ional iJentiiyin� infurm�tiun neariarc ro allw' counn� gmrmmm� �o Mircr,muniror homes�eaJ
�ilim�p'. �fhis inlomulion will M Aep ronliv+emial and e�n nnly h: accr�ud M' aulho�izcA rounl}' nlTicials.ifhr Ikpanmem nf
Lacal Gmemmem FinaM< ��ill ua �his intortna�ion W tt<atr Wols �hat �vill h:Ip aiw�ry� official. dimmaK �a�cad fiauJ.
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Teanarer Nrme Prnpertv Address
i
McCormick, Michael L ,�
4��%
Michael L McCormick
356 E 150 S
PrincelonlN 47670-9270
�i�ii��in�i��n�ni���ni�i�nn�i��iu�����u�i�ii��u�n���
(i1 �C�i�c�L
'g Addrecs (numbcr nnd sace[, c
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� S:une as propeny addrec;
spccify in Part 4 bclow�)
undersi�med certifies, under penalty of pequry, that the abo�•e and foregoin� infortnation is we and wrrect and that he or sh�e is elieible to
:e the homestead standard deduction on �his property. Each undersi¢ned al;o understands that, by claiming additional homesiead deductions
,fully, he or she may be liable for back taxes and substanrial financial penalties. i
I Sf,�,m��rc Uam 7'clephonc
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