Homestead_MedlerCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
♦ shata Fonn 5r73 (R7 / 54�
Raernbed by ihe OepaM�ant d Laal Govemment Financs
INSTRUCTIONS: See revarse side for filing instructions.
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HC10
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I(We) L. V- 1 I ' ce ' ia �15R'tl'�of March, 20_
I(We) ocapied as our prindpal pWce W residence ihe folbwing desai real property for which a Homestead P�pgrty,j��edit is hereby daimed:
n I(Welowned ❑ Meb JIJIV 1 1 LU /
uying under mntrect
iHave a benefidal interest in Uie en6ty thffi is tiable for the property ta�ces m Me property and Ihat ams`�properj�o�.i5_buying under a contract
tt Wy"eg am m�Vacl, Fee Sirr�le axnefs reme
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caunry
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Ta�g Ai9ricl (cY}; fown,
Refard num6er I Page
rcei nur�ber Lepal tlesaiptian Is the property'vi question:
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H arry portion af the resider4ial strucWre u Ure Imitl nal exc�rg one (t) aae tlial "enmadatey surtdmds 1ha1 �ua is usad b pmduce u�mma� descrbe iha use and Pa�n
dihe P��KY WSmtl In P�we mcome.
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20 _ Pay 20 _
Lesser of 12 Homestead
Vaivatim w E35�000 S - - - - --
Sgnahue oFlwditor Dafe sipned
Gibson County Auditor
101 N Main
PRINCETON IN 47670
837
Nicholas E Medler
642 N Old Petersburg Rd
PRINCETON IN 47670
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Sta[e Parcel NumAer
2G05-32-100-004.264-027
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Leeal Description
OOCr04264-00 PT NW FR 32 1 10 10.00
AC C-1
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idersiened certifies, under penalty of perjury. [hat the above xnd foregoing infortnation is we and curtzct and that he or she is elieible to
the homeslead standard deduction on this property. Each undersiened al>o undersiands tha�, by claiming addilional homestead deductions
illy, he or she may be liable for back taxes and substantial financial penalties.
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