Homestead_Milesdc s'�r�
a/ °; CLAIM FOR HOMESTEAD PROPERTY TAX
}���; CREDIT/STANDARD DEDUCTION.
�;; State Porrti Sa73 (R2 / 5-92)
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INSTRUCTIONS: See �everse side for liling instiuctions.
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FORM
HC10
YEAR
���(:l�x-"—�{7:.L�' �—�,.C..�-�"i" �!—l-f ' �c.��� certify ihat or{�MA t�al�p�M�, 79
� occu ied as our rinci al lace of tQsidence the lowin described real ro ert for which a Homesiead Pro e� P� �
1 p p' p p � g p p y p rty Yau Credit is ereb Gaimed:
❑ I (We) owned ❑ Are buying under wntract , . � '�i �n� �.
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❑ Have a beneticial interest in the entity that is liab�e for the property taxes on the property and ihat owns the property or,��j �h'�� contract.
CONTRACTRECORDED
It buyirg on contract, Fee Simple owner's name • , -
Recorder's ottice where contraci is recortled Remrd number Page
number
L �'.L
bnion of
to
PROPERTY DESCRIPTION -
. Township � � Taxinq tliStriC� (ciry, towq township) �
Legal tlescription .
�_ia.\ .
11C/
structure or the land not exceeding one (7 ) aae ihal immediately surrounds ihat swc[ure is used m produce
ice income.
PROPERTY OWNED BV CLAIMANT IN OTHER COUNTIES
Counry Township Caunty Township
�aby certify the above siatements are true, correct and complete. Signawre o� Uaimam
Adtlre s(numberandstreei, city, state. ZlPCOde) �
the use antl portion
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
.VALUE VALUE VAIUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvements. (�) �
Otherland (p) .
Total land (line 7 plus line Z� (3) I
Dwelling (4) � -
Residential improvemen[s
Garage (5) � -
Other improvements (6)
Total improvemenis (line 4 th�ough line � (7)
Total value (line 3 p�s line � (g)
I hereby Certi�y the above is Irue. Correct, and Signature ot Assessor Dare signed
��mplete.
�rg action - Signature ot Audi;or Date signed
79_Pay19_
Lesser ot V2 Homestead
Valuation or 52,000
STANDARD DEDUCTION
3
of Audi�or .. vate si nea
_ �.,��,,,,Q. b un � . . _ `iD-`� y _�
.� � ." ln County Auditor
iU. J. Main Street
Princeton,IN 47670
� FILEI�
�,
lAFaSLRFA i00.N iSl�
Individuals and married mupla are limited to one homcstead standard deduction. As ;he receipt of�this deduction 6ecomes
morc benefrcial, �here is more incrnti�e ihan ner for Fwmrnead (mud. Homatcad (aud causec higher �u bills for eli; �herefort,
HEA 1314-2009 requ"ves ta�payrrs who recei.x Nc homcnead stavdard deduction co �xrifi• �hac �hey tre cligibk to recene tAe
bcnefil md to prrn�ide additioml identifying infocmaiion necessary to allow� county ga�cmmrnt to hetta monitor Fmnestcad
filings. 77tis informa[ion will be kcpi tanfiden[ial and can only bc attessed by authorized wunty afficials. 77�e IXpartrnrnt of
I.ocal Gm'emmrnt Fi�tance will usc this information ro create toola 1ha[ aill heto counN officuls elimi�ute Fromestead frdud.
MAY 4 2011
C.'J.n\ " V .
����ON COUNTY AUDITOR
Stanley D/ Judith A Miles .
599 S Persimmon Lane
PrincetonlN 47670-8846
miiiiii„i,qi��iluliqiii.li,iliul�lii,uiyi„ii�lilllihli
Taxpaver Name
Miles, Stantey D/ Judith A
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599 S PERSIMMON LN
PRINCETON IN 47670
Il�l�lll�ulll �II�I ulll �III��III�I�II�II��II�II�II�I�II�IW
State Parcel Number Leaa1 I
26-12-16-200-002.010-027� PT NE NE 76 2101
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the cou
-�•� �PV i
Addrtss (n bcr and svcct, ciry, statc, and ZIP code)
hcr (plcast specify in Pert 4
�
/�%� �l,es
�Samci:s property"etldress"" `
Other (plcazc specify in Pan 4
C-t
treasurer.
undersigned certifies, under penalty of perjury, that the above and foregoing information is we and wrrect and that he br she is eligible to
�e the homestead standard deducrion on this property. Each undersi�ed also understands that, by claiming additional �homestead deducrions
�fu11y, he or she may be liable for back [aaces and substantial financial penalties. � i �
� c:^^•^^— 7ate Tel hone �
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