HomeMy WebLinkAboutHomestead_Myers (2)d����
� i CLAIM FOR HOMESTEAD PROPERTY TAX
a��: CREDIT/STANDARD DEDUCTION
,�,;;� State Form 5a73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side farliling instructions.
FORM
HC10
.� i�� F. p `1 �
YEAR
9� 9s
I(We) - . � certify thai on th�`{�da of Mqar . 79�
e) occupi as our principal pl e of residence ihe following described real pr pert or which a Homestead Property T�hE� daimed:
� •'L. ` : t7 i`(..� ,�
uC__I (We) owned ❑ Are buying under contraci . �, � �UD�� OR �
1
LJ Have a beneticial interest in ihe entity that is liable for the propeny taxes on the property and thai owns the property or is buying under a contract.
� CONTRACT RECORDED . - �
If buying on coniract, Fee Simple owner's name
Recordefs oflice where Contrac� is reCO`detl \ Record number Paqe
Counry
r.
Townsttip ,�
PROPEflTY
/�/o�,. -E//// 1 -�a I y�7.- .a�{L,/� -=c -/�L
II any portion of the residential sWCNre or the lana rwt enceeding one (7) aae that immediately surmunds Ihat
of the property utiiized to produce income.
Counry
PROPERTY OWNED BY
Township
� --�—
� eby certify ihe above siatements are irue, correci and complete.
�'
Address (numberandstreet ciry, state, ZlPmde)
ASSESSOR USE ONLY
Land not exceeding 1(one) acre immediately
surrounding residential improvemenis.
Otherland
Total land (line 1 plus line Z�
Dwelling
Residential improvements
Garage
Other improvemenis
Total improvements (line 4 thiough line �
Total value Qine 3 p6s line �
I hereby certify the above is true, co« ect, and
complete.
1�L.�Pay 799,�
Lesser of 1/2 Homestead
Valuation or 52,000
TFiUE TAX
VAWE
l�l
(2)
(3)
(4)
(5)
(6)
l�)
(8)
Signature ofASSessor
IN OTHER COUNTIES
m
ASSESSED I HOMESTEAD
VALUE, VALUE
STANDARD DEDUCTIONALLOWANCE
S
desaibe the use and portion
NON-RESIDENTIAL.
VALUE
Date signed
Date signetl
'' � .
Si nanre uditor y^ ���// Date signed
� 9 ���0 /N_____�—�'y-i /�f� ^ 7— �
i
� 1
�
�Y'
Gibson County Audifor
101 N Main
PRINCETON IN 47670
3519
Mark W/ Teresa A Myers
2720 E SR 64
Princeton IN 47670
S�iIElOR�\I!)!MIIL'/ �WI
IYJAtUAiR Po0.4 :5��
IndiviJuaL. and mvriN <oupkr are limi�cd �o onc homcucaJ sufMaN h�-dunion. As Ne receipt ol �h(� Jcduc�ion became:
more beneficial, thrre i. morc inanme dun aer for Aumn'teaJ BauJ. Ilomeueacl &auJ ca�� hi�hrr �a� bills for ali: therefar.
HEA 131i-1IX19 requiln u�pa.rn vho receive tFe hwnes�caJ s�andvd dNuniun m veri(y tlut the} me eligiNe io recci.e iM1e
benefit aN m pnxidr ;ufeiftiunal iJentiirine infurmatwn mce.sarc to allou' county gv.rmment ro bzu�r mwiror homeseaJ
lilin�,�_ Tiis intmma�inn will 6e lept ron�idential vnA cnn nnly he attr�ud F�' nulhnriznl roumy ollici;di.'I'he Uepanmem nf
�
Local Gm<mmrn� Firtim'e ��ill u+c �his in6�ma;ion [u cream 0.vL �hal �rill hcln cvuntv oli¢tiaLr elimmarc homcsrcad Raud.
Taspacer Name
Myers, Mark W/ Teresa A
S[ate Parcel Number
26-12-15-300-001.113-027
V
�ig Address (numbcr end stmt, ciry, sm�c. and ZIP code)
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Social $
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.Address (1�umber and slreeL ciiy, sw�e, anJ "LII' cale)
,2 7�e"- E , siQ 6 �
tturity Numbcr (lazt 5 digits) Drivtt'.s Limnsd5tare ID Num6cr (last 5 digits) Ochcr (pleasc
�
6?-a
/
i7670
006-Oi 113-00 PT E SW 152-10 9.566 AC
D-70 I
r�y.�,es
Snme ac pmperty add�
Pan 4
�1 f'E,eS
� Sunc as ploprm addrea.
Pan 4
;h undersiened cenifies, under penalty of peryury•. [hat the above and foregoing information is true and correct and that he or slie is eligible to
eive the homestead standard deduc�ion on this propeny. Hach undersiened al>o unders�ands that, by claiminc additional home�tead deductions
aafully, he or she may be liable for 6ack ta�ces and substantial financial penalties. I
��erl $igneUUC . Unte '