HomeMy WebLinkAboutHomestead_NewcomeCLAIM FOR HOMESTEAD PROPERTYTAX
CREDITISTANDARD DEDUCTION
State Fortn 5473 (R6 / 4-03)
Presaibed Oy Ne Department of Local Govemment Finance
INSTRUCTIONS: See reverse side forWing instnxtions.
FORM
HC10
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I'~ YEAR
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I(We) i—� that on the � st day of March, 20_
I(VJe) occupied as our principal place oi residence lhe followi described real property for which a Homestead Pi�� Tac Cre�s hereby daimed:
N
e) owned ❑ Ne buying under contract GIBSON CO NU Ty qUp17pq
Have a beneficial interesl in the entity ihat is liable (or ihe property taxes on the property and that owns fhe property or is buying under a contract.
I( buy'u�g om m�trad, Fee Simple ownefs name
RemMels olfice where contrecl is
Counry Tamship Tating 'stria Nt , o , tc
(GC�i
Parce�num6er— ' L a d� nWion .^�_/� Isihepmpertyin
c,ii' o r.� ci �a
If any portion ol lhe residenUal sWCWre or fhe Wnd not exceeding one (1) aae that immediatety surrounds Nat ctu
ol Ihe property uU7ized b produce income.
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IRewrdnumDer IPage
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iestion:
) D�operry ❑ Mobile Homo (I.Q 61. f-n .
is used lo produce income. describe the use and poNor�
INDIANA SALES DISCLOSU
D.PREPARER.- °_
Addres(NUmberandSVeetJ
Ciry, SmrG andZlP Ude
Sel/er 1
Closina Aqent
rde
Clry.Smte, and ZIPCode
ronveyanaedo[vment
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the bes[ of my knowledge and
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales
Slgnr� do�reo/SAler �� Signomreo(Se/ler
F. BUYER S GRANTEE S-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
Darren Scott McCord Jude McCord
Bvyer 1- Nameas appears on ronveyunt'e dxument Buyer 2- Namr asappears an tanveyance dacvmrn[
7867 OuterLake Rd. 1867 OuterLake Rd.
dddrea (Numberand SveetJ Addres (NUm6erund So-eetJ
and ZIP Code
]
TNE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCf10Y5 FOR THIS PROPERTY. IDENfIFY ALL OF THOSE THAT APPLY.
YFS \0 CO\DITIOY
Q � 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, intluding county:
1867 Outer Lake Rd
Addr¢s (NUmbe� and Sveet)
Princeton. IN 47670 Gibson
Ciry,SlufeLPCode Counry
� � 2. Does the buyer have a homes[ead in Indiana io be
vacated for [his residence? If yes, provide
complete address of residence being vacated,
including county:
.tddrm (Nvmber and Svee[)
Ciry,SmreZlPCade
�✓ � 3. Homestead
� Q 4. Solar Energy HeaUng/Cooling S7
� Q 5. Wind Power Device
� Q✓ 6. Hydroelectric Power Device
❑ Q✓ 7. Geothermal Ener� Heating/Coc
� �✓ 8-. /Is this property a residential ren
� �✓ � uld you like to receive [ar s�
�'X Gp perty via e-mail? (Provide ca
"`'( U" below. Please see instructions for
b�� � Notavaila6le in all coundes.)
_Q
ctname
[rue, correct
ire AcY'.
aa aSs�l�
g Device
property?
ients for this
't information
re informatian.
0
Under penal[ies of perjury, 1 hereby certify that [his Sales Disclosure, [o the best of my knowledge and beliefJ is true, correc[
and comple[e as required by law, and is prepared in attordance with IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Ac[". (Note:
Spouse information� onaal Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
b�go�. �,�I��I�S� _ �" �
Signamre o/Byerl I 5(qnamre of8uyT1/Spouse I
Gicense/ID/Olher Num6er
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Number License/!D/O[herNumber I
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