HomeMy WebLinkAboutHomestead_Perkins (3),..��,
a�/ � CLAIM FOR HOMESTEAD PROPERTY TAX
i��':: CREDITISTANDARD DEDUCTION '
�� S�ate Form Sd73 (R2/5�92)
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INSTRUCTIONS: See reverse side lor (iling insvuctions.
FORM YEAR
HC10
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e) �� Q n-�—� °—:s� �c�J—' ` n Y`° "' °°'" � certify ihat on t� 7st day of March, 79
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�e) occupied as our princi al ace of residence the foll wing described real pwpeny tor which a Homestead Propeny�a�Credtis�hereby daimed:
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I(We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for ihe property tazes on the properry and that owns the property or is buying under a contract.
CONTRACTRECORDED
It buying on convacl. Fee Simple owner's name
Recorder's oHKe where mn;ract is remrded Rewrtl number Page
County
Township
PROPEflTY DESCRIPTION
lown. township)
Parcel number Legal tlescrip�ion .
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If any portion of the resbemial stmcwre or the lantl no� eKCeetling one (l l acre Ihat immetlla;ety surrounds ihat stmcture is usetl to protluce income. tlescnbe ihe use and potlion
ot the pmpeny utilized to produce income.
ASSESSOR USE ONLV TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately I' , I I
surrounding residential improvements.
Otherland (2)
Total land (line t plus line 2� (3) I I I
Dwelling (4)
Aesidential improvemenis
Garage (5) �
Oiher impmvements (6)
Total improvements �line 4 lhrough lina � (7) I I I
Total value (line 3 p�s line i� (g) I
I hereby certify the above is �rue. CorreCt, and Signawre ol Assessor I Date signed
complete. �
�ying action - SignaWre of Auaimr I Date signetl
19_Pay79_
Lesser o( V2 Homesteatl
Valuation or 52.000
STANDARD DEDUCTON ALLOWANCE
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Sugnatute of Autli;o� Dale signetl
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Gibson COUnIy Auditor
101 N Main
PRINCETON IN 47670
2271
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ixr.�sua�n waw ;z�n
InJividual. and nu:riN toupks arc limiied �o orre home�rad slandaN JeJunion. As �he receipi ol �hL+' dcdunion bttromes
mure beneficfal, thrrc i. morc incrninr Ih�n ecer (or homesrcacl frauJ. Ilomnrcad fmud causes higher lan bills ibr all: therefore.
HEA 13-fi-'_I%W requim mipa�en who receive Ihe hanestvJ stamlatd JNuction m verity Ihn� �hey mc clitiMe Io recei�e �he
beneni aN m p`a�ide aJJiiional ideniiiyinc infurma�iun nemvn tu allow' counq� nmemmem m betier muniror homesm:�J
filint,�.'ltiis inlomution w�ill !r Aqv mnlidrniial anA nn nnly h� xct>�cJ 6p aWhnrieeJ aow�h' olLcia(��.1'he Ikpannxn� of
Local Gmcrrvnrnt Fiiuirce will u.c this inionnation w cr<acc 0.ds ihat �eill h:lp camn� officials elimiimm Iwm<stcaJ fiaud.
• � � � � � -
Taxparer Name Prnpem� Address
Perkins, Jarmon L/ Patricia L
- Jarmon L; Pztricia�L-Perkins
282 Lakelnwood Dr
� PrincetonlN 47670-8678
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R 3 Lake Im4cx�d DI2
Nrincc�on I�'17670 \/
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5[ate Parcel NumAer Leeal De�rintion
26-12-06-202-001.678-027 ��1678-00 PT NE 6 2 10 & LOT 12 IN
/ LAKE INWOOD COIJTNNING IN BOTH�
/ 11.13AC �D-1�
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Owna 1 F�irst /�,�p
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Social Securiiy Numbn (lan 5 dit�u) Driver's LicemE�Stam ID Number (lut 5 digi�s)
P�R�
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� Address (�umber and slrm4 riq', Slaie, und ZII' cak)
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Stturity Numbtt (lazt 5 digia) Drivas Liccrtcd5tatc ID `mnber (lazt 5 digiG)
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�'5ume �u propeny add`as
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idersi4med certifies, under penalty of perjury•, that the abovz and foregoing infonnution is trve and correct and that he or she is elieible to
the homestead standard deduc�ion on this property. Each undersigoed al>o understands that, by claiming additional home� tead deductions
illy, he or she may be liable for back taxes and substantial financial penalties. •
Sic�uwrc Datt Teiephone
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