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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION �
State Fortn 5473 (R2 / 592) -
FORM
HC10
YEAR
INSTRUCTIONS: See reverse side lor filing instructions.
1� CERTIFICATION TEMENT
i �We) certify th�p��1p�����GI d��jyypy�arch, 79_
I(We) xcupied as our principal place of residenc he tollowing described real property tor whic Homestead , perty Tax Cr�dit55Maieby claimed:
❑ I(We) owned ❑ Are buying under contract �
❑ Have a beneficial interest in the entity that is liable for the properry taxes on the property and [hat owns p� ' 4ip�' nt ct. �
N �n U TY AUDITOR
CONTRACT RECORDED �
II buying on contrect, Fee Simple owners name
Recordefs oHice where conVact is recorded Record number Page
PROPERTY DESCRIPTION
Counry Township Tazinq tlistrict (ciry, town, township)
Parcel n ber Legal dexri o / '/ /D �� ��
r
any portion of ihe resi ential s[ructure or the land no exceed ane (1) aue ihat immetliatey surr unds Nat suucture is used m pmduce income, describe the use and ponion of
the Property utilized ta produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
Signature ot cla'unant
.reby certify the above statements are true, correct and complete. X �
Address (number and sneeC city, state, ZIP code) �
� ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD � NON•RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediatety �� �
surrounding residential improvements.
Otherland . (2)
Total land (line 1 plus line 2) (3)
Dwelling (a) .
Residential improvemenis
Garage (5)
Other improvements (6)
Total improvements (line 4 through line 6) (7) _
Total value (line 3 plus line 7) (8)
I hereby certify the above is true, correct, and Sig�ture of Assesar Date signed
complete.
Verilyinq action - Signature of Auditor Date signed
� STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser oi 1/2 Homestead S
Valuation or S2,000
Signature of Auditw � Date signed
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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�SO V�N.�Y pUDIT�R
�l�iE f00..\I!IKIII_'/ f'NI
A�f IUT'Efl BY [i�iE BM1\PDOF MYV �'.\'tl9w
�_ IAlASUIlE0.f00.4ZIA
IndiriduaL. anJ ma:-riN coupl� are limi�nl io onc home�teaJ �andaN �L-du.�ion. As ihc rcttipt al Utis dcductan hcnnx.
merc beneficial thzre is in n � -
morc cent x thv� r er (or homateaci frauJ. Ilomes:ead (a� caasa higler tac Lills tw all: therttore.
HEA 13�13-20(19 requim mapapm xho rceire ihe Mxnestmd sundarJ ANuction m verify ihat �hey' ue _licide w recei.e the
benefii an1 to p�w�idr aikti�ional idrntiiyinc infurmatiun nem-vrr to allw� counp� gm�emmrni m banFr moniror homesreaJ
nlin��. -Ihis infnmution v�ill M Aryu mnfideniinl anA can only R aroc: ud 6r awlrorizeJ rounry� ofircial:. 7Tr Ucpannreni nf
I_ocal Gm'<rmmrnt FivMe ��ill u.c this infofmation W crw[c twls �hat �rill h:in owmn' ufficiat's <limviarc homcstcad haud.
Taxperer Name
Reneer, Harold W Jr / Stephanie A
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Rio- �
Princemn IA'�476A
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Harold W/ Stephanie A Reneer Jr Jr. �
R 3 Box 60 State Parcel Number Lesal Descrii tion
Princeton IN 47670-8644
I I II I 11 I III I I II I I I I II I I III 2s-os-sz-ioo-000.ozsoz� �6-00025-00 PT LOC 707 8 PT 32-1-10
_ _.__' n ni i u in ni u n n� ii i n ni n i ni _. _—__ __..._ _ 2.126AC —� .___ C'–__
This form MUST be retumed to County Auditor's office. I
Please do NOT send this form back with your tax payment to the county treasurer.
1 First hlidNe
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g Addresc (numbcr end �tecet cirv, state, and ZIP codc) Snmc ai property address
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lailine Address (�umber anJ �veet, cin�, siatc, xnd "LIP coJe) � Same as pmpem addresi '
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idersiened certi6es, undzr penalty of perjup�, that the above and foregoing infoRnation is we and cortect and that he or sF;e is eligible to
the homestead standard deduction on this propeny. Each undersicned al>o understands thaL by claimine additional homestead deductions
dly, he or she may be liable for back taxes and substannal financial penahies. �
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