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CLAIAA FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
s�e � sare crt� i s.o�
P�e�ibetl hy p�e DepeNrienf o1 Laal Goverm�ai Frtan�
INSTRUCTIONS: See reverse side /or filing instructions.
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FORM
HC10
YEAR
I(we) �/ SJ/ l, �.tI.QC�JPI K_ certiry that �r � t� day�D�Brcf'. 20_
I(We) om�pied as aa p'mapal place a; esiderice the fcflowing desrirbed r�21 propeN.y for whitA a Hanesteed Property Tmc Gedit is hereby daimed:
�(We) owned ❑ Me buying under cantract �yy� �/
� Have a benefiaal intere5 m the enti fhat is liade tor the !/'�6�+� �iJ��
ly property tarzes on ihe property and C�at owns fhe poperty or is,�iiying u(id.�r a contrac[
GIBSON COUNTY AUDITOR
. . . - � . CONTRACT�REC�ZDm•": � . � .
tt buyvg om m�trad. Fee si�le wnefs rame
2ecddefs a4Fca wtne cartratl is recvded Record num6er Page
TaMalup
�n�-CX�06S-OZ� I �� �,l!�n-,,�'1l� i u �
n �,y � or � �aw � � ma �e „a ��y o„e �i � � m� :��y
d�he pope'ty Wf¢erl in VmAUCe rtmrie.
�-p# dG -�i-i� /o� aao. o�� oa�
e
� v�w�n u �wab � ��.c �,.,-n
is used to Woduce'rimrt�e. dascribe Ihe �se and paton
� � ,ASSESSORUSEONLY:•: r ��:� TRIJE�TAX /6SSESSm�VALUE ��HOYESTEAD �:t �.NONatESIDIXML
>,.;,.1.". s.-..VACUE:, "AT�t00XOFTiV-- ' �. VALUE > .,:�.,"_ VALUE. "".
Land not esceedirg 1(me) aae immediately ' . -
s�moimd'ag residential impro�fs. ��� -s „ '� .. �..
Otherland (2� _ .
Td� land (line 1 pluslme � (3)
Dweltirg (4) C �� ..a
Residential'unprovernents aMmialy 5 "
Assessed Mo6de / Man�sed Flort�a � F�- f �
Garyye �5) I � w �t�
. ��''` - -'� �
Otl�erimpovanen6 I (61 � ., .r•,; !
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TAaI vnprovements (!ore 4 throrxih Nne h� (� !
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Tcfal value (fure 3 pds 6ne � ��g� � �
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� nereby certiry n�e abore is we. mrea. and Isg�mae ma�scsso. oa�e sqned
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VetAin9 adian - Sgnahae af AudL� ' Daw s�M
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Lesser of 12 Homest�d
Vduation w 535,000
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
497
,�w,a,.�,
1RlASU�.[A f00.V 31A
IndiciduaL� and mrriN aoupks are limitcd �o orc homeyeaJ �andaN ANuaion. As Ne receipt of Ihii dtdutt'wn hconrec
mo¢ beneficial, therc is morc incrntnx dun ever for homesttyl Raud Ilom�mad faud <ausc hichn tac Cills for all: thert(ore.
HEA 1333-21NW reqdun u�paven who receire ihc hanestead smndarJ dnlunion to veri(y 11u� �hey are eligiNe �o mttice Ihc
benePo and ro pnmidr aJdiiiunai fdentiiyin_ infurmaUOn nemsarr ro allw� counn� gwrmment to b;tm�� mmiror homestead
filirgi. This iniormation will be Aep mnllds�ial and r�n only F� accet.ed by author"vcvl munrc n(Ticuis, The Ikparmm� n(
l.ucal Gmcmmem Fi�u�rce will ux this iniortna[ion [o awtr tcols tlu� aill hdp munn' otnrial. dfminam Mrme�teaA inud.
Christopher A Richardson
�$73 W �p�Budington-W
PRINCETON IN 47670-9332
�i�n��ni����ii�iii����n�i�iui��in��in�i�u����i��i��n��
Taine��er Name Pruoertv Addre�s
Richardson, Christopher A �ga3 w I`
–s7�1 t3�rlineioi P�acc �
Princeton 1� {76J0
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State Parcel Number Leeal Description
26-11-14-101-000.065-027 COLUMBIA VILLAGE �SEC 2 77 D-1
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This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county
Address (number and saeec ciry, >reee, end Z[P code)
as pmpem oddlcs�
� Oihrr (please specify in Pan 4 yelow)
and �Vee4 �ly, slale, und ZfP cale) , 1-1��c as pmpertv adJrts�
L7
�x 1'• nc�PYl 17. iQCe_
is we and co�rzct and that he or sh� is elieible to
receive the homes�ead standard deduction on this property. Each undersigned also undemands thaL by claimine additional homestead deductions
unlaufully, he or she may be liable for back taxes and substantial financial penalties. �
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