Homestead_SandefurCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
t smte rwm Sar.i Rt7 � s-06�
Prascnbed by iha Depertrtienl oF Loral Govemrtierrt Fe�ance
INSTRUCTIONS: See ievarse side (or (ling instruc6ons.
FORM
HC70
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� M'el / � s O certiiy that on��ist �aygo(�'�, 20_
I(We) ocwpied as aa prinapal place of ider�ce M Dowirg desaibed I property tor which a Hanestead Property �Tmjc�Credit is h,�e!re��by daimed:
, �(We) owned ❑ Fve buymg urda can (/'� 6`� '6 V
�Have a benefidal intere� in fhe entity Nat is liable tor the property tanes on the (/
property and that owns fhe p�ty@r��jdi��ce�n�act
caimry
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n enr wnon a u,e �id�N� an,wae a me �mm na mcceea�rg ona (�) ecre u�at u�meaa�ey a,nour� u,� o usad m v�duce v�mme. dcu,ine ab �ae m,d
�Na,�owro wr�d ro wom,� �. �; Oa�fi�
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I hefeby certify ihe above shafements eie true. correct and complete.
(nuMerand abeeG dty. 9efe. LPootle)
, +i�r��e�a�����"e`�'�:`�"r.�'���%Y�x�`�+.�a�4:�srnrionRn;oenucnoNeLL�owiwce;s-���.�e`r.�i<��%��:��.,�;zs:�:t_��F�i��r.�Z�;�:�,s
20 _ Pay ZO _
Lesser of 12 Homestead E
Valuatim or 535,000
Sipnahue of Ndtw Date signed
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
4009
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Individuals and inarriN couple,. are Iimi�N io one homcucaJ aamfaN JNuaion. As �he receipi o1 this deduninn beconrce
morc beneficial. thrre is morc incentn�e than e�er (or home:�ettl fraud. Ilumd�ead fiaud cauxs highrr tac bflls iur all: therefore.
HEA I?�Fi-?O(19 r<quim ucpa�em v:ho recci.c ihc hanesieeJ sundarJ JNuction a.erilv tlui ihey me elisiNc w recene the
benefit aixf w pnw�iJe a�Wiiimul idenuirin_ infum�.��lon mee.'vn� io allw� counp� gaemment ro betrcr monitur IwmrsmaJ
tiling.. Ihis in(nrmiiion will br Lqw canlideruial end r.m only M. accrzwA M1y awhnriecd rounw n(f¢i;dUTM1r IXrynnrem nf
I ocal Gorcmmrn� Piwm'e ��ill u.< Ihis informuion w crcam [ xds tha� �rill h:lp camry officials elimiwic humenead hauJ.
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Tazpa��er Name Prnpertv Address
Sandefur, Charles W III/Melody D �
R2 13m 66�
Prince�on � 47670
6,
Charles W Sandefur III III
1323 S 50 E
PRINCETON IN 47670-8709
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State Parcel Number Le�al Descriplion
26-12-18-404-004.337-027 p�o 1513-00 PT E SE 18 210 5.05 AC
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3�3 Sou�� 5o�',q5i �2�.J�c� oti ��3 5/��%
�ul Securit} Number (last 5 dieits) Uriver'
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Nailing Address (Number and olreei, diy, sule, and "LIP cude) �� pmperly uddro..
/3�.3 S�� � �1 50 �•Q•3T �/Ii.t]GETU� �� y��7�
{ocial Scruritr Num6cr �las[ 5 digits) Dm�cYS Liccnsc/Statc ID K�unbcr Qa.� 5 digits) Oihcr (plcasc spcciH in Pan 4 bclow')
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undersi�med certifizs, under penelty of perjury•, [hat the above and foregoing infortnation is tme and wrrzct and that he or shc is elieible ro
:e the homestead standard deduction on this properly. 6ach undersicned al;o unders�ands that, by claimine additional homes4ad deductions
,fully, he or she may be liable (or back taxes and substamial financial penalties. ,
nvncr I SiFnaturc `
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