HomeMy WebLinkAboutHomestead_Schafer (13)_
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_ �' CLAIM�FOR.HOMESTEADP.ROPERTYTAX
° CREDIT/STANDARD DEDUCTION
t State Fwm 5473 (R6I4-03)
' PresuibeE by Ne Oepartmmt W Local Govemment Finance
INSTRUCTIONSi See ravers8 side Por filing instmctions.
J
�
FORM
HC10
YEAR
=,M1""eti:.,r.'d�i.' �::.?;�.. __...''�'_�K .';.'._�a.�_�:? . ,:£'.?�t.C+s�.'rl:tFfllhl(:A ON-,STA7EM NTy.;^aL '- _,.':i � s.. � - �.'xa. '?:�`�?._:. i; .. . ",.�.r
�(�'e) certiry Nat on �'15t d�y bT,MMBIV. 20_ -
I(We) occupied es our prindpal place of residence the follo ng described real property for which e Homestead Property T`a'�c Cjredit is hereby daimed:
'� I(We) ovmad ❑ Pre buying under conVact /"�� ��
, Have a benefidal interest in the enlity that is liable for the property texes o� Ne property and that owns Ne pro�N QQi1�ISAtlAtpp�,�t.
If b�ryinp on conVect, Feo Simple owners name
Retordefe ofRCe where cantrad Is recorded
.���'�.�''�'A';�5���`.''�t`SL�eas,� <4�'�_�`.",t�it
Cou�' Tawnship
town,
number �PaBa
130-� I��it�i'�31-1�io �,=Ne���4���,:
❑ Real property ❑ Mo60e Home (I.C. 6-f.7-7)
JdenGal shudura w the WtW not exceeding one (7) ecre Net immediately wrtounQS ihat sWCture is used to produte inmme, describe fhe use and portion
to pivduce Income.
�.59'11�c_
20_Pay20_
Lesser oi 72 Homestead
Valuation or $35,000
3
.. � �.S'� . . . .
Gibson County Auditor
� 101 N. Main Street
Princeton, IN 47670
�
683 .. . . .
Kenneth W Schafer Trust
1799 N SR 65
PRINCETON IN 47670
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MAY 2 0 2011
SiAiF iORAf SIbV (PJ I410)
ARRA'FD B\" STATE HM0.DOf KLDUYiS. Lp9
� iFFASI�RFAFOlNRfA
LL%'.�I.fANR\'MEYf FlNAVLE IC61.1-35�9.1
Individuals and married muples are limimd m one hommead standard deduction. As the mceiyt o:� this deduction 6eromes
mme 6ene(rcial, therc is more incemire I}w� n�er (or iamcstred fnud Haneslead fiaud wuses hipl�er Jax bills far all; thereforc,
HEA 1344-?009 �equ"ves ta�pa�m utro rtcene the hamesicad standatd dcduction �o �xrify that they ue eligiblc m recen�e the
bcnefit and w prrnidc additional idrnufjing in(ortnation nttessary b ellow twnry gwemmem to Ixuv monimr homestmd
filings.'R�is informazion will be kept confidrncial avd can onty 6e accesud by authorizcd wuntv ofEcials. 7'hc Uepamnent of
Loral Gm'emmrnt Finance a�ill use this infortna[ion m aea[e tools that will help munry' officials elimirate homestead fraud.
Taxoaver Name
Schafer, Kenneth W Trust
/ '
II I I� �IIII ul �I ull� I I� II�
Location Address
1799 N SR �65
PRINCETON 1�!� 47670
I
I�III �II�I�IIIIIW�II��II�II�I�I� II II
State Parcel Number Leaal De::cription
26-OS-31-400-001.730-027� PT N SE 31 1 10 1.SS'7 AC C-7
c�.� �
GIBSON COUNTY AUDITO �
This form A�IUST be returned to County Auditor's office. �
Please do NOT send this form back with your tax payment to the countji treasurer.
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Addcess (nwnbcr end strect, ciTy•, stau, and ZIP code)
l 7 �i 9 ,� . � . �oP. G S ��
ecurirv N�ber (last 5 dipjts) Dtivels LiccnselStau ID Nimmbcr (latt 5
�l �rs[I /.
a�_ «,
C/��o�,
; Address (\umber and stcect city, sutc. and 7.IP code)
/ �G'_ �, �. �O5
$ecurity Numbcr (latt 5 digiu) Drivds License/Stau m
� /
7 `i
S� � �
� Same az property ad�ess 1
C � ; U �J ��. L/ 7(0 ( �
e� (pleasc spocify in Pan 4 6-1ow)
'' /�l� t �► c �e
aSC'NA F�I�.
❑ s�` � °�y �� �
7:� �� �17�� �O
Other (plea5c specify in Part 6 telow)
undersigned certifies, under penalty of pepury, that the above and foregoing information is we and correct and that he'or she is eligible ro
re the homestead standard deduction on ihis property. Each undersigned also understands that, by claiming addirional humestead deducrions
�fully, he or she may be liable foi back [uces and substantial financial penalties. I
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