HomeMy WebLinkAboutHomestead_Schafer (14), �. -
` CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
t ♦ SUta Fortn Sa73 (R6I4-03)
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' Presrnbed by Ne DepartrneM of Local Govemmant Financa
INSTRUCTIONS: See �ererse side for (ling instrt�ctions.
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FORM
HC10
YEAR
I(We) i (/)'%/ )[y{/iC/I �i certify Nat on the tst day ot Merch, 20_
I(We) occupie es our prind al place oi residence tha following d uibed real properry for which a Homestead Property T�c Credit is hereby daimed:
�1(We) owned ❑!ve buying under contrect
Have e benafidal interest in the enlity Nat is liable for the property taxes on the properry and Nat owns Ne property or is buying under a conVact.
If buying om m�Vact, Fee Simple ownefs name
Recardere office where convacc is recwdad
C.OUIfty
TpNISAIp
rarce� nu uer L i ption Is Ne prol
�D -ov�23-ce �' � 9-�i� �
It any portion ot the �asiden6al structure or Ihe land not exceeding ona (7 ) acre Nat unmediatay surtounds Nat
of 1he property utllized to produca income.
IRewrdnumbar IPege
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i,n/ Question: �
f Real property ❑ Moblle Home (/.C. G7. f-n
Wre is used to produce income, describe Ne use anE portion
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�rd.ax,...k..�!!,..—,.'.�✓�.%�-� z::5�°i_�:�'..t_r_�,ST/WDARD�.DEDUCTION'ALLOWANCE?. , _.-.s . ,.:. .•. �. '
20 _ Pay 20 _
Lesser of 12 Hwnestead
ValuaUon w 535,000 g
Signature of PLditor Date signed
STATEFOR.\195E9(IU2-10) � iRFASUItERFOR�ITS-IA
APPR04'ED BY STATE BOARD OF ACCOIMS, 2009 PRFSCRIBED BY i}IE DEPAftT�\T OF LOfAL G0�'ER.\���T FIYA\CE ICb I.I-'_?-8.1
'I' I I I •� 1.�1 . I �, Y.
Indi��iduals and married couples are limited to one homestead standard deduction. As the receipt of this
�ieduction becomes more beneficial, there is more incenti�•e than ever for homestead fraud. H6mestead Gaud
• causes higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who recei��e the homestead
standard deduction to verify that they are eligible to receive the benefit and to pro��ide additi�inal identifying
information necessary to allow county government to better monitor homestead filings. Thi� information
will be kept coofidential and can only be accessed by authorized count}� officials. The Depan'.ment of Local
Government Finance will use this ioformation to create tools that will help county officials eliminate
homestead fraud. , � ,
Tnoaver \ame
Kevin Schafer
Complete and relurn to:
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ProoemAddress StatePercel\umber Le?alDescriotirn:
481 SPORE DR �
26-12-09-100-000.�73-027 PT N' NW 9 il 10 7.403 AC
PRMCEiON Ih 47670 C_ �
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GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 �
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Each undersigned certifies, under penalry o( perjury, that the above and foregoing infortnation is We and covect and that he or she ia: eligible to receive��
homestead standard deduction on this property. Each undersigned also understands that, by claiming additional homestead deductiolis unlawfully, he or
she may be liable�or back taxes and substantial financial penalties.
Oxner 1 S /i Date TeteDlane �
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