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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Portn 5473 (R2 / 5-92)
INSTRUCTIONS: See reverse srde !or liling inshuctions.
FORM
HC10
YEAR
CERTIFICATIO TATEMENT
I(VJe) certity that on the 1 st day of March, 19_
I(We) ied as o principal place of residence the following described real properry for which a Homesiead Property Tax Credit is hereby claimed:
❑ I( owned ❑ Are buying under contract
❑ Have a beneficial interest in the entiry that is liable for the property taxes on the property and thai owns the property or is buying under a rnntract.
CONTRACTFiECORDED
If buying on contrect, Fee Simple ownefs name �
Recorders office where contract is recortletl Recortl number Page
PROPERTY DESCRIPTION
Counry Township Ta�cing dis[rict (dry, town, township)
Parcel number Legal descripti
- - 3 �- - o
I any portion ot the residential structure or the lantl not exce ing one (1) acre that immediatey sunounds Nat siructure is usetl to pratluce income, descnbe fhe use and portion ol
the property uti¢ed to produce income.
PROPERTY OWNED BV CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
SignaNre of claimant
ereby certify the above statements are true, correct and complete.
Addrew (number and streel, ciry, state, ZIP oode) '
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately (� �
surrounding residential improvements.
Otherland (2)
Total land (line 7 plus line 2) (3)
� Dwellin9 (4)
Residential improvements
Garage (5)
Oiher improvements (6)
Total improvements (line 4 fhrough line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is Irue, correct, and Signature of Assesor Date signed
complete.
Vedfying action - Signature of Auditor Date siqned
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead �
Valuation or 32,000
Signature of Auditw Date � ned
�. l
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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[I\RFM.Y!JK�R'/S�MI TIASI.AERtU0.V il1A
Individual. anJ marriN couplec are limi�ed �o nre homc.ucaJ sandaN JNunion. As ihe �cceip� of Ihis dnluction brconx�
murc beneficial, ther< is morc incrnme ttun e�er fcr homesrcad frduJ. Homesuad Gaud causrs hi�hrr �ar bill� (ur all; thereforr.
HEA I;a-i-7W9 requirty u�p��cn who recci.e �hc hanes�mJ standard JNuetion m.erily tlu� ehcy am elicide �o recenc �M1e
benent anJ ro p�m'ide adtlitimul iJrntiPrin_ Infurma�ion nY�rssan• to allw' counq� ewemmenl eu Ntmr r,iunitor lu�mrctt:xf
filin�,�.'Ihis inlormaiion w'ill br AqM trn�ideniinl anA can nnly M. acce: seJ h�' amhnriied rmmly niTici:Js. lhe Ikpanmmi nf
Lucal Gw<mmrn� Fi�uMe aill u+e �his intormmion m crcatc hole ihat e'ill h:ip epmn' uffirials eliminarc�homat<ad fiaud.
834
Joseph M/ Sandra M Schmits
545 E Old Petersburg Rd
PrincetonlN 47670-9512
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T�spa��er Namr
Schmits, Joseph M/ Sandra M
sss r: oid i�c�� ��m kd
F'rincelon IN i7670
State Parcel Number Leaal Descrip�ion
26-OS-32-100-001.93Q0 006-07930-OO PT NW 121 10 3 AC
P1 �
I First miaac
J os E p µ IVl � e�lA E� � c�}►-ti �-rs
c Addrtv (numbet und3rtcci, city, std[c d LIY code) -� �- - ' � Same a, pmpcm� addss�
SyS E. O�D �E7E�2.SpU,RG �Oq)
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F;n, �� /� Middlc
S�FnD,2/� 1'�i,C C�qR,2A}f �c�nt�-r5
e.4ddress (�umber and o7ree4 dq'. siatc, and YIP ttxk) Same u propeny addrcs;
Stturin• �umhcr {last 5 digi�s) Dmrrs LicenstlStatc ID N�unbcr Out 5 dieils) Othcr (pleasc spcciF in Part 4
�,� ��
mdersi�med certifizs, under penalty of pzqury�, that the abovz and foreeoing infurtnxtiun is we and correct and that he or
: the homeslead standard deduction on this propeey. Each undersiened also understands lhat, by claiminc additional hom
fully, he or she may be liable for back taxes and substan�ial financial penalties.
I Si�meuuc Uatc Tdcphonc
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�ligible to
deductions