Homestead_Sharma/ - -- -
� CLAIM FOR HOMESTEAD P.ROPERTYTAX
° CREDIT/STANDARD DEDUCTION
t µ State Fam Sd73 (R6I403)
' Presaibed by Ne Oepar4nent o1 Local Govemmant Financa
� fNSTRUCTIONS: See reverse side Ior (ling inshvctions.
�.f�`�
�/�
FORM
HC10
YEAR
I(We) �/�!� A/1 �/YJ_J/J , certity that on the tst day oLMarch. 20
1(We) occupiad as our prindpal p aca of 2sidence tha foilowing described real properry for which a Homastead Property Tac Credit is hereby daimed:
�I(VJe) owned ❑ Are buying under contrea
Have a benefidal interest in the enliry that is liable for ihe property taxes on Ne properry and Nat owns ihe property or is buying under a conVacl.
If buying on conVep, Fae Simple ownets name
Recordefs ofice where conUact
Counry
ld�Ca ' L1�K
u e�y portion a me �sid
W Ne 7roPertY unT¢ed m
To.vnship
struGUre w Ne fand not exceeding one (1) ave ihat immediatey wn
icaincwne. � o%p1��,
6
number �Pepe
Is ihe property I Ouesllon: �
�Real property ❑ Moblle Home (I.C. E1.7-n
unds Na sWCtura a used lo produce incoma, describe the use and poNon
a
. ,.., . _ _ _ ' ' ". _ v o x v •."
i`.-,;+�j.,;_r,,�;, j Aa�;�:,.,�,.>;�t'r', a;�:?:PROPERTY,OWNED:BY_CL'AIMANT,IN:OTHERCOUNTIES:�'#i.. � .:Sf �., -��^ s ' � � �"' �"
_, -a . . __i .
County Twvnship County To.vnship
I hereby ceNfy the above statements are W e, cortect and complete. Signamre of Ueimam
ress (number arM sUee6 ury, afate, ZIP oode)
,,,��"��=fi t�'''"f��z""�'�����'"� � �'��TRUETAXv-�1�3 ASSESSED��VALUE'` HOMESTEAD��''�� NON;RESIDENTIAL4v��„;
� _ i � ASSES�R USE�O�� .. �,� �. � w VALUEU�4 AT�700%OF TTV �-�"�VALUE�' �"�. ����� ��``VALUE 3�„it�,..,,T—":'
Land not exceeding 1(one) ecre'immediatey . ^ � rkiti,���' '„��'@! '�s '2
surrounding residen8al improvements. ��� �� i;� �� w�'�?'����'
� ��� t ���!!
Other land �p� � � .�.����¢� ,
�"<; .����-'..
Tatal land (Ifne 1 plus line 2) �3�
�.�5 �Sa�r��aYC"�n"����' ±�'�,�
ResidantielimprovemenlsorMnuatly �����9 (4� r�-.-."�.:�'�,�,.�:�,'�,r',."'�.�,, a��`:�
Assessed Mobile / ManutacNred Home .�•-.a � r . -�� r� ,c � -*� 1,.� � ���
Garege �5� �= r s' ��:� a 'F �:` � a -..
s ,<•a�.,.gi-^�ed. . ,S 1;,�,_�, a
x��- _ ��z."^-, _
x�ry
O�ber improvements (6) �
Tdal improvements (line 4 through li�re 6) (7�
Ta[al value (line 3 plts line � �g�
I hereby certify Ne above is We, correG, and � Signamre arASSessor Date slpned
complete.
Vailying ecUOn - SlgnaWre of Audita Date signed
+.,.�'"'<t„� n=�'f .•":�.'.-;�,�.0 p�7,�.`-�''�u'?�,�2•,r;l�"STANDARD-�DEDUCTION'ALI:OWANCE*;- ` ' : _ � -
_ �u
20 _ Pay 20 _
Lesser of 12 Homestead �
Valuation w $35,000 g �
SignaWre of Puditw �ate signed
:tUI RN4>iw�Pi/401
{_..
1R`ASpRLAl00.4 RIA
GibsonCountyAuditor � � � � � � � � • � � � � � � -' � ��
701 N. Mdln SifBet �ndicidunl� anJ rturm�J <ouplee me IimitcJ m u�ie hanksn•ad siar�rA deduaion..b �h.e mmip� of :hf: JeJuctiw� bimmr>
Princeton, IN 47670 more benefiaial. IFan is rtwre ir,eemi�e �lun ecer for home>n�d Gaud }Iwn.uead GauJ cauu�: niCM1er ta� ll���� �M aIL themiw;.
BI:�� IJiaiO�W fPa111f.S �OIpT<p x�ou rtcei�e [he home>teaJ .ian�tar.l deduction to cerify �hat �hey arc iligiMe to rcer.cr �Ae
4 hnrfii ami �u pwniJc skfi�iuwl idcntiking ir.tortn�non rn:cssan� io allau' iro�wr ern'cmmcm to tti7�ci rtkni�or homc�cad
�'i g��� filing�. Thu infomu�ion will be Aep emldc�rtial end can only be attraed by amMrizeJ cuum� nRicial.d. 1 he Depanmem of
1 Lxal Guccmncm Financc ..ill u.c thi> information m crunic trol: :hai will hrip counrv nlLcuk climfna�c hamamad (nuJ.
• � � � • � -
MAY 9 2012 TaxoayerName LocationAddress
_ Sharma, Erin �
� C�`��� � 2885 E TOP I' AT RD
Vp ��R PRINCETON li 47670
GIBSCI���UNTY A - -
Erin Sharma II�I�III��III �II I III �II I�ulll �I�II�II��II�II�II�III�I�II�II�II��II�II�I�I� II II
2885 E Top Hat Rd �
PRINCETON IN 47670-8858 0
'I'����'�I�I"'I�I��II�'���II'�'ll�'I"�'�'lll'lll'���I"I���'�'I State Parcel Number Leqa1 Description
26-12-15-100-000.06Cr027 PT W E E NW TRACy 5 iS2-109.872 AC
C-1 �
This form MUST be returned to County Auditor's office. ;
Please do NOT send this form back with your tax payment to the county 1'reasurer.
i F�R�I
� r; /I
�, Addrcss (number and svee4 ciq�, sia;e, and "LIP code)
e
Numbcr Qsst 5 dieiti) � ITirds Liccnx/Suu ID A4tmbcr jlas 5 di�is)
_ \taJing Addfoi (�urr�tt_�-d s'.rect, eily, stale. and 7.IP cudc) ` / ' ' ' ' ` ' '
_ _ �
rSorial
Surc
Scx
S h�
Samc as property add.-css
3
Same as pmpcnv=ddxss
Otha (pleaze sper.fy ir. Pan i
' _ I �
. '� "" _____
undersiened certifies, uader pen¢Ity of perjury, that the above and foregoing informa�ion is tme and cortect and tha� he or ehe is eligible to
�
ie the homestead standard deduction on this propem. Fach undersienetil also underslands that, by daimine addiiionul homestead deductions
rfulty, he or she may be liable for back tares and substantial financial peralties. � �
1 S��^reNrt Date Tclephoae 1
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