Homestead_Sherman� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slate Form Sa73 (R6 / 403j
Prescii6ed by Ihe Department ot Local Govemment Finance
INSTRUCTIONS: See reverse side lor /ilina insWCtions�
�p�
FORM
HC10
YEAR
I(We) V�"'�� �— certify ihat on the 1 st day of March, 20_
I(VJ upied our principal place of residence lhe followin des �bed real property for which a Homestead Property Tac Credit is hereby_daimed:
_i -.- " _'1 �
I(VJe) owned ❑!ve buying under cont2ct ��� i� f� �}...� '� .
t� 1 � �1 ' � '%
iHave a benefidal interest in the entity that is liable for the property taxes on Ihe property and that owns lhe property w�is birying undera contraG.
If 6uying om m�Uad, Fee Simple owners name
Recoidefs ofice where conVacl is remrdetl
County
N any
of the
County
Toxnship
Legal description
Is Ne
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�J✓� I I y� ^� D�operty ❑ Mobile Hwna (I.C. 67.7-�
resitlential sWCture w the land not exceeding one (t) acre ihat immeCiatety wrtounds that swdura is used b D�aduce income, describe the use and poNOn
ed in produce inwme.
Tavnship
I hereby certi(y the above statements are We, correC and complete.
i
�ress (num6er aM��sf t ZI Fad � � �j--,
r i �4� Y\ \ �I
Land not exceeding t(one) acre immediatery
surrounding residentlal improvements. (��
Other land (2)
Total land (line 1 plus line 2) (3�
Dwelling (4)
Residential improvaments or Mnualty
Assesed MobAe / Manufaflured Hrnre Garage �5)
Other improvements
T�al improvemenis (line 4 through line 6)
Taeal value (line 3 phs line n
I hereby ceAify the above is We, corred, and
complele.
(6)
1�)
(8)
Signature ofAssessor
signed
Date signed
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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izai
STAiEfl1RN!).WIP_/).NI
IWividuals anJ rturtied muph are limiied to oce homeueaJ aanAaN Aedunioa As Ne �ttrip� of ttds dcductbn 6econre_
mi�re beneficial. thrre is more incrntnr than ecer fer homesrcsl (raud Ilumereaef :mud cauxs hi�her �u bils for ali: Nerctore.
4tiA I;3�l-101!9 ¢quves uiparrn aho reccive �he hancstraJ smnduJ JNuciion m.erify ihnt �M1ey are eLeide w recene �he
benefit an1 m pnxiJe aUUiiional idrnuiyine infurmation necesvrc to allw� counq� gmemmrn� ro betrcr mmitem homet�ead
filin�,�. This in(o`maiion xill he Aryw eonti�aviai a� can onl�� h: acmv�d by awMriud rnwiy oRcials. The Ikrynmcm of
Local Gm'cmmcm Fi�unce ��ill ¢.e this intormatian to arca[e rouls �ha� will h:ip cwnn� of�icia� elimiwie homntcml fiaud.
• • � � � � �
Tasparer Name Prnoertc Address
Sherman, Joel R/Lisa K /` N;
7� i
� D Spore RD
Princelon I\
Joel R Sherman
492 N Spore Dr State Parcel number Leeal Description
PRINCETON IN 47670-8969
I1I' II I I'"'11III"'I"I I,I11''I"I'I'1I'f""I'I"II'I 26-12-09-100-003.332-027- 0006-03332-OOPTWN'N92107.190AC
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This form MUST be returned to County Auditor's office.
Piease do NOT send this form back with your tax payment to the county treasurer.
UDe! �
.Address (number vnd strceL ciry, smte, end ZIP code)
92 Na��h ?�
Addreu (Number and 9¢et, ci1y, Swlc, and'LIP cuJe)
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i (i�Ct r G{
�c E�t e., , �1�! . 4
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Snme ns property addms;
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� Samc x� pmpeny addr¢
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r(o��atc s[KCif� in Pan 4 below�)
�ndersigned certifies, under penalty of perjury, that the above and foregoing infocmation is We and coirzct and that he or she is zlieible to
i
re the homestead standard deduction on this property. Hach undersi¢ned al>o understands �haL by claiming additional homestead deductions
�fully, he or she may be liable for back taxes and substantial financial penalties. �
I Signannc
�1I 2-111 �
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