Homestead_Shoultz (6)Gibsan County Audilor
101 N Main
PRINCETON IN 47670
3531
zs W/ Shoultz
ESR64
;ton IN 47670
curt. rw�i.�w�a_ i.w�
MASURfAro0.NY1� �
PAFYRIUfD�YTIfU[PMi�Q_`tlffLfMALf.f1�RIlY'.IfA'liPU�CEIfsl.l-L'J.1 %
InJieiJuaL. anJ marriN coupks are limited �o orc homeyeaJ sandaN dnlu.�ion. As ihr �cecipi of ihis dnlunion becomc
mme beneficial. therc is morc incentne rhan e�er (or honxsrcaJ Gaud. Ilomes�eaJ GauJ cauas highrr tac bilis tur all: Iher<fae.
HEA 13J3-?(1f19 requirts uxpa�rrs x�ho receive Ihc tromes�md slandard JNuclion m vcrily �lul �he)' am elieiMc �o mtenc IAt
:
benefit an1 lu pnn'idr aJAiiio�ul idemiiyin_ informmiun riecr.vn� ro allw� counrv gurmmenl ro betLr munitor humccttaJ
tilin�,�. �Ihis in(orrtutinn w�ill 6e Aery con�ideniial and c�n nnly h� arce:.<J M1y w�hmired canny� nflicia��.'Ihe Ikpannmm nf
1_ucal Gm�cmmem Piiuncc ��fll mc thfs m(ormation m vca.c inds that �vill hcln muna atia�iala dimii:ve Mrcn�aead fnud.
Ta�paver tiame
Shoultz, Charles W/
I
R ? 13ox� 199
I'rinceton I��a7670
State Parcel Number Leoal Descriiition
26-12-16-100-000.634-027 p00 000634-00 PT E rIW 16 2 10 3.6a AC
�' �
Owna I First MidNe I Lul
�:�pR��s w, Sho�.�TZ i
g Address (numbcr wd ->um, city. sm�c. and ZIP codc) . —_ _ —' _ . . _" _.. _ . _ . . .� '1..Somc at pmperry oddrtss . .t .
LJ !
9'7 '�. ST Q. G '
Socml
�
,
Each undersitmed cenifies, under penalry of pepury•, that the abo��e and foreeoing information is trve and correct and [hat he or stie is elieible to
receive �he homesiead standard deduction on this property. Each undersigned al>o understands that, by claiming additional home�iead deductions
unlawfully, he or she may be liable for back taxes and subs�antial financial penalties. �
Own 1 Sign nuc UaL^. Tcicphonc !
� � _��-/� �
�� � �� �
,
1
i
rt CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fwm Sd73 (RB /1-03j
Prescribed Dy �he Department of Lacal Govemment Finance
INSTRUCTIONS: See reverse side Ior �ling insfruclions.
19Ne) / � � �
��e) occupied as our principal place desaibed real property ich a Homes
� I(We) owned ❑!ve buying under contract /
= Have a benefidal interest in the endry Nat is liable for fhe propeAy taxes on the property and ihat owns
II buying on conVad, Fee Simple owners name
Recordefs afice where conVacl is rewr0ed
County
tr�(p—
HenypoAbnc
ofthe prope�ty
County
FORM
HC10
ihat on [he tst day o
Pmperty T�c Cr�t is
YEAR
20_
RecorC number Pa9a
Tamship Tacing C' - ci , fown, Own ip)
7 � '� Legal description Is the Gmperty in estion:
Real property ❑ Moblle Hwno (/.C. 67.7-n
udentlel atructure w ihe land nat exceetlinp one (t ) aae ihet immeCiatay surrounES ihet cture is uuA to produce income, descri6e the uae and porUon
b produce i�ome.
Toxnship
I hereby certify Ne above statements are W e, corted and complele.
Address (number aM streeC city, stafe, ZIP cade)
Land not exceeding 1(one) acre immediately
surtounding residen6al improvementa.
Other land
Tdal land (line 7 plus line 2)
Dwelling
Residentiel Improvements or MnuaOy
Asae�ad MohAe / Mandacdred Hana Garege
Other improvements
Tdal improvements (line 4 through line 6)
Total value (line 3 plts line �
I hereby certi(y Ihe above is W e, caned, and
complete.
Verilying aclion - Signature otlwdi Wr
(�I
IZ)
(3)
(4)
(5)
(6)
(�)
(8)
Signature ofAssessor
7{
of
II
Tavnship
Data signad
Date sgned
"",�-rx'Sf.�i�'-`-P?�'z�a7?e}^:z�A'�tS-'�'r"'3�`.-�'i++�`:^:�xST/WDARD.'.UEOUCTION'ALLOW/WCE �ts -<� aa.LS3 F..: - �r _�Y3".r� � •
�_.. ,..,:{':�Fn:7�:-.r,�av-,N ..:a5" .�._,.:,...�
�.'r 20_Pay20_
Lesser of 1/2 Homestead g
vauenon or 535.000
SgnaWre of Auditor " Date signed