Homestead_Sinkhornf;� CLAIM FOR HOMESTEAD PROPERTY TAX
i� '� CREDIT/STANDARD DEDUCTION
� State Fortn Sd73 (R2 / 592)
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INSTRUCTIONS: See reverse side lor filing instructions.
FORM
HC10
YEAR
� ,�. �r.- N . .. .., _. .: _:.. ... .;
. _ , ,-., - .. , . . . --r= _ CATION STATEMEHT." �'- -.`, - . _ , .
' _ . , ... , . .. .. .�y � .,-
I(We) — - - ce a• n e tst��','{i o'f-March. 19_
'e) occupied as our principal ptace of resi ence ihe tollowing described real property tor which a Homest�o�yrt c�r��it� hepietiy'daimed:
I�I (We) owned ❑ Are buying under coniract �,,�,�p�(� �1 '000
❑ Have a beneficial inierest in the entity ihat is Iiabie for the properry taxes on the property and that owns ihe ppper[�nris �yN� under a contract.
Ii buying on contract, Fee Simple owner's name
Recortlefs oHice where contrect is recorded
PROPERTY
County TownShip
P be' QQJn(��% /\T Legaltlescription
v7 I ��
tl any portion of the residential struaure or the WM no� ezceeding one (1) acre that
of the properry utilized to produce income.
PROPEHTY OWNED BY
cenify the above statements are irue, correct and complete.
numbe� and sneq� dry. state, ZlP code) n '
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GIBS � �,:,�.,<.:
Record num6er Page
il ON ' - �-_. - �<_- . .
dis " ry. roxt`. wnship)
wrrounds ihat swaure is used to produce income, tlescribe the use and ponion
COUN7IES
ASSESSOR USE ONLY � THUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL
, VALUE VALUE VALUE . VALUE •.
Land not exceeding 7(one) acre immediately ,� �` �
surroundingresidentialimprovements. (�) �� � �� �
Otherland (p) � .. _- ,
Total land (line 1 plus line Z� (3)
Dwelling (4) � � . ` .
Residential impmvements � � � _
Garage (g) ��
Other improvemenis (6) �
Total improvements (line 4 (hrough line � (7)
7otal value (line 3 p�s line � (g)
I hereby Certify ihe above is IrUe. correct, and Signamre of Assessor Date signed
complete.
"=ntyirg action - Sgnature ol Auditor Dare syned
�- STANDARD DEDl1CT10N ALLOWANCE'" � � -s:. �
19_Pay19_
Lesser of tl2 Homestead
Valuation or 52,000 �
Sgnature ol Auditor Da;e signed
( ' !~\ � .R�iEf110.M�!K10./��MI � IAFA$UAE0.PoR4YIA
���M1!*'EI1BT�I�Tf.IXMPUOi.i([�tnitY�+ p[fAllllBmBYTIfOE�ARMf.YfIFUAALCMeR.WR.ifPn.�CEICLI.1-L'-t.l
Gibmn County Auditor
107 N Main � � � � � � � ' � � ' � '
PRINCETON IN 47670 IndiviJuals and ina;riN coupk. arc limilcd io onc home�caJ s�anJaN dMuaion. As ihc rttcipt oi Ihis dNuction bcconres
murc bcneficial, thtrc is morr incrnme dun r�er (or homesrcaJ Baud. Home..'reacl :rawl wuses hi�her Iac �ills tor all: thrrtfore.
� HEA I.4-1-3IX19 requim uxparen �.'ho reeei.e ihc hanesecaJ sWmlard dnluction tn verify tMt ihry are':IieiMe m reacice ihe
����'"1 � benefi� am1 to prtw'idc aiWitiunal idemiiyinc m(om�anon �cr.an� ia allw� ewn:�� ro�rmment ro b:nrr mmiror humesrcad
� � tilin�n-. This infnrmitinn xiil h Aqv mnliJrniial anJ r.in nnly M arer..nl hy� amfar'ved cnunry� n17civi;.'ITe Ikpanmem o(
�� I.ceal Gorcmmem Piwnt< �vill u.e this infoemanon ro cream hql.. ihat �vill h;lp c�wnry u(ficials dimmarc homesuad trauJ.
MAY 5 2010
��
�David L / Lisa A Sinkhom
867 S Deer Haven Dr
Princeton IN 47670-8854 —
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�AVID
IRIIIIIIIIIRIR
Tasoarer Name
Sinkhorn, David L/ Lisa A
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g Addttv (number and strec[, city, smtc, snd ZIP codc)
Q(D% ;cS. � EER f-�.4 V�N /�R � V E
$ocial $ccuri�}' Numbc� (last i digits) Driver's Littnse/51a1e ID Nwnber (Itit 5 digils)
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iline .Address (Number and syreel, citp, smie, and "LIP cak)
� �� S. �E�� N� �� �R� ��
:ial5tturity Numbcr �laa 5 digics) Dm�ds LicensdSWte ID Numbcr (la,� 5 digits)
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R? Dox �53<
�nccton I�'47670
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S[ate Parcel Number Leaal Descriiition
2612-15-100-000.097-02�0o�00os7-oo PT Nw 15-2-10 2.613 AC
ai j
�Inl KHo�nl
mpmperrvaddres __'._. _....
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Oihcr (pleazt speciF in Part 4 below)
cs%N K �oR �
� Same as pmpeny addn>;
Othcr (plcasc spccify in Part 4 Mlow�)
undersigned certifies, undzr penalty of pequr}•, that the above and (oregoing infortnation is we anJ corrzct and that he or slie is eligible to
:e the homesiead standard deduction on this property. Each undersigned also understands tha� by claimine additional homestead deductions
,fiylly, he or she may be li�ble (or back taxes and substantial financial penalties. i
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