HomeMy WebLinkAboutHomestead_SparksCLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
Steta Fortn 5r73 (R6 / L-03)
Fesrnbed try Ma Depa�ent d Labl Govemment Fmarxe
INSTRUCTIONS: See ie� aFda b�Yg iw6ueliona
�
'FORM YEAR
HC10
SLJ
OCT 1 7 2005
I(VJe) /PQ'/il/,iAX/' � �" �\ QJt-(.P' \\ ) nMn �� certi� oaz on thejl�_s,qday of���cT�R20_
I(We) oaupied as our principal place of residence ihe follmving describe real property for which a Homestead Property Tac Credit is hereby daimed:
�I (We) owned ❑ Are buying under contract
, Have a be�efidal interes� in the entity Mat is liable for �he property taxes on the property and that owns the property or is buying under a wnUad.
If buyuig on coniraq, Fee Simple owners name
ofim whare conirad is recordeE
Counry
7avnship
Parcel number Lagal de� py'q�
��-��//S/I- r.l i�imo .,,.., d
it any ponim of the resiUentlal sW dure w Me IanC not exceeding one (7 ) aae Ihat
ot the property utilvxd to produce incoma.
Record number
(nry, fown, townshiP)
Page
I Is Ne pmperty in question:
is�
" LT'Real pmperty ❑ Mobila Homo p.C. &iJ-�
wrtounds tliat sbuqure is used to produce income. desttibe Ne use and portbn
�� ��'��- :�a�:�.zaz:��,�;'���;s��STANDAR�:DEDUCTION`AL'L'OWANCE. °b'�g'' � ;';�<�,�i,-�°�`_;.�,���,��
20_Pay20_
Lesser of 1/2 Homestead $
V9uanon orf35.000
Signahue of Auditw " Date sgned
Gi6son County Auditor
101 N. Main Streel
-� Pnnceton, IN 47670 �
� FILED
APR 8 2011
G'J.
GIBSON COUNT�TOR
458
ARRO.FD BY
P0.F_SC0.10m BY
•� �s�r.s. rocKisu
Individuals and married coupla are limited tu one homeaead standard Jeductinn. .ls the fe:eipt of this deductim hecomes
morc brneficial, there is more incenti�c than nxr for Mmestead fmud. Homatead ffaud caaces higher ux hills�for all; therefore,
HEA 1344-?009 requves �a<pa�ers atw recci.c ihe homestcad standard dedvctian to .crifp chn chey arc cligible ro rtcene thc
bmcfil and b prmide additimul idrnti(}'ing in(ortnation nttessary to allan� counly gm�enun>nt lo bencr monimr homatead
filings. 7'his infarma[ion uill be kepi wnfidrntial md can.onty be acccssed by authorized county officials. The Depamnrnt of
l,ornl Grnxmment Finznce aill �sse Ihis information ro create tools �hat will helo counri' offi=ials elimi�te Immestead frzud.
Randall E Sparks
566 S Pineview
P.RWCETON IN 47670-8134
pp�ipi�nlll�ni�i�ihr��q�ii�i��p���iu�IliuPu�illiull
Taxpaver Name
Sparks, Randall E/Karla L
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III �II IWUIII ul�ll�ll��ll�ll�
Ilu II�II�I�Iu II II
StateParceFNumber L
26-11-15-100-004.150-027� PINEVIEW 6
This form MUST be returned to County Auditor's office!
Please do NOT send this form back with your tax payment to the coujnty treasurer._
Addtess (nurobcr and svect. city, statc, end ZIP codc) ,
Q.�o �� � v�, � P� �i�e�
ecurity Number Qast 5 digits) Dtivcls LiceasdStatc ID Number (last 5
,�G � I L
ress (IVUmber and�sveet ciry, staic, and ZIP crode) `
. n- __ . �.., �
5
S�f �lS
�� � p��ny �aa�s
as pmpe�iy address
Oficr (plcau spccify in Part 4 below)
undetsigned certifies, under penalty of perjury, tha[ the above and foregoing information is We and correct and that he or she is eligible ro
ve the homestead standard deduction on this propeny. Each undersigned also understands tha[, by claiming additionall homestead deductions
vfully, he or she may be liable for back taxes and substantial financial penalties.
� 1 S� �� Date Telephone '�
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