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Homestead_Spore (4)CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION ` state r-orn, sa7s (R8 � 7-07) ! Prescnbed by Iha DepartmeM d Local Govemment Finance INSTRUCTIONS: See reverse side !or fili�q ins6uc6'ons. as our prindpal place of resi�Fce the tdlowvig FORM YEAR 10 JT'�' certify that on pmperty for which a Homestead PropciA i] 20_ I(We) owned ❑ Me buying under contrad Have a benefidal interest in ihe entity ihat is liable for the property faxes on the property and that owns the property or is buying under a contraG. Ii Grymg on oonVacL Fee Simple o.vnefa name ofGCe where contraa is recortlad Caunry Tamship town, fownship) Record number � Page Parcel number Leg tlescriptim Is Ne property in question: � lj � 9- a-� a ❑ Reel property ❑ Mahile Home (/C E1.7-n If any poNOn of Ure residential sWClure w ihe IaM not exceeding one (1) acre Ihat immetliately surtounds Ihat structure is used to produce income, descnbe fhe use and porlion ot Ihe properry ulitized b produce imm�e. a�-<a-o9-3oa-oo� YY�-�a� •.- . .: . . County To.vnship County Tavnship I hereby certify the above sfatements are We, correct and complete. - Si awre oi daimam , ress (number and stree4 aty. siste, and LP code) �.5 l`6UE. r� In. 7 7 ,_ , . . .. . � �� .. Land not eueedirg 1 (one) aae irtmediatey • ° � = - -, � surtoundirgresidentialimprovements. (�� :�;Y=";•--�,,��.',t - . :. i_, .�:3,� � other Wnd �y� _ :.,., �:; " Tdal larnl (1'me 1 plusline 2) �g� �q ', °. L t. ... Residential improvements orMnually ����� �4� �+ " KSSessed Mobile / ManuWUured Home :r �. ���,'S`'.1� Gara9e (5) r., ,.-s_�-._. �-cs� Other improvements (6) ;-, ` �_�,y+- ";<:i:, Tctal improvements (line 4 through lirre 6) �7� Tcfal value (line 3 pGs lirre n (g� I h¢2by ceAify N0 ebOVB i5 We, coRect, and SignaWre of Assessw Date signed (monN, day, yea� complete. Vaifying adion - Siprature of Autlitw Date signed (manN. Oay. yea� � • ' � � � � • '_ pay 20 _ q5,000 for 2007 pay 2008 42,000 for 207 0 pay 2011 Lesser o( 1 R qq.000 for 2008 pay 2009 41.000 for 2017 pay 2012 Homestead ValuaCOn 5 a 43,000 for 2009 pay 2010 40,000 payable after 2012 SignaWre ot�inr Date signetl (monlh, day, yeer) Gibson County Auditor 101 N Main PRINCETON IN 47670 � 3425 TA\I��W10.fwi1 1RFASIi[[A fORV ilA C/J��0.W.C�'ifP'A fEl(:trl.l'_-�.1 h�dividuaL. aod marriN couples arc limiied to orc homcucaJ aandaN dcUu.�itm. As the rmtipt ol �his JNunion bccm�cs mure benencial. �here is more fncrntne than ner for home7eml frawi IlomrsxaJ :raud ca� hi�htt ta� bills for all: therefore. HEA 13-}i-2IX19 rcquire; u�pa�yn who mcci.�e thc hanesicaJ s�andard dcJuction to .erify tivt they are elicidc to maei�e �he benefii aN ro p�a'ide adliGo�u1 idrntiiyin_ informanun nece.-vrc ro allw� munn� smemmrn� to b:ttrr muni�ur homesre:W filinZ.�. -Itiis inlomulion will b[ AryY contidemial anA cnn oNy h• e[cez¢A hy aullarizN tnunlr n0icials �Thr Ikr.inmenl nf Lucal Gwcmm<m Finance �cill uw �his infomution to crcam trols �hat will h:In counrv u(ficials dimfnaic Mimenmd fiaud Robert P Spore 145 S 180 E PRINCETON IN 47670.8962 �i�u��in�i��i��ii�����������i�i�ui��nn�i�i�n�i�i�ui�i�� ciry, smtc, and ZIP T•rxoacer Name Spore, Robert P/Sheila A Trowbridge S�ate ID Nmnber (list 5 ' �h e.l � � � �e Addresa (Numbrr and sUee4 ciq', slale, and "LIP cu�k) y5 �•I�OE� ��rine2�-a Sccurih� Numbcr flast 5 dizi�s) Drivct. LiccnsHSta�e ID 5 Prnpem� Address �ea �Hot s7s «�� ti1e�o Q1� S[ate Parcel Number Lepal Description 2612-09-302-001.442-027 006-01442-00 PT SW 9 2 10 t.60z nC C-7 1 �� lU � miaa�c � � O f� , � s�,�,�P�a��aa,� undersi4med etrtifies, under penelty of perjury•, that the abo��e and foregoing informution is we and co�rect and that he or she is eligible to :e the homestead standard deduction on this property. Each undersigned al;o unders�ands �hat, by claiming additional homestead deductions ,fully, he or she may be liable for back taxes and subsiantial financial penalties. � I Sit.m2uuc I��c