Homestead_Storckman (3)CLAIM FOR HOMESTEAD PROPERTY TAX
- k CREDIT/STANDARD DEDUCTION
` � ! S7ata Fpm 5673 (RB / 7-07)
Prescnbed by Ihe Department oF Lxal Govemmeni Finence
INSTRUCTIONS: See reverse side (or filing ins6uctions.
FORM YE's`R
HC10
�(We) U. l` L certify that'oUMe ist��March. 20_
�
1(We) pied s r' 1 place of residence the folbwing described real property fw which a Homestead Property �edi i�ereby daimed:
,� I(We) owned Are buying under contract GIBSON COUNTY AUDITOR
Have a benefidal interest in ihe enfity that is IiaWe fa the property faxes on Ne property and ihat owns the property or is buying under a contrad.
Ii buyv�g on coniraq, Fea Simpe ownefs �me
Recwders office where conVad is recwdad
County Twnship
tamshiD)
Record number � Page
Paicel number Legal descnption 3• y3 /�- G Is �he property in question:
Ii/(aJ �(J (t% � e2 �U ❑ Real property ❑ Mobile Fbme (IL 67.7-7)
Ii arry portion W Ihe residerrtial sVUCWre w Ihe Wnd not enceedirg orre (7) acra that immedialely surrounds Uat stnicture is used W produce income, describe the use and portion
of Ihe property uliAZed b produca inmme.
a�-la - ��-/ov-oo0. 3so-od �
,_ , . . .. . ,
„.. �
Land nol ezceeding 1(one) arre immediately ' ':'•".t.':' `�
surtoundirgresidentialimprovements. (�� '�*-�-
Other land �2� ',?='� ;:.m� �• '
=Y' '
Tdal land (1'me 1 plus!'me 2) �g)
- _ ?. �,�(r -
Residential improvements or Mnually ����� �4� `'�' -�0- �- �;'_�
hssessed M1bbile / ManufacWred Home :.� � , a f' .' . . -:.
Ga2ge �g) :�_.r...:i;;„..� . �.ii:
'
Other improvemenfs (5) � }'i
�y:.
Total improvements (!'me 4 through line 6) �7�
Tdal value (line 3 plls Gne � (g�
I hereby certiry the above is we, correct, and SigriaWre of Pssessor Date signetl (mmfh, day, yea�
complete.
Vaifying adion.5ignaWre of Audito� Dale signed (monN, daY. Y��
20_pay20_
Lesser of 12
Homestead Valuation
a
45.000 for 2007 pay 2008 42.000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2017 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2072
day
Gibson County Auditor
101 N Main
PRINCETON IN 47670
.�
4037
ivt. suunwrt.v,�.�a
InJiriduals and inartiN couple arc limiied io ore hontcueaJ wamlaN dedu.uon. As the rmtipt ol ihi; deduainn bmomc
more beneficial, tMe is morc incentne tl�v� r�er (or homnrcacl frauJ. Ilomn�eal frduJ caaus higM ta� hills Im all: therc(ar.
HEA I3iJ-?(N19 requires iaaparen who reeei.r ihe twmestmd standud deJunion m.eri(y dwt thep am digiWe to mceiw ihe
brneni an1 iu pn„'ide alJiiimul identiiyin_ infurmniun necr.'vey to allw' crounn� �n'emmrn� m beurr moniror homesead
filim�. lliix inlarmmim will M AryM contiJcnlial anA e�n only M sm.n1 M1p autMri�cd cnunh' otTrials, lfie Ikpanmm� of
I.ucal Govemmrni Finmrc< will u.e thi> inioemativn W ercah 0.w1. tlut will h:lp munr: of�xiaLs elimin�te Iwmdt<ad fiaud.
• � � � � � -
I
Taxnacer Name Prnperh�Addretis
Srorckman, Jeffery A/Susan E �- _
Jeffery A Storckman
699 E 150 S
PRINCETON IN 47670-8708
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Stam ID Nmnbcr (lut 5 �
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Addrtss (Number and sYrtt4 rii)t stnte, and "LII' axk)
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I Security• Numbtt (last 5
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State Parcel Number Le�al Descriotion
26-12-20-100-000.350-0 �6-0035p00PTNWINW 20210 3.93
7
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�3ane as pmpem address
Each undersiened certifies, under penalty of perjury•, that the above and foregoing information is we and correct and that he or
receive the homestead standard deduction on ihis property. Each undersiened also undersmnds ihat, by claiming additionai hort
unlauiully, he or she may be liable for back taxes and substantial financial penalties.
1 Si�metlue
'io
(
�ligible ro
deductions