Homestead_Bates (8)i .1
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.ArrnwtD MT<tStE aaaaDOF■TIa'.<IS.vv PAEYANmnY till DEPARTWYr tf LOCAL uDS£IIVMFM FINANCE IC4-1.1=:4.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than net-for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
ti' lliEll) HEA 1344-2009 ti to p ovide additional taxpayers i enti receive the homestead standard deduction to unify that they are eligible monitor homestead
the
benefit and provide adtaxpaye id who
rece information ho eremand allow deduction
county unifmmatte better gible to Beebe the
filings.This information will be kept confidential and can only be accessed by authorised county officials.The Depanmem of
Local Government Finance will use this information to create tools that will help county officiaLs eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
JUN 1 LO1U Taxpayer Name Propertv Address
—
Bates, Thomas C/Brandy
a`" 2002 E Lake RD
GIBBON COUNTY AUDITOR Princeton IN 47670
3290
Thomas Bates a
2002 E Lake Rd - State Parcel Number Legal Description
PRINCETON IN 47670
X 26-12-08-204-001.534-028 019-01534-00 PT NE 8-2-101.08 AC
t
PART 2:TAXPAYER INFORMATION
Owner I First Middle • Last
--1-1mAS Agiii.c }# A rcS
g Address(number and street,city,state,and ZIP code) . .me as property address - - — -
Spouse First Middle Last
6?A‘.)0`1 (&QI*, SOILS
Mailing Address(Number and street,city,stale.and ZIP code) Blame as property address
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is elieible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I signature '/ � Date /
•
� s CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
su�e F«m sa�a �rts i am)
Prescribed by t�e Department of Lacal Govemment Finance
INSTRUCTIONS: See reverse side lor lililg lnsinicfions.
FORM
HC10
YEAR
��e� � cerGfy thal on the 1513�dy o( Mar�OQC!
I(We) occupied as our principal place of residence ihe following described r I property (or which a Homeslead Prope Tac Credit is hereby daimed:
i
❑ I(We) owned ❑ Are buying under contract J
� Have a benefidal interest in the entity thal is liable (or ihe property taxes on the property and that owns lhe proper'ty oilB:biry'tiry ui�Be� a cori6'a'G7�
I( buying an contract. Fee Simple owners name
RecoNefs ofice where coniract is ramrded
Counry
7o.mship
poAian of Ihe residenUal sWCwre w the
ProPerty u41¢ed tn produce inwme.
Record number � Page
Tating tlistrict (tiry, town, (ownship)
property in queslion:
❑ Real property ❑ Mo6ila Homo (I.C. 6f.7-�
one (7 � aue Nat immetliatety wnounds that swcwra is used b produce income, describe Ne use and portion
"���"����-�'°''��"i z"'�rY ��`* �.., �''� �����r� ASSESSED�VALUE 3 HOMESTEAD''" `''��t`NON-RESfDENTIAL �~
��� . ASSESSOR!IJSE ONL�Y�+�'�� TRUEcTAX
�.: -.""`esi..,'`, a#k}�':*:wz.�"`...._.�.r.�_��.'�:,`-�wa''�� VAI:UE�"-�"� ATa100%'OF'1TV m'x' �� ��k���aa�Y- ttrL�.-- .�.G��z��`'�'��
°�'...�_...�.z�:.za. a. �-,.A.a.n.;i 345*a$'r~-':VALUE�, VALUE
Land not exceeding 1(one) acre immediately � ?.a �. �-'°
surrounding residential improvemenls. (� � � s� ,��~ -,.�p� ��
�.���.� ��-7��`
Other land �+`�'``� .1y r} `
�z1 ;Y����,�1,_. , ;�"-.
Tdal land (line 7 plus line 2) (3�
�r Y r,�CCk s's€cr a.��. ,n
Dwelling (4) � �` *lY�•a�°�C�n�c:4 � `�'S
Residential improvements or Mnualty # "`� �� � �-i`�`�"'�� �
Pssessed Modle / ManufacNred Hmre `w�
� t�.'--.,M� 'q�^:
Garage �5) �"',h`�"`-� ,3c-,�� r „�; ��"�-
� np�.� 'a�
Other improvements (6) ��+''�,s��
,t_ 'x ,r
Total improvements (line 4 through line 6) ��)
Tcial value (line 3 phs line n �g�
I hereby certify fhe above is W e, corred, and Signamre o( nssessor �ate signed
complete.
Vr1i(ying aclion - Signature of Pa�Aimr Date signed