HomeMy WebLinkAboutHomestead_Carlson`�
�
��
�• ��CLAIM FOR HOMESTEAD PROPERTY TAX FOR $ yEq �
•_ 4 STANDARDISUPPLEMENTAL DEDUCTION �
5u�e Fwm 5�i31Rt3/ sml HC10
� PresoiEeO Ey Qie Deparl.•nm� d Lo�'al Go�ttiurmt Fnvice
INSTRUCTIONS:Seereversesldefw(J'vigfnsburliuns. JUL O 2009
I(wel ' • rcniy �hat i(wel ocapied as r�pnn�al
pace W resitlence or am (are) buyu�g the to0oxi`g desaibeE real vroperty tor xtJC� a Hwnestead Property Taz 9anEarC DoEU�Gr�tlaun
�u.,r.d{�ermn:rarionmeeateudsappi�tionisrued. (darewrdvy)� GIBSON COUNTY A DITOR
[li'I M'e) own ❑ Am (ere) DuY�9 �Mer recoraea mnvarl
LJ�^ (are) enV11eE m occvpy as a tenanbslocklidtler o/ a cooperative �ousing corparatlon
� Mave a beneftial in:erest in Ne hus� ot Ne �ig�l W oca�py �he properiy under �he terms o! a puafifieE personal re5i0ence Vus�
Remetl rsvnber � Page
(wm.
al peopvy U MnuaPy eaxveG mcC1v Ivne (IL bf.i-�
STL9)! 610M b V� YL4M. EHOII:! U%YS! azE DQ�
una not ezceaain9 � I�el aw immamaery
surtoundin rasldentlalim amenn. (�)
Oth�rland (2)
TWI IuW (�n� 1 plus Iln� 3) (3)
ReziEantld Impmvementa or Rnnually �elllny (6)
AsssuWNaW1�IMmuhcwMHanr Garap� (S) - . "
OMnimpmwmenb (6) ��-- � -
TINaI ImV�vemertb (lin� � thivuBh Ibr� 67 (�)
Toblvalue (IIn�JpheWel) (B)
I heroby ceNy the aDOVe is We. ronect Squwre ai nssean Daro sip�M lmvm, aaY. yw.�
and cmnplete.
��1T9 x4m - 59�aCVa dAUG1or Dale L9mE (mwYh. EaY.IT+�
20 _ pay 20 _ Lesser of 60% W Ne asusseE value of �he homes;ead w Sa5.000
NMitl+SldNugarryOtlrMpOViicn.lMSUndN10.0�SWrKpOriOeCi�lG61_f-i}bamMieM'neNa(u 5
/IN OS#SSGO BS re21(YGpRy pry d IIIdM/Idd'ABOIIWtp N8! 4 Mf BSS?SiBO BS /B81pOpGrty IMy Iqt G�ttN
mNW /1l11 W Ne astas.mE va4v dNS naON Mne amnmlMUeO�ame.
� ��
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
�U�Elf1Rn1!! W 1P_l�+Ml
iCF.vNAfR PoR4:}IA
InJiriduaL. anJ rtu:riN couplo are limited io om homr.�raJ AandaN J.�Aunion. Aa �he retttip� of Ihi> dedunion bccrnma
mo¢ beneficiaL rher< is morc incenrnr �han acr (er honxsrcaJ (nuA. Hom veacl (rzw1 nuxs higM tac bills (a all: thercfae.
HEA IJi:-2IX19 requ'vn uxparers who rctcivc Ihc hancncaJ slandard deJunion m veri(y Iha� �6c� am eliciNe lo menc Ihe
brnefit snl ro pn„�ide :dditiurul iden�iirim_ infwm�tion riece.'vrr ro allw� cwnn� emrmmenl w benrr muniror Iwnxsrc�rJ
filintp. 77tis infornulinn will M Aqv [onfidcn�ial and can nn17' h• nvres�ed by awhmiicA mnmy oflitial�. Thr Ikpanmem n( •
I.ocal Gorcmmcnl Fi�uncc ��ill ua this in(orma�ion tu ar<ah 4+uls ihat will h:lp roun�� officials eliminarc Iromcsicad inud.
. • ' , , , .
- Taxpacer Name Prnpertc Address
Carlson, Kevin/Linda
Carlson, Kevin Leroy/Linda Kay
1014 S Prince ST
PRINCETON IN 47670-2630
I�I��II���I�II��I���III�����I�I�iI����ll�ll������ll�l��lll���l
i
�Ujn�
e Address (numbcr and svm, ciry, stacc, and i
)/y S� PRiN���
Security Numba (last i dicils) Dmers
�-� ND � /-�
e Addms (NUmber and slree4 cil)', stale, and "LIP cale)
D
Stturiry� Numbtt (last 5 di:ics) Drivds' Liccnu/Statc ID Niunbcr (laa 5
� � s� ,
�iV
��n�s�,�
imc ss propem eud�; —
i7�7d
����s��
u pmyerty add�s
Each undersiened certifizs, under penalty of pequry, that the above and foregoing infortnation is we and correct and that he or she is elieible to
receive the homes�ead standard deduction on ihis property. Each undersiened also undemands that, by claiming additional homestead deductions
unlau-fully, he or she may be liable for back taxes and substaniial financial penalties.
Owna 1 Si¢nsWrc Ualc 1'cicphonc .
7 //v
� �� -� /�.�� ;
�'