Homestead_CopleyGibson County Auditor
101 N. Main Street
Princeton, IN 47670 .
= Individuals and married mupics are limimd to one homotead standard deduction. As the receipt af.this deduction becnmes
more brnc(rcial, Iherc is rtwre incenti�e than n�er for iwmestcad fnud. Homuttad freud caaus hip3'er iax hills for all; therefmc,
HFA 1314-?009 rtquires racpa�crs wtro recen�e �hc homestcad standard deduc[ion lo �rrify ihat chey are eli� ble [o recene Ne
brnefit nnd ta prm�iM additional idcnufying infomuUOn ncccssarv to flllou� county grn�emmcct to bencr moniWr hoacstead
.filings. This information�will bc lcpt tonfidcntial and can only be acccsscd by amhorired caun�• ofiicials. Thc lhparvnrnt of
I.ocal� Gmxmment Finznce will ux Ihis information m crtate mak tlut will helv mvnrv ofiiciak eiiminare hnme«eul frx�ul.
TaxpaverName � � LowtionAddress
Copley, Frank J
� 210 Hartlinq AVE '
. - Princeton IN 47870
1047 � o
Frank J Coptey II�I�III �III III�I II III I��III�I�IIII� II�II�III ull�l�l�ll II I��Il�llul�ll I� II
210 Harding AVE
PRINCETON IN 476703218
'll"'��'ll�l�'I�I'I'�I���"II�III����II��'���II'���II�II����'��I State Parcel Number Leqal Descrintion
26-12-OS-203-001 288-028�IKE ENLG OUTLOT 6
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;
APR 2 5 2011
c.�.M� .
This form MU�'F��9�'fuPM�i�Ro County Autlitor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
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nddrcss (numbcr end sVCCt, city, state, and ZIP code)
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Liccnse/Siau ID Numbcr (last 5 digiu)
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ocial SecuriN Number (lazt 5 diei6) Drivers License/ tate ID
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Jumber (la5t 5 digits) .
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Samc as v�D�Y address
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Ot6rr (plcase specify in Pert 4 below)
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Same as pmperty address- _..:.�'-.^� ..:-^r_ .._. . _-•-.
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.Othcr (plcau spaify in Part 4 bclow) ,
undersigned certifies, under penalry of perjury, that the above and foregoing information is true and correct and that he or she is eligible to
�e the homestead standard deducrion on this property. Each undersigned also understands ihat, by claiming additional homestead deducrions
� fully, he or she may be liable for back taces and substandal fmancial penalties. , �
I Signature � ' � � Date Telephone
_. _� �°�4�� `-{/�S �/l �� �.� �
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0
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
- CREDIT/STANDARD DEDUCTION Hcto
t � Sfafe Fortn SC73 (RS / 10-07 ) � � .
�w Prescribed by Ihe DepaAmeM of lncal Govemmant Firance
INSTRUCTIONS: See reverse side Jor filing instructions.
'' �'" � -�" �<"�-`�ff-'+�CERT1FICi4710N�.STATEMENT�{� '�"�"`�°�
.��.=�cz�'z�` =���x�'�i"�>.a. �€ S . ' 3 � ::�. - ?'�'�i'�.�
._ _- . °-- .___ ._ __ : .�e�sti.�us� � : ��. . . `..°��,r�� _ �c
I(YVe) - ' ihat on th 1 s y of M/a/rch,
I(We) occupied as our prindpal place esidence ihe fo owing d �bed real property tor which a Home d PropeAy- C, i i g��med:
❑ I(We) owned ❑!ve buying under contract C,IBSON OUNT Y AUDITOR �
a benefidal interest in the enfity that is liable for the property taxes on the property and that owns �he property or is buying under a contract.
I( buying on coniraq, Fee Simple owners nama
Recardefs otfice where conUaa
Twvnslrio
_�O I Legal descnption
N any poAion a/ Ne residenUal strucNre w the W W nd exceedi� one (t ) aua t�at
of the property utSatd tn produte income.
(dty, town,
Is ihe
?yr��
Record numDer
❑ Mobik Hpno
Page
6f.
is used b produce inarne, desmbe Ue uae arM portbn
''F`"�'2i=F'%"�+�au'�""'c�'3f�,��'` ,3�. �`�S'�,`STANUARD;'DEDUCT70N�AL[OWANCE�','`��'�,'�'>,e�.'�,`�iL;"�'�'�'�'u�� 7`�.;,--�v'�%�g.�'i��s: �^"'—"-_`'
m ,Q_-_-a
20_Pay20_
Lesser ot 1/2 Homestead
Valuadon or $6,000 $
SignaNre of AudAn � Date signetl