Homestead_Downey (5)aa '''•� i CLAIM FOR HOMESTEAD PROPERTY TAX
���'� CREDIT/STANDARD DEDUCTION
.�,;;� State Form Sa73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side !or /iling instructions.
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FORM
HC10
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I�We) •`� � ' �i.11�l-,% certiry that on the 7st day ot March, 79�
�) occupied as our principal place of residence ihe f� wing describe eal property tor which omestead Prope ax Credit i�,_herqqy daimed:
�' (We) owned ❑ Are buying under contract . AUDITOR��
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
- CONTRACTRECORDED� � �
If buyinq on contraci, Fee Simple owner's name � --
Recorder's oflice where contrect is recorded Record number Page
Counry
PROPERTY DESCRIPTION
, / � I Tayfig dist (�i town,
T \ �
Parcel nu r Legal description
�9�i=olla5 � � �f
If any portion ot ihe residential struaure or the la� not exceeding one (7) acre that immetliatey surrounds that structure is used to produce i�ome, describe Ne use and
of t�e properry utBized ro produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
County Township �� Caunty Township
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�eby certify ihe above statements are ime, correct and complete. sign vr f Gaimam .
Address (numberandslreeC ciy, sfate, ZlPCOde)
ASSESSOR USE ONLY TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL.
VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediately
surrounding residen�ial improvemenis. (�)
Otherland (p) _ _ �
7otal land (line 7 plus line Z� (3)
Dwellin9 (4)
Residential improvements
Garage (5)
Oiher improvements (6) '
Total improvemenis (line 4 through line � (7) I
Total value (line 3 p�s line � �g)
I hereby cenify the above is true, correct, and Signamre of Assessor oare slgned
complete. �
���ying action - SignaWre ot Autlitor Da;e signetl
79_Pay 79_
Lesser of 1/2 Homestead
Valuation or 52,000
ot Auditor
STANDARD DEDUCTION
E
Date signed
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• SIAiE f�RN!JK�.i'/ sw� IAfASCR[R fORM 3��
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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APR 6 ZUtU
IndiriduaL+ and murinl coupl� arc limited Io one Iame�eaJ ua�Mard �L-Ju.�ion. As the rettipt ol Ud� deAucian btt�ames
merc benefidal, ther< is mo�r imrntne Wn e�er for homestead &awl. Ilom�ead faud ca� hi�her ta� bills tor all; themfae.
HEA 1333-?Q09 rcquirts u�pa�en w'ho receire the hanestead sundard deduction m reriPo iha� �hry art eliciNe �o mcei.e ihe
benefii and io p(m�iJe ahliiional idrnuirinc informauan mc�-vry io allw� <oun�� emrmmrnt ro betcrr moniror Iwmeneacl
lin�.�. lliis in(omuiion will br {,ery conG?auial and on only M arce�=caf by autMriuvi rounry� o(Gcials. 73e Ikpanmem o(
al Govcmmcm Fi�uM'e ��ill u.c this mtormanon w crcau [uule Ju� o'ill hdn rna�re oR'inaLc diminatc Iwmcncad (nud_
732 pIB50N Cd N� AUBlfibe+
Thomas D/ Phyllis J Downey
529 N Brownlee S� RUe
PrincelonlN 47670-1213
�i�i���in�i�����in���nun��n�i�iu��n��in����i�ii�ii�i�
Taxparer Name Prupert�� AJdress
Downey, Thomas D/ Phyllis J
>?9 N 13mx�nlre Si /:�7C
Prinremn IN;7670
State Parcel NumAer Leeal Description
X 26-12-07-1 O1-001.125-028 01&0112500 FOREST PARK 21
This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
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Address (numbcr and svm. ciry, smm, and ZIP cade)
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Number (las[ i die�ts) � Ikiveis
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ID Number (laz� 5 digits)
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Address (Number and sveel ciq', sm�e, nnd "LIP cale)
Sa.9 N. � Ow � � }�- r�r, �' �
'�ocial Sauri�� Number (las� 5 dieiu) Drivers Licensel5ta�e ID h�un6er (la;t 5 digits) an��
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Pan 4
�owr>e
Q$ame uti p�operiy a�
Pan �
undersi{,med certifies, under penalty of perjury�, that the abo��z and foregoing informatiun is we and correct and that he or she is elieible to
-e the homestead standard deduction on this property. Hach undersigned al;o understands that, by claiming additional homestead deductions
+fully, he or she may 6e liable for back ta�ces and substanrial financial penalties.
) $i�,mebue _ � Dav^ Telephone
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