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Homestead_Downs (3)'���LAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION Slate Fortn Sa73 (R2 / 5-92) \ � INSTRUCTIONS: See reve�se side for liling inslructions. FORM HC10 YEAR 93 I(Wb.0 ��tJC/U ��'�-' � �(�,, following described real property for which a Homestead Property Tax Credit is hereby daimed: J I(We) owned ❑ Are buying under coritract _ . . �Have a beneticiai interest in ihe entity that is liable for the property taxes on the property and thai owns ihe property or is buying under a contract. , ��� � i'r—��i� It buying on contract, Fee Simple owner's name Recorder's ottice where wntract is recorded MAR 219q3 Record number Page ` PROPERTY DESCRIPTI � County ' � • . Township - Tazing di ric� (city. oWn, ownsbip) � arc um6er _�O Legaldescription O• / G I( any portion o the residen;ial simaure or the IarW not exceeding one (7) acre that immediatety surrounds that swcture is used ro produce of the properry utilized to produce income. ' PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County Townshi I hereby certiry the above statements are irue, correct and complete. �ress (numberandstreef. ciry, sfate. ZlPCOde) �Q � SP�uce S� �`in c e ASSESSOR USE ONLY � . TRUE TAX VALUE Land noi exceeding 7(one) acre immediately surrounding residential improvemenis. Otherland Total land (line 1 plus line 2� Dwelling Residential improvements Garage O(her improvemenis Total impmvements (line 4 Ihrough line � Total value (line 3 pUs line � I hereby certity the above is Irue, correcL and complete. Venfying action - Signamre of Audiror (�) (Z) (3) l4) (5) (6) I�) l8) Signature of Assessor � ASSESSED VALUE. HOMESTEAD VALUE the use and ponion NON-RESIDENTIAL VALUE Date signetl Date signed � Gibson County Auditor 101 N Main PRINCETON IN 47670 847 ,,,�, YAiYMIBm BY 11Y DEPMIME`If OF ��� InJividuals aud marrieJ roupkti are IimitN io one homeucaJ &anJaN AeJu.�ion. As the recerpt of thi� Jeduaion bccomes ' morc beneficial, therc is morr incen:fce than e�er (or honxsteael fnud IlonxsteaJ 8am1 causs hi�her tac 6i0� for all: therefore. HEA 134-i-3009 reqvim uxpa.en x�ho receivc ihe hanestcaJ <mndard Jnluction m veri(y tha� chey are elieiMe to mcei•c the brnefit aN to pmvidc additional idenun'in¢ inWrmatiun neces'vey to allou� counh� gm'rmment m Ncrer moniror homnxead filinb�. Ihis info�rtu�ion will br l,qu cm�idemial and on only M xrex�eJ M aW6arizd roumy ot7¢ials. Tht Ihpanmenl of l.ocal Gmcmment Fi�uirce will ux this iniortnazion tu ar<ntc rouls Iha� a'ill h:Ip cqmn' ufficials climiwrc home�teaJ InuJ. Texoa�•er Name Propem� Address Downs, Robert L ? 10 F Spruce ST Prinreton I� 37670 Robert L Downs 210 E Spruce St State Parcel NumAer Le?al Descriotion PRINCETON IN 47670-1748 I�I��II���I�II��I���III������III���I�I��II��I����IIII,���I�I�I �26-12-07-201-001.177-028 01s-o1177-ooOLDPV,N122PT 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. Aaa�� �o�n� Same as pmperty addrts; sptcify in Part 4 hdow) � w� S�vne u proprm adJre� ��� spccify in Pan 4 bclow�) � �dersitmed certifies, under penalty of pepury�, that the above and foregoing infortnation is We and cotrect and that he or she is eligible to the homes�ead slandard deduclion on this propehy. Each undersignzd al>o understands that, by claiming additional homestead deductions �Ily, he or shz may '�a�SIP`fpr back taYes and substanrial financial penalties. `� hK - �P�-vsie% �'�-lo -.--- �