HomeMy WebLinkAboutHomestead_Etolen (5)CLAIAA FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
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Presribed by Me OepaMient ol Loral Gw�tl Fcw�m
INSTRUCTIONS: See iaverse side (w fiiing instructinns.
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FORM
HC10
YEAR
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I(We) oaupied as aa prindpal place ot rrsd Me falbwi� described real property ich a Hanestead Property Tmc Credit is hereby daimed:
'�(We) rn+T�ed ❑ Pre buymg uMa contrad ",j{��
J Have a benefiaal interest in the entity fhat is liade fior ihe property �ces on ihe poperiy arW ��� ��AbfyqbuNnfl urMer a contracL
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CONTRACT RECORDm.. . . �� � . .
rc hrycg m mnlrect. Fee SirtWle awnefa rvma
Rxwde�s °R'ce'"'hae mrdreb u �ecorded Recard number Pege
Counry
Toxrtship
Legal
PROPERTY
H anY Portio� ol ihe residerqial �ae a tlie lad nal m¢eeding one (1)
of ihe popeiry wi5md m pmmce imm�e.
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Tmm�g di9ric!
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prqierry ❑ Mabib Fbma (LC. G/.1-7)
ia ueed In produce iwoma, tlesabe the �e and parton
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f\SSESSOR USE OAILY � '� TRUE TAX ASSESSED V/LLUE HOC�STEAD .� NON:i6SIDEMtAL ..
YALUE , AT 100%OF TTV . �� VALUE ; � VALUE �
Lend not exceedirg 1(one) aae imr�ately (') .�� �� �� . ..
umwmd'ug Rsidential impovemen�. " � '.
Otherlard �2� .
Tdal IarW (I'a/e 1 pdu Imo � �g)
Resdential improvemeMS or Mra�aly ��� �4) . .
0.ssessed Mob]e / AAanufachued Hortie . �
Garage (5) . .
O�her improvertrenCs (6) .
TUaI "vnprwemertts (fine 4 throuqh 6ne 6) (7�
T�al value (fine 3 p4s Gne � (8) -
I hereby certily the a6ove is true. cortefY. end SiBreme of Msessor Date sigied
cm�plete. �
Veify�n8 amon - si�aaae at Nidiou p� y�� �
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
386
rr.rASUUxrort�:su
nrnm:cner
Indi.�iduaL. aud mrriN couplo arc limi�ed io ore IromeycaJ ,undaN Jnlu.iion. As �he rttrip[ ol Ud� dedunion beconre�
morc beneficial, therc is morc incentn< than ecer (or homesiead frauJ. Ilomn�eul fawl causes higher ta� bills ior all; Ihere(ae.
HEA 13a-4-?OQ9 requim mipmm .vho receirc ihe hanesicad s�andard Mfunion w.erilv that �Aey ort elieiNe to receice the
benefi� ani m p�m�ide atWi�io�ul idenlli�inc in(wmauon Mcessan� m allw' cwnn� ro.'emmmt ro Wuer moni�or homesea�i
tilin�.�. This in(omution will be Aqv mntidwial anA can nnly h: acttaicJ 6. amMrizN munty o�ciuls. Thr Ikpannrem nf
Local Gm'cmment Finance ��fll u.c this fnionnation W crcatc tmis �hat �vill h:in ro�nrv ufficiaL. diminntc Irom<.uead fiaud.
Taspa��er Name Prnoem� Address
Etolen, Peter B/ Abby L
303 Sit�h A�'L
Prince�an IN 47670
Peter B Eloten �
308 N 6th Ave Stare Parcel Number Leeal Descriotion
PRINCETON IN 47670-1037
I' II I I' I III �II' II' I�I I�I I II j(26-11-12-101-002.838-028 01s-o2s3a-aoTOWERHGTS182PT
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
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Addrtsi (numbcr wd �¢cct, city, sm�c, and ZIP codr)
O�6 � (,� t't— {�}c12
ccuriry Number (last 5 diciu) Drivtt's Licrnx/;
5
ine .4ddress (Number and atrttL cii}', staie, and ZIP c�xk)
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Same ns pmperty odd+a;
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i�A $ame us pmprriy add�.'
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undersiened certifies, under penalry of pequry, that the aboce and foregoing infortnation is true and cort'ect and that he or she is tlieible to
:e the homeslead standard deduction on this propeny. Each undersiened al>o undersiands that, by claiming additional homestead deductions
,�fvlly, he or she may be liable (or back taYes and substanrial financial penalties.
I Si Datt Tdephone
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