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Homestead_FrizzellCLAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION Sh� Fonn SrTd (R7 � 5-0� Pmaoibad by the Dep�6rient of Loml Gouamae Femim �NSrnucnavs: see �rse 5;ea ror A�ny mso-�a�,�. : ,_._,.. . FORM HC10 � i cwe) / o�y a�� o� a� �� dey a r,�ara�, zo_ i Mre> �,�a 85 «� �aPm � a�d� a� we��y e, ��i � ra �.m� e H��ea �Y I�`3��$E16 n��, a��a: ��(We) owrww ❑ ae buymy urwal mnvaa Have a benefiaal crteRSt m fhe entiry tliat is liahle 6w Me popeAy tazes m fhe popaty and C�at owns tl�e pro�j�j �,is,�i�g�under a mntrad 3=. -; t - - �: a :':`-'. tt My'ug om m�tracl fee Sirt�le awefs rema F'���'�1ST.�.^I Canry -' '4i Recad number � Page ��.-D�-103-OLb?. �3�t� � �'� � � � ❑ ���,�.�. 6,.,_n n ely pwtion au,e �deMial swmae ar me tmw nal m¢eednp one (1) eoe nml:nmada�ly nl�mm maa sCUmae ia usea m proEum nmme. desaba me �ae ana pu0on d��.�m�� �� � a��, , ... �. a '-s: e:' ,x�'�.:iv�j''PROPQifYOWNED�BYiCLA01ANTd�OTHHtCOUNigSf{,.:�:.��'' .• (.�,?:3°e.",..., :%.,..Ci=;',$n�t .,�r. Counry Tanship Counry Township � rcreoy oer6ty me above sm6en�ents are we. oor.ea a�d oonpem. �'ahi'a °� �""a (nunbera�d meet oA: sate. Z�mee) . � ' ASSESSOR USE OP1LY . ' �2 � �r�?' : ' TRUE.TA7C 4 ASSESSED YALUE FIOI�STFIID ` ' � �' NON�tESmBJ71AL�'«..��3"] , • n t;�;� i� .4 r!�k,p it VAUIE.; ��AT100X�17V� r ' VALUE ...�. .1...«.,��.i,�~.�V�Ca H',±�T"v" �,e:? .� .. .. .;' :.. � '- . . . . ..:.._:. . _ , . �... .... ..., .. . � .,. .:.. ��. _... . Lend not el�eedng 1(onB) eCle ilm�ed8tely •• � e�7 �}'�::r L� r� �. q� 3x � i.f s�moimd'agresiden6alimprovemenis- (�) :v �i',}�.a`'�"�.;aSa�F::4n.$�e�`h4�?4�i : r x � Otl18f�8(Id �Z� � J ��''� �.2�x.::.. Td� land (I'are 1 duslire � (g) ' � ��t� �i i 3+i�'�"��x'�^; ResdenfielunprovenentsorMrciafly ���8 (4) �;�,.tfi�n��.�,�'��na��„`�!_u�'�'c��r,�i,f Assessed Mobi7e l AAanu;achned Hort�e �, u, rf;.nr 4 � r: +� ��e �5) � , �s} v�Y�FJ�x*�7 �lf:fM��£: �. ,: : _ �M1 �...�..,::.���J d�� ii�s..�e�..l# Olhef vnPfOV¢�i1CfIL5 �6� .,�;;��i_ �� i':` Tdal'vrry'overt�erAS ((are 4 Wou� 5ne 6) i� Tcfal value (f'are 3 pds ffne � �g� I hereby cerfify fhe above is true. cared. and Sigr�+a MASaesmr Dam s'gied mmplete. Vairyinp aeim - Si�a4aa dMde� Date signed .[ p �I�\YMR�/ YCYY4 � R 20_Pay20_ Lesserof i/1 Horr�estead Valuation ot 535.000 E Gibson County Auditor 101 N Main .� PRINCETON IN 47670 � 2525 IIAIE iO0.M �!]M I� /!�MI 1RfAS41lE0.fO0.M �YI.� InJiriJuaL. anJ marrinl <oupb arc Iimiied io om homcuead �randaN dcilu.uoa As �hc rtteip� ol �his Jedunion bttronrcn more beneficial, therc fs morc incenme ihan ecer (or M1omesmsl framl. Ilomesrcacl fiauJ <auses hi�her �a� bills tor all; iherefue. HEA I�ii-NH19 requim u�pacer+ x�ha r.ceire thc hanevrad standarJ �kvluction to verily ihat thev am eligible io rec.i.e ih. brnefit aN iu pnn�iJe mklitional iJemiirinc fnfumcmm� nceessan� to allow' rnunty gwrmment to betrer mmiror homes�eaJ fili��_ �Ihix in(mmalion x�ill he Atpl confiicnlial and can nnly F.: avtte�cd b�' awMrizM rounq� oniaials.'I hr Ikpanmem nf 1 ural Gmrmmrnt Pi�um�e ��ill u.c this inio�mmiun tu crca[c 4vis �hai �viil F.:In �amp' ofisials dimi�u�e hom<stcaJ traud. Rennie Frizzell 427 W State St PRINCETON IN 47670-1343 I�I��II���I�II��I���III������II��II��I��i��ll���l�ll���l�ll��l ner 1 Firstl ��,�,�� �. �Addr�.v(numu�run�'4��s t�:and I�dc)�� ^ �.,, �;,� ; , _ Other (plcuc specify in Part 4 below) ► s;�,� :� P�y�m �d� spcci(y in Pan 4 bclow�) undersi�med certifies, under penalty of perjury•, Ihat the abo��e and foregoing infurtnation is We and correc[ and that he or she is eligible to ,e the homestead siandard deduction on this property. Each undzrsigned also understands that, by claiming additionai homestead deductior +fully, he or she ma}' be liable for back taxes and substantial financial penalties. �.. (� ��� �.�moi � ��� �/ ► � -,I / ' • 1 • ' • '/ �