HomeMy WebLinkAboutHomestead_Miskell (10)Gibson County Auditor
101 N Main
PRINCETON IN 47670
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3910
�UiEFOR\I ��'MIL/NMI
TfAL11RfA W0.V :SIA �.
IndiviJuaLc anJ rtu;ricJ couplo are limi�nl m one hnnrcucaJ �tandaN �k�lu:non. As �he rmipt ol �his JNuninn bcconre�
mure beneficiaL �here is morc incrn[ne th�n ner (or homrs�enl frauJ. Ibme>xacl Gawl cause� higher tu 6flli fur all; thercfore.
HEA I;a-1-�f1119 rcquirn mxpapm x�ho rctcirc ihc heHncsicaJ standud eleJunion in .crity �ha� ihe�� are eligiMc w rcc.i�c �hc
benefit anl m pn��iJe aJJiiional iJrntifyinc infwmauun necrvrr w allw� counq� Ernemmrnt m Mner muniror homa�r.wl
�ilin�,�. 7}iis inlnrmatim will Fe Ae�v mnfidemial and can nnly M. accrc¢ri h�� amhnrisA mnny� offici�Js.'fhe Iky+anmem nf
Luenl Gmcrmnem FfNOtt ��ill p.c (hf5 intOmWliVn W CKJtt 4VIs that will h:lp tVUn[v uRiciaLs eliminn([ Iromcsmad fnud.
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T•rmaeer Name Prnpert�� Address
Miskell, La Sheila M
1i21 1clTcrson AVIi
Prince�on IN i7670
La Sheila M Miskell
1421 Jefferson Ave Stare Parcel Number Leeal Description
PrincetonlN 47670-2917
26-12-18-301-001.296-028 079-01296-00 BALDWIN HGTS 5 BLK 5
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�a ��R
a/-" � CLAIM FOR HOMESTEAD PROPERTY TAX
iE�: CREDITlSTANDARD DEDUCTION
. _�W .,;�� State Porm Sa73 (Fi2 / 5-92)
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I INSTRUCTIONS: See reverse side lor liling instructions.
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FORM NEAR
HC10
I(We) Q7(�_. hln n� V n. "� �_l__ "��� (ajQLY� certify ih�an tF� 7�t d�� M ch�9�
\/�.� �u�.�..�..,.4.
I(We) �occupied as our principal place of residence the tollowing described real propeny for which a Homestead Propertyp pTax Credit is here y daimed
�(TWe) owned ❑ Are buying under coniract p�QY �- " 1995 -
Nave a beneficial interesi in the entity that is liable for the property taxes on ihe pmperty and that owns the property or is buying under a contract.
If huying on contraci. Fee Simple owner's name
Recorder's oHice where contract is recortletl
County
a
CONTRACTRECORDED
PROPERTY
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-�,�a �w � .�
of the residential simcture or ihe land not exceeding one (7) acre that
Y utiliz2d to produt2 inCOme.
Record number ' Page
cinjdis�rict� ty.•town,township) , '
\ ,n .��
�" Q�.k, .5�
!ty surmunds that swcNre is used m protluce income, tlescribe the use and ponion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Counry Township County Township
I hereby certify the above statemems are true, correci and compiete. Signamr f Gaimam �
X /�7 .
��(number and street. ciry, sta(e. ZIP code)
ASSESSOR USE ONLY � TRUE TAX - ASSESSED HOMESTEAD NON-RESIDENTIAL
. VALUE - VALUE VALUE VAWE
Land not exceeding 1(one) acre immediately
surrounding residen�ial improvements. (�)
Otherland (p)
7otal land (line 7 plus line 2/ (3) I
Dwelling (4)
Residential improvements
Garage (5)
Other improvements ' (6)
Totai improvements (line 4 through line � (7)
Total value Qine 3 pbs line 7) (g)
I hereby certify ihe above is Irue, correct, and Signature of Assessor Date signed
complete.
Verityirg action � Signature of Auditor t ig d
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? STANDARD DEDUCTION ALLOWANCE ' �
� 19_Pay19_
Lesser of 1/2 Homestead � � � � . �{' ,S
va�uation or Sz.000 AUDITOR�
Signat e� fAUdiror � � Date�.�gn� ��
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