Homestead_Meadors;� CLAIM FOR HOMESTEADPROPERT,Y��AX.;
CREDIT/STANDARD DEDUGTION
,t /�• SlattFcumS173�R6/403� . . . . .. ' �- . .
Presvi�! by tne Departmem of locai Goremm=N Financ•� . - � ' ^•
INSTRUC(IONS: See reversc side !n� �ilm9 iruln�r.finns� ' ' �� '• �: �
-�\ FORM
� HC10
YEAR
..,. : . ...- . s . � .. �'-:r �:." . x.� �;.i;:w..•.?:GERTIF ON 5T ME �'�� �, , .,�5" N: " _. .'-�, . ' �'s; :�� .
.4 .'.Y..���. _.f �/ .
I(We) ' ` certify that on the 1 st day of March, 20_
I(We) occupied as our pri cipa place of residence Ihe following descri ed real property for which a Homestead Property T�c Credit is hereby daimed:
�:� 1 (VJe) owned � � fve buying under wnlract � � � ' � �
� Have a benefidal interesl in the entity that is liable (or ihe property�laxes on Ihe property and that ovms the property or is buying under a contract.
�.a-w.5�� �,+tx* -±:t'�6 ;,'�,.,..:_".,��y,='�CONTRACT.;RECORDED�','�;
,..v�.,:s t..n:._ <. n,_.r.¢ `r"� . >, ,..-�i`�i � s� �. - . � -
If buying on contraU, Fee Simple ownefs nameA ' �
Recorders of5ce where conVaa is recorded , _ Rewrd number Page
Toxnship
7a�ing
�
varce �^^./�e./ ,,) Legal de Is Ue rty in queslion:
_� O�W`U `� ' R I property ❑ 67obile Homo (I.C. 61J4)
II any portion cf II�e residential sWUuro er the Iand not exceeEing ona (1) aue that immetliatety wrrounds Ihat siruUUre is uu0lo protluce income, describe Ne use antl portion
ol the property W!¢d tn protluce income. ' . '
County
I hereby cenify the above statements are true, correct and wmplele.
�ldress (number arrd streeC cdy,-Aafe, Z!P codel —
� /J A4 � � �ci �1 n _. �n_...
County
Tavnship
'3,.�K ,� .�tT' � "'-�°�_t ��-�•-. . f7,[s_.�,j. ... . . . r f ,. _ ,� � ... --.._v..
f rF��r �'ASSE�SSOR USE ONLYS .��.,i+.,r����� s„�� VAL.UE �. � ATE 0°/ OF};TTV� ��,,.�VALUE� �'�� �?0-N-RESIDENTIAL��..-�i
1g ...e VALUE' �
Land not exceeding 1(one) acre immediately � <..� °,?�4�3 ��z��-,,'x "S� t�vo
surrounding residential improvemenis. �(� � _�' ��•° �� * l-f zr�
���r F4,�
•.�,<r�Ru%%�..- .�
Other land ' (2) `�"3r� � � �
'4'-'.%.�'.::�.; sa���-at
Total land (line 7 plus line 2) � (3�
y�
. Du•elling (a) . � ,. " , ��$yi�y.�-'��� 4F� � y =
* c< A.���r o z+�-K'i' -7 ,� f;
Residential improvemen[s or Mnually_ �
l�55BSSed Abbiie / ManufaUUred Home r��„`. Y i�`�� �-� c�� �`:
Garage 5 cs -�"'
( ) �.`i? .,-'.-� �"�.�5,r.�,�, ..
;i 1 T
Other improvements (6) i ., r,�.�.,-�'�,��,
-�:.a%. ..os-_,.
Total improvements (line 4 fhrough line 6) �7) �
Tdal value (line 3 plw line � �g)
I hereby certify the above is lrue, wrtecf, and Signawre of nssessar Date signea
complete.
Verifying action - Signature of Auditor Date signeA
20 _ Pay 20 _ I
La>ser of 1/2 Homestead 5
Va�uauon or 535.000
StATh 10101.1351.•oR /'-00 flLtinlrm m0.V 73-IA
VP/COVED BY alrlt B 1RD Of wfl ,N1a.:tire pRF4Amm BY nor DEPARTMENT OF LOCAL UIVER. ttWi FINANCE IC 1-I.1-.nJ.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 1344-2909 requires taxpayers who receive the homestead standard deduction to tear that they are eligible to reeehe the
benefit and to provide additional identifvina information necessary to allow county government to better monitor homestead
filing.Ibis information will be kept confidential and can only be accessed by authorized county officials.The D0.pannrnl of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
• Taxpayer Name Property Address
Michel, Melinda S 98(/ S 1.44. –re
.xaau�x T t^"�)
_ - . — _- _ _ ____.__� _ - _ _ HAUBSTADT IN 47639
7227 — — _ — _ __ __
Melinda S Michel (�-
9817 S Watertower Dr
HAUBSTADT IN 47639-8801 State Parcel Number Legal Description
26-18-36-200-002.228-024 WATER TOWER PLACE 8
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
ME Nb4- S 4teeig�
41,g Address(number and street,city,state,and ZIP code) - 'Same as property address , — - -__ -
qg(q S - I, 4 fern cx)& Die NRyBSr-n_bT )ea ?
Spouse First Middle Last
Mailing Address(Number and street,city.stale,and'LIP code) Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number past S digits) Other(please specify in Part 4 below)
Sear
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Ow r I Signature Date
•