Homestead_AbellIr
CLAIlLA FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
smm r� sar3 �t� i sus)
Raffibed by tlie Dapertrnml of Lool Gorertrrerd Frw�
wsraucnavs: s� �re� �da �o. �r�,y ��.�am�.
FORM
HC10
�
_
I(We) ��(�t.f / l� �.��K Ci1 cerlih' ihat on t�1�t �y01 MAhCh, 20_
I(We) occt�pied as an pr"c�dpal plaoe of re�sidence the foBowirg desa�bed rral propeAy fa whidi a Hanestead Propdty Tac Ctt,�t is hereby daimed:
`� I(We) owned ❑ Pre Wiyuig unda contract '�
Have a benefidal'vrterest ui ihe entiry Mat is liade 6or the property �xes m ihe popaty and tl�at owns ihe pro�l�3�iA h&$�i�lT �
1 .,i:' ` y .� 1,.. >A _I�.:�: �. CON7RAi'ii.RECORDm4 c 'e..`' S`'�''�`5F.✓'' :i v�'t.:.. ..� t�. �.;:r`:Fi{.`i ? .r!.�iY. `� `�
;�`��: ?#, ti.,s:
K blly�q on �ih'dCl. Fee $In�IB arll�ef8 118rtIB '.
f�mrdefs oRce wliae mtred'u recadad Reaord numhe� Pege
Tart�ship
���,°'� P�S� a
��. �S�-��
�;.,: _
(d�: mwn. hf
��,_
ICQ
�b�
n ary portion a u,e re�da�l sN,are ar n»la,d na esea6rg are (1 � aue nml:IVneaatey onroiu� mm �,mae is usea m pmm,ce nmma. dasome ma �me ana parrtlonn
d ttre P�KY �f¢etl b protluca rtmmrie.
� t�' �r � ASSESSOR USE OMLY `�-� '�Y fri *i."y.n`'xk. :� TiN1E�TAX E AS�SSED VALUE + F10lffS7EAD` �_�t i"��NONfiFSm6J71A1.���
+;.e�+'x a._..@, t. �J;.g,�i''+w VAGIE;�� AT100%OFTTV ,n,:V/1LIlE.�..:�,^'k�l..?'"d��tVALltE:7 �`L. ,��:..
Lend not e�rg 1 (on9) aae vrtr�a��y (1) ` � � ,��'�`e �" F ,�Y,� ��� ��„�
s�aro�ridig residential improyerrwnls. fn��s. �!.r�4.r.r'��.?5F ���'�...a,w-�.��
�'i':: %�:a:�•� .
�_ �''
Other tard (2) rr;�'.V�'. ��;±%.°:.
. ? � , ..
TU� land Q'vre 1 pkrs fnte � �g)
'L V[ i tk •- e e. y i'x k
fZf31df11h8� C1IPIOV@1.1E(f�$ Q iVl(412�� ��� (4) '�?tJ :Z��fYZ':+��!..4>v.a�/.k1..�i �� �� Y
0.sesBd M060E ( A1anUfamied FIOff18 � f fi�xf+'���,✓ �c"�.,<�,i�3,�r$j �-�
Ga'age (� *r�dai wt r .tt� *�.� 3
i� �t���z_. i �J7 F,.:.tat''�+.?!i��
:�i �
J 5 .j '�
��1@l �I�lOV�f1�1iS �6� f..ir �1_n �i ��.�3 n�-'i.V':.
TdH� Qf1�fOV@ff18f1�5 ��VIB 4 iiVdl�1 61IB � �]�
Tiial value (/'v/e 3 p6s Gne � (g)
1 hereby certify tlie above is true. m�eH, and Sg�re MP�aesmr Date %g�ed
��
Veilyirg etllm' Sig�Lae of A��imr Date a�+ed
20 _ Pay 20 _
Lesser of 12 Homest�d
Vahiation orS35�000
Dab
Gibsnn �,ounty Auditor
101 N Main
PRINCETON IN 47670
' ;�/' _'_�_ _'
,99
Eric A Abell
2843 N Hwy 65
PATOKA IN 47666
Sl �TE FORM!)'M III_' / )+M I
RIiISUREA 100.V :11A
IndividuaL. and m�:riN coupl� are limitcd lo ore hom�vcad �undvd Anluction. As �hc re[eipt ol tltis deduc�ion Mconre>
mere benencial, thrrc is morr incrntne dun e�er for homesteul (`aud. HomnreaJ icwd caaces hi�her taa bills for all; thefefore.
__�__HlA13L7-?OWrequilnuapa�ers�M.reccire.�hehqnesMad:sinndvdilvlucrionin.veri(y.tivU�hey-omelisiNe.ro:rz�eivetM— —� —
beneni and ro pmcide adlitional iJenti(ring information nemsan� to allw' eaunn� gmrmrtwnt m b:;rr mmitor honmmal
� filim�. This informalion will Fr Aryr mnlidcnlial and can nnly bt acresuvt hy amhariiN rnunlr o(ficials_ Thr Ihpannmm nf
Loeal Gwrrtvnem Finanm will uu �his iniortnation �o crea:c [aile �hat will hdn cwnrv n("trials diminrm Mmea�ad fa��A
Taxpaver Name Propertr Address
Abeil, Eric A �
RI Boa 171
PatoAa I\ a7666
a �y i ���,`'''
State Parcel NumAer Leeal Description
26-05-28-300-001.451-027 oos-o1a51-oo PT SW 28 7 10 .577 AC
ai
- — �
'`
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.
�• �
Owner I First MidNe Lut
r" c� !� l A��1
� ng Addmss (number and sttee4 rity, smte, end ZIP code) � Sume ac p�apeM addrcss
N +_ P�i . L� P�-�o KQ .-�-�v y 7C�(do
Social $ccuril}' Numbrr (,last 5 dici�s) Drivtrs Liccnsc/Slate ID Number (lazt 5 digils) Othcr (plcue specify in Part 5 below)
�
Spou;e First Middle Last
- Mari e � b�l l
Maili� .4ddre�s (Number and Nee4 city, sW1e, and "LIP w1k) � Same as pmpeny add�as
� 843 N r Rd. . � � �7�
Socal Securip� Number (last 5 dieits) Driver's LicrnsdSute ID Nwnber Qac� 5 digits) Other (plcice specify in Part 4 helow)
— — _
_ �
Each undersigned certifies, under penalry of pequry, that the above and foregoing in(ormation is we and correct and that he or she is elieible to
receive the homestead standard deduction on this property. Each undzrsiened al;o understands that, by claiming additional homestead deductions
unlawfully, he or she may be Ifable for back �aees and substanrial financial penalties. .�
Owner I SiEmatwe Det: 'I'clephonc " �
� � y/7 �/o (
.�� � , � -
,�'
�