Homestead_BeckCL4!M FOR HOAAESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
sh0e Farm 5473 (R7 � 5-061
Prasvbad by tlie Depertrnenl aF Loral Gavernmaq Finanae
INSTRUCT70NS: See iaverse side !a Rmg instrucSons.
. , . . _ ... . ^.' �:.� � : ' . . . . , .. .. � . ' '. CH2TIFICA71
FORMI
HC10
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i(we)� 4'1L/_v1 �.�c-C.CC� FFB�r�ty}n�d�};���aayor�n,zo_
I(We) oca�pied as aa pr"vidpal place of residence the toBowirg desrrihed real property for whid� a HomesOesd Pr/o�p�a!ty_ Tmc Credt is hereby daimed:
� � iWe) owned ❑!ve buymg under contrad �p ±} N��+'""�F
Have a benefiaal crterest u� the rrtiry ihat is liade Wr ine poperty t�ces m ihe U
pfoperty and���It�pq�f�fCrt¢NFSei�irg under a contract
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It buy"og on m�tr'ac1. Fee Sirtryle o�rtefa rvrre � �
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Camb Tawra�eP
=SCWPT7IX�1- . . ., rv -,'�:.
Tmm�g d'attil(dy, lrnnt. towtuldp)
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n ery partion orun Bsidential sln,mne o. ma lare na m¢eednq a,e (1 � ave mat:nrr�iam�y a,nm�A mm ffi�,mre is uaed ro w�+�e nmma. dea,be u,e � m�d pntion
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;,'. ,� f.. ''' TRUE�.TA7C ASSESSFD VfILUE H01�STEAD z�NON�tESmElJ71AL�',�'i .,A�-
. `- .r . . ASSESSOR USE ONLY n n VALIIE. � � � ' ;AT t�G OF TIV ! `; . � VALUE t : �. < -? t-ex.5 t�, S.,t�VAUIE �. �.ti�f�.�.?:
�8fld f101 BIfOCCd1I18 7(O//B� 2CIC IRtf18681£Ij/ .; �f �i a����, �ts`t j y�.'�`r r� ��Q ��r�!
smrourW'vg residen5alimproremen�. (�� � +� � �,i� ,�?r �Xs'��"7=(��.�'�i��S
OUier land (2) • ��x s
Tttal land (line 1 pkulare Z) �g)
.,Y 1 y(}�§�al l r 4 wiF� 2'�s`
Resdenti2l'vnprvvertienlSaMrwally ���9 (4) "� ��f3�'`,�"�"�7'i '".4�:"Y�rt�,"F
,r. sr r -�s" �.. b� 3'i.
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Gsre9e (5) -�r fY;s:��:%,�'}t:��•'..5...:''1:i,?,�"y.��,'
5
�v �� ��� Y � 4� S . �t t
YIW ,.a.�n5r..i
Tdal 'vnprovements (fire 4 Uvou� 6ne 6) (7�
Tdal value (1'wre 3 pks Gne n (g)
I hereby ceNy ihe above is true. carted. ard S�e�ae of n�r oam sg�ed
wnplete.
Vaipdr9 adian - Sipreme ot Audo� Dem eigtwd
2p _ Pay 20 _
Lesser aF 12 HomeSead
v��ae«� o� Eas,000
s
p
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0
Gibson County Auditor
101 N Main
PRINCETON IN 47670
2182
tLUE fORM!l'Mlll'IYYI
A��RP'il1Bl"[�.\TEBp1POQ 1!�<���T�.1�x
MASI:RFIIMR4I�A
InJividua� anJ rtu-riN mupin are limited io orc home�ead yandaN �lu.�ion. As �he receip� of �hi� deduc�ion hconre�
morc beneficial, there is morc incenm�e dun c�er (or M1omntead (nuJ. IlomesteaJ fiaud causes hi�her �aa bills tor all: the¢fae.
HEA li4-i-]009 requim taapaym who rarivc iM1c IwmestcaJ Uandard Mdunion to .e�ily thm thcy are eligiMe to recene the
brnefit an1 ro p�m�idr aMliGOnal idenuirim_ infumu�wn necnnrr to allow counn� nw'rmmenl eo Nrter monitm IwrtraeaJ
filir�,�. Thic in(arma�ion will be l,qw mntidmiiil and on onk Fe airn.eJ br awlwmnl counry� nRciul.. The Ikryunnxm nf
I.ual Gorcmment Finmrce ��ill mc this infurtnazion w crcatt 0.�ul.a Out �rill help cwnrv o�Ticiab diminnc humcstcad haud.
.•, ,' ,"
Ta�parer Yame Prooem• Addretis
Beck, Ann
Mn Beck
3170 E 50 N
PRINCETON IN 47670-8914
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State Parcel Number
26-12-03-400-002.173-027
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317o E� o n� �iZi"n/c..e�on� li,�
.4ddress (Number and slrce4 ���y, smlc, and ZIP cuJe)
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Drivcrs Liccnsc/Stacc ID Numbcr (Iazt
R?13oz?29A ^ O
Princeton IN d7670 I/ I
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Leeal Description
00&0217300 PT SE 3 2 70 7.007 AC
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�7� 70
� Sume as pmpeny addrtss
undersigned certi6es, under penalry of perjury•, that the above and foregoing information is we and wrrzct and that he or she is elieible to
;e the homesiead standard deduction on this property. Each undersiened al;o unders�ands that, by claiming additional homestead deductions
.�fully, he or she may be liable for back taxes and substantial financial penalties.
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