Homestead_BegleCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R8/7-07)
� •� Rescnbed by the Department d Loral Govemment Finance
INS7RUCTIONS: See reverse side /or fiGng insLUCtions.
FORM
HC10
��
YEAR
� � � � �
� �''�e) L� � � ��-v� certify that on the 1st day of March, 20_
1(We) occupied as our prindpal place of residence Ui olbwing described real property for which a Hanestead,Rtoperty�it is hereby daimed:
1� I(We) owned ❑ Are buying under contrad Gn �/r� Q �'
�� Have a benefidal interest in the entily that is IiaWe fa Ne property taues on tlie property and that avgs�ff�prO��iis ouym�der a wntraG.
N b�rying om m�VacL Fee Simqe wmefs rmma
conUaa is recorded
Tamship
Is Ihe
Record number
❑ Mobile Home
Page
61J-7)
tt arry ponion of ihe residerNal sWClura or Iha lantl not �ceedirg orw (7 ) acre that imm�ately wnamds thal stnictura is used in produce inmrtre, desuibe the use and ponbn
of Ihe property uUGZed b produca income.
•- �
� � . � � �
��•. •
Land not ex�rg 1(orre) arre immediately <�� ti: �`-'�>-� � -
surroundingresidentialimprovements. (�� - � �-�-�`=+�� �
O�her Wnd (Z� iY:: 'c:•,.-t:. -;S{.: — -
ii:. �;�,:i.ti�^
Tdal land (line 1 plusline 2) �3�
.:}.��.`-4' �'Srxy Y"-'ti� a i �. ; � y. �
Residential imprwements or Mnualy DweDing (4) �., Y s^-��R ysY -� ,� }�j,
Assessed MoMle I ManufacWred Home : �'*s,•�� tE��. �s "� . � - � - :
Garage ($) ;� �was����,;��s`r �:,><". TM `n,r,'.
,. —
•;';-,•°_ .. : —
Other improvements (5) :- hi�_ r.:;
.J
Tdal imprwements (I'me 4 through Gne 6) �7�
Tdal value (line 3 p!'s Urre � �g�
I hereby cerfify the above is We, correct, ard SignaWre of Assessor Date sgneC (monN, tlay, yea�
canplete.
Vaifyirg action - SipnaWre af Auditor Da1e signed (mon1A, daY. Yea�
20 _ pay 20 _
lesser M 12
Homestead Valuation
w
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44.000 for 2008 pay 2009 41.000 for 207 7 pay 2012
43,000 for 2009 pay 2010 40.000 payable after 2012
Y d�(p y
�lVE1nM1N!)HIM_/!�nl iRFASLAFR Po0.4 SIA
.ViPtn'E1�bl<IUF.En1ROnFXRAiyla,:o+ pRl9W�FII�Yi11fDEYARi�ff:li(FLqAIGInP0.VMfMfO:A.\'fF.lfo-l.l-L'-�.I
Gibson County Auditor
101NMain '�' � � � 1 '•�' • � •
PRINCETON IN 47670 � InJi��iduak anJ marriN coupl� am IimimJ io oce homcuc�J �tandaN Jalu.iion..4s the rccrip� ol ihi. Jnluctinn bccnme�
more bcneficial, ihrrc i. morc incenme tlun c�er for hunxste'sl G.mJ. Ilon��eaJ $aud causes higher ta� bills (or all; thercfae.
� HEA 13J-i-?UM requim uipa�m who recei�x the hnncstr�d slandaN Jcdunion m vtrify Iha1 thcy me eliciMc lo recri.e ihe
benefit anJ ro p�a�ide addiiional idennfyim_ iniwm��wn nemyn ro allw� counn� gmrmmrnt ro b:iter mm�ror homesttad
filin�y. Ihis inlnmutinn w�ill he lcpt cm�i�!ential enA nn nnly h� artt.� d by amiwr¢eJ cnunly oIT¢iuls. The Ik7wnment of
Imal Gov<mmem Pinance �cill mc �hfs infurmarinn m crcam uvJs �ha �rill hein mmrc ��fTi�iak �limin.m M�mra.ad h..��d
3527 -- - - - --- - - -- - - - -
Chad S Begle
1501 S 350 E
Princeton IN 47670.8814
�i�n��in����n��n���ni�n�i�����ni��i�ii���inin��i�ii��
Taapaver Name
Begle, Chad S
Prnpem� Address
I501 S 350 1:
1'rinccion IN d7670
State Parcel NumAer Leeal Description
26-12-15-400-004.340.027 Oo&01463-00 E SE 15 2 10 42.8020 AC
� D-10
1' 1
Owner 1 First Middl< Lut
C�a� �,o� B e �e
ngAddress(numbcrondsam�,ciry.stetc,endZlPcodc) -- — - --- �-5amcafpiapertyadCrccS ----- — " - —"-
/50l S 3�5o E P�,�«�o.� , r N y76 70
- Social $ecurily Number (last 5 dieils) Driver's LicensdSlate ID Nmnber (lazt 5 diEiLS) Other (plcsse specify in Part S bclow)
S�au;c First Middlc Lact
Llcr0. %�ari� ge ��
Mailin¢ AddreSti (Number and svee4 ciq', slate, and ZIP cale) �$:une us pmpeny addrcss
Sceial Sccuriry Number (last 5 digits) Drivcrs Licensc/Sutc ID Numbcr (la;t 5 digits) Othcr (plcuc spccify in Part: bclow)
,. . ,
Fach undersigned certifies, under penalty of perjury�, [hat the abo��e and foreeoing infonnatiun is we and cortect and that he or she is elieible [o
receive the homestead standard deduction on !}:is p:operty. Each undersiened also understands th2t, by cfaiming additional homestead deductions
unlawfully, she may be liable for back taxes and substantial financial penahies.
Owna I S Uatc 7'cicphone
y 7-ao�o (
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