HomeMy WebLinkAboutHomestead_CoomerCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
t / Stata Fam 5673 (RS / 10-07 �
••a Presrribed by Ue Departrnent a( Local Gavemmem Finance
INSTRUCTIONS: See reverse side for (ling ins[rvctions.
FORM
HC70
YEAR
I(We) ����� �` �', " / " � , certify�onRy�he'�lsld�ay`o�_(�M.ar�—
I(We) occupied as our principal place of re idence Ihe following described real property for which a Homestead operty'jT�d6reCitis hereby daimed:
❑ I(We) owned ❑ Fve buying under contracl pP R 2 5 2003
� Have a benefidal interest in ihe endty ttiat is liable for the property taxes on the property and that owns lhe property or is buying under a contract�
I( buying on conVacl, Fee Simple awnefs name
Recordefs ofice where tonVaq
��ry �ai�Sa�✓
Parcel
'///(,/�
If any portion of
olthe propery�
n
Record numCer I Page
7avnship [`� � Tacing tlistrict ( Qtow�n, �tow'n/ship) �\ � '
� � // /U/�s� �/1J
Legal Cescripli/on Is the property in on:
�- �C� �(� -.z -� D� Q � Real property ❑ Mobile Homo (/.C. &f.1-� .
cNre w nd exteeding one� y1) �aa�e ihe� i metlia rro nds Nat swcWre is used to produce Income, Aescribe Ne use antl portbn
� K R l-rrt a- �d�° C�� .
20 _ Pay 20 _
Lesser of 12 Homestead
� Valyation or $6,000
S
Signatura of Auditw /� � /�`� // � I Datepigned �
C�C/)/ �L,C�"� � f 'Y��19
t�:
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
3576
�TATE fORN �� W I�l' / 4N1
TREUUFEII P]0.N IDI�
PRFAWBm�Y PIf DFtM1NF!!fi L(F-aL GHYLVNt�T iQ:nMCF.ICH.bL�.l
InJiciJual,c and inattiN couplr.: are Iimi�eJ �o ore home�teaJ �randaN ANuaioa As ihe rereipt ol this deduction t+ecomes
more benenciaL �here is morc incrntne than e�er for homeiteaJ fquJ. Ilome��eacl fiaW causes hi�hrr ta� bills (ur all: therc(ae.
HEA I;A-i-?17W rcquim uap�pen x�ho mccivc Ihc hanest:aJ Fldflddld dIYIuCl10O b vflth' lfldt Illev are <IIfIMf 10 rtYCne �Ae
brneFi ani to pnn'idc akliuo�ul idemiirin_ infwm�t;un nea��an� to alluu� counn� Fw'rmrt�� to Mner moniror Iwmecttad
filing... This inlomu�ion will be Aryw conlidtntial mA can onl�' h aere��M M1y aWlm�vnt counh' olTiciv6.'Ihe Ikpannunl nf
Lucal Gwcrtvn<m Pi(uMe will u•c this iniormmion w arwtr twis �hat �vill h:lp cv�sn' ulTicial. diminve hczncsicxl fiaud.
.'' ,' ,
Taxnaeer Namr Pruoert�� Addre�s
Coomer, David C/ Donna Jo �a3 �� )505
Princcton 1\ d7670
David C/ Donna Jo Coomer
2234 E 150 S State Parcel NumAer - Leeal Description
Princeton IN 47670-8720
I I II � II I III I I I I I III I' I I I II 26-12-16-400-000.361-027 oos-oo361-00 PT SE 16 2 70 7 AC D-70
� �� ��� � �� ��� ��� �� � ��� �� � ����� �� �� �� � � __ HeightSChapelEstatesLot2PT(4.39)
cr I Firstl Afiddl<
��%��/f� �/��L
�g Addrcss (number end san�[, city, smlc, snd ZIP code)
� � 3 �i C . �5o s". ���,vc� "Z`
J Seeuriry' Numbcr (las� i digi6) Drivtr's Liceme/Sute ID Nmnber (last 5 di_ib) Oth<r (pl e
�=�� �
nc Address (Numbcr and 9rat, ciiy, staie, and "LfP cale)
�Z�- 5 (� � , �S6 --�'
�!
����
��s, � �:_ :_,
C�ODi'yJ c lK
� sam� � P�oaRy aaa�; ---
��J �7G
z
specify in Part 4 below)
� $ume :ss pmpeny addreas
�
er penalty of perjury•, that the abo��z and foregoing infortnation is we and cortect and that he or she is eligible to
deduclion on this property. Each undzrsiened also undemands that, by claiming additional homestead deductions
ible for hack taxes and,'subsWn[ial financial penxlties.
�/�//�
���%�
��� ��