HomeMy WebLinkAboutHomestead_Coomer (8)°'° CLAIM FOR HOMESTEAD PROPERTY TAX FORM Y�R
r. -� � � CREDIT/STANDARD DEDUCTION HC10
State Fortn 5473 (RB / 7-07)
•� � Prescnbed by Iha Deparimem of Lo�l Government Finarxe
lNSTRUCTIONS: See ransrse side for filing insWCtions.
1(Y✓e) � U r1"W/�� cerGrythatorgfEePst�la9o��&h,20_
I(YVe) occupied as our p indpal place of residence the following described real properry fw which a Homestead Property Tac Credit is hereby daimed:
� 1(We) owned ❑ Are buying under contract `�y/ ��
v�
Have a benefiaal interest in ihe entiy Mat is iiable fw the property laxes on the property and that owns the prDREM N C�NTY AUDIT R��t
����sa
If buying on contraa, Fee Simqe wmels name
RemrCNs office where conlrap
Tamship
LegaldescnpGon
i a�
Tacing district
Is the
I Record number I Paga
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7in� question: y--
� r7eal property ❑ Mobile Home (!L 6-1. 7-n
If arry portion of ihe residential sUUClu2 a Iha land not e:ceeding ona (1) acre ihal immediately surtounds lhat sUUCture is used b produce inwrtre, describe the use aM portpn
of Ihe P��PartY ulifized lo produce inmma.
�. � � • .� � �
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LarW not exceeding 7(w�e) eae immediatety ` i K':` . � z`'�
sunoundingresidentialimprovements. (�� - � { �� �- -
Other land �2� � '
Tdal IarM (line 1 plus 6ne 2) �3�
Dwelling (4) � ' ' - :.. .
Residen6al improvemen[s w Mnualy ' s:,'.-
Assessed Mobile! ManufaGured Home � �
��9e (5)
Other improvements (6) � � -
Tdal imprrnements (Irne 4 through lirre 6) (7�
Total value (line 3 pfla lina � �g�
I he2by certify Ne above is true, corretl, a� SignaWre ofAssessor Date signed (month. 0ay, year)
complete.
Venlying adion - Signatura of Auditor �ale signed (mmih, day, yea�
�s!_ Pay 20 _
Lesser M 12
Homestead Valua�on
w
45.000 for 2007 pay 2008 42,000 for 2010 pay 2017
44,000 for 2008 pay 2009 41.000 for 2017 pay 2012
0.3,000 for 2009 pay 2010 40,000 payable after 2012
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
1623
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.V �RIT'EO PT ti�lE BII�YDIq MRt1l\il brv
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IndividuaLc anJ mvriN couplz. arc limi�ed to ore homeaead �aiMaN �L-dunion. As �hc rettip� of �hi� dedunion 6eca�re_
more benencial. there is more incenmx chan r�er (ar hamuread fnuJ. flamesttaJ fryxl ouxs hi�M ta� bills for aIC che¢;a<.
HE.\ 13i?-?IX19 requ'vn uxpa�en xho r.ceire ihe haneseeaJ standard deJuceion to .erify �lu� �M1cy am dicible io rteci.e ihe
benePo am1 ta pmviJe :rkliiional iJentiiyinc infomiatiun nemsarv to alluu� county Evnrmmrnt to be�mr moniror humesteaA
filinb�. This inlarmalion wiil Fe Aryv cm7ldentinl and on nnly F�: attessed by aulhmiznl roumy nfI'¢ials. The Ikpanmrni of
T�snaver Name Prooertr Addretis
Coomer, Ryan M/Cara J
R I Ibx ?67 A
Princc�on IN d7670
Ryan M Coomer
130 E 200 S State Parcel Number Leeal Descrintion
PRINCETON IN 47670-9263
' I II I fl I�III � I I' I I'I 'II II II„' �I I 26-12-19-200-000.611-027 p�6o-00611-OOPTNE192101.035AC
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This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
0
e Address (number and st�Ctt. city, smte, end ZIP code)
I� c� � aO�
$ecurity Number (6st 5 dicils) Drivefs Limnsc/SUte ID Nmnbcr
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C�o w�e�--
� $ame u pmpenY addrtss
in Part � below�)
Fach undersigned certifies, under penalty of perjury�, [hat the abo��e and foregoing information is true and corrzct and that he or she is elieible to
receive the homesiead standard deduction on this property. Each undersi¢ned al>o understands that, by claiming additional homestead deductions
unlaw�fully, he or shz may be liable for back taxes and substantial financial penalties.
Owner I Sie�uLUC lhtc Tcicphonc
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