Homestead_Cooper�� CLAIM FOR HOMESTEAD PROPERTY TAX
Yr CREDIT/STANDARD DEDUCTION
�� S[ate Form Sa73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side �or filing instructions.
FORM
HC10
YEAR
� ,_� :. •_ .� .- , - ' � . �.�`.. � . �••;CEflTIFICATIONS,TA7EMENTt.:sr.� : ��. -.. -r: .r �j.-. -:e.�
I(We) cenify that on ihe 7 st day of �March, 19_
I(We) occupied as our principal place of residence th following described real property for which a Homestead Property Tax Credit is hereby Gaimed:
�� I(We) owned ❑ Are buying under contract
Have a beneficial interest in the entiry ihat is liable tor the property taxes on Ihe property and that owns Ihe property or is buying under a contract.
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If buyirg on wntrac6 Fee Simple owner's name
Fecorder'S ottice where contract is recorded
Page
� - . .-.. - ". '.. PROPERTYDESCRIPTION � J.: V COi"S ".: - � . .
� „
Counry Township Tazing distna (dry, rown, rownship) - �
P celnu er Legaldescription 1 � ^ �— —' I '` /� � �
IJ UC �
If any portion of ihe residen[ial structure or the lantl not ezceeding one (1) aae Ihat immediatety surtounds that struaure is used to protluce income, tlescribe ihe use and portion
ot Ne properry utilized to produce income.
•
� ' - � PflOP.EHTY OWNED BY CWMANTJN OTHER COUNiIES
Counry Township Counry TownsNp
1 hereby Certiry ihe above Statemenis are true, correCi and complele. Signature of Gaim nt /'� c�
L%
�Te f berarMstreet,dry.state,ZlPoode) .
O I�CG � %G %�
� ASSESSOR USE ONLY ' � TRUETAJC ASSESSED HOMES7EAD .NON-RESIDENTIAL.
. � � .. �- �� �� .VALUE` �VALUE VALUE . VALUE
Land not exceeding t(one) acre immediately � �'^
surroundingresidentialimprovements. (�) • �
Otherland (2) ' �
Totai land (line 7 plus line 2� (3)
Dwelling (a) .. . ,
Residential improvements , .
Garage (5) '
Other improvements (6) �
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
I hereby certify the above is Irue, correct, and Signanre of Assessor Dare signed
complete.
Verityilg action - Signature of Auditor Date siqnetl
o� Auaitor
79_Pay79_
Lesser ot 7/2 Homestead
Valuation or $2,000
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
1998
llAiEfM.4!l'MIL/YNI
mrasuvnwxwau
NdividuaL. aud irt�rriN couple am IimilM to ore homc.3cad 9andaN �:tlunion. As �hc rereipt ol this dcdunion hcnmes
morc benencial, tMe u more incentn< than ner for homrsteaJ fiauJ. Ilortavr.tl fraW ous� highrr ia� bills for all: �rrtFae.
HE.\ 13Ji-?fH19 requim ia�pacen rho rmive ihc hanes�caJ standa�J deJunion in .eri(y ilu� iM1cy a`c cliciMe w recene ihe
brnefil amt lo pnr'ide a�kli�io(ul idemfiyfnc infwma�wn nece+sarr tu allw' counrc �nemmrnt �u bet�er muniror homcs�e:xl
fili��,a. Ihis infnrmaiion x�ill h Aery mnli.ieruial and nn onlp l+e anrzceJ b}' auiMrireJ ronnry� ofiicial+- 7'he Uq+annunt of
Lucal Gm'ommrnt FivMe �� ill ua this iniormazion w crca:c [wls Ihm �cill hdp cvun�� uffinal> elimi�ui< homenead tmuJ.
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Ta�naver Name Prnpertc Address
Cooper, Brenda F
Brenda F Cooper
1539 S 100 W
PRINCETON IN 47670-9352
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State Parcel Number
2s-i i-za-ioo-000.zoo-oz�
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; Addrtv �numticr ond sucei: cirv. stace.-end�Z[P codcj —�– P
3� S I DD �1�J i�fi ► n10E To� �n_1 t�7(o7D
iceurily Numbn llast 5 dieiLC) Dm�a's Littrtsc/Siam ID Nmnber Qasl 5 digiB) Oihcr (plcice sF
cc
.Addreis (Number and sutt4 di}', swte, :+nd ZIP cude)
fD Ninnbcr (la t 5 digits)
Ochcr(plcasc
ar i �bt io?
Princrwn IN 47670
Leeal Descriptian
006-0020400 PT N W 24 2 11 1.776 AC
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1'an 4
� s�� :� P�oany aaare,;
Pan 4
Fach undersitmeti certifies, under penalry of perjury. [ha� the above and foregoing information is we and correct and that he or she is elieible to
receive the homes�ead standard deduction on this property. Fach undersiened al;o unders�ands that, by claimine additional homestead deductions
unlawfully, he or she may be liable for back taxes and substannal financial penalties.
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