Homestead_CoyleCLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
t.•y � Sfate Fortn 5473 (RS / 10-01)
Pracribed by the Departrnent of Local Govemment Finance
INSTRUCTIONS: See reverse srde fo� �ling instructions.
� M'e) Vi certii
I(We) occupied as our cipal place of residence the (ollowing descnbed real prope for which a Homestea�
❑ I(VJe) owned ❑ Are buying under.contract
�Have a benefidal interest in the entity ihat is liable (or ihe property taxes on the property and that owns the
It buying on wnVact, Fee Simple owners name
H eny
otthe
where contract is remrded
�
7amship Tating Gis rty ([
J �
-�b � � a�2-d-// �_
struchire w the land not axceedinp one (1) acre Net immediately wrtounds
ice irkoma. / O J �
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FORM
HC10
YEAR
Property Tac Credit is hereby daimed:
DEC t 2 2UO2
�roperty or is b yin '�nder a� ntr'� .
1^J
� 4 � A,� �3Y�� �59..'R'� "yf��
Record number . Page
el Droparty LJ A7oblle Homa (I.C. 61.1-n .
is used to produca income, desuiba Me use end portbn
20_Pay20_
Lesser of 1Y2 Homestead
yaluation or $6,000
$
Date
•
Gibson County Auditor
101 N Main
PRINCETON IN 47670
62$
W+� iPf S4liAI00.V
�
Indi�'iduals and inuriN couple. arc limiint io nne homeueaJ vandaN dnluction. As the receip� ol this Jeduaion become_
more beneficial. thrrc u more incenti�x than aer (or homsmad fraud. Ilomateyl fiauJ causrs hi�her tac bilk (rn all: therefwe.
HEA li+i-?0(!9 requim uxpa.m v.�ho receirr thc hanes�eaJ standard �lrluction �u .eri1y tM� �hey are cliciNe to mcei�c the
benefi� aN ro p`m'idr additfo�ul identiiyim_ infwm�twn neCC;San' t0 OIIW,' CoUnh' �HTemmen� ro Nt�zr monitor homcste.xf
�ilin�,�. This in(omution xill 6e Aryv mnfdeMial anA on nnly Fx arresseJ 6y au�Mriinl rounp' oil'mials. The Ikpannm� of
larcal Gm'crtvnem Finmrce �� ill mc this informatiun tu acatt [wls �hat �rill h:lp mum' of&ials dfmfwt< MmmsicaJ Gaud.
.,' ,, '
TaxoacerName Prnperh�>lddress
Coyle, John F/Patricia P Wro�
z �iq w. �90 z.
s+v-w-sRA.y�iwn
Princeron M 1767 �� o� 1 90S
�o.A� P� � 1
John F Co le �"h�� f��
2719 W 190 S y��°
PRINCETON IN 47670.8165
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g Addreis (numbcr end itrcel, ciry, sFdre, endZlF codcj' " ---- �
I,`� Iq (,�. �`l0 �.
$
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Address (Number and svce4 ci�}', s�ate, end "LII' cak)
� f`� (,U. L�D S'.
xuriry Numbcr (last 5 dieics) Drivcr's' Licrnsc/S�a[c ID Numbcr (la;t 5 digits)
State Parcel Number
26-11-22-200-000.834-027
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Ochcr (plc+sc
Leeal Description
006-00834-00 PT NE 22 2 11 1.08 AG
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Co��E
mc a. praptrty addr�;—
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� Sune as pmpeny edd+ess
undersigned certifies, under penalty of pepury, that the abo�•e and foregoing infonnation is we and correct and that he or she is elieible ro
;e the homestead standard deduction on this property. Each undersiened al;o understands that, by claiming additional homestead deductions
.-fully, he or she may be liable !or back taxes and substanrial financial penalties.
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