Homestead_Butera MATE FORT nC/uYl TRFASt:tfR TORN TS-IA
ArrPrw'ED BY STATE BOARD Of MYYR:YTt_nv PRISM-BED BY 111E DEYARMEYTOFL OC AL GOVERNMENT MR:ANCE IC r-I::_4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than nu for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
•- HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing+.This information will he kept confidential and can only M.accessed by authorized count'officials.The Ikpartment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Butera, Donald J/ Beverly A
601 Harding Ave
Princeton IN 47670
1227
Donald J/Beverly A Butera
601 Harding AVE State Parcel Number Legal Description
Princeton IN 47670-3225
Illllillllllllltllttlll 11111111111111111111 11111111 26-12-08-203-002.887-028 0189-02888700 DIKE ENLG SEC B OUTLOT
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER 1NFORNIATION
Owner I First Mid dle Last
-Do►IALb Sos£/�
fpAddress(number and street,city,state,and ZIP code) ® Same as property address
Zao/ NA�,M6 4ventiff) 10,eipicefon 1 w t/"72_7o
Spouse First Middle Last
Vje)sie.1-4 n n
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Got HAnaii✓e, 4vrnuf; 41 Jon1 f'N V7Z70
_ --- - -�- - --- -- ---
Each undersitmed certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signaune ik/�'- _ Date
STpF
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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (R2 / 5-92)
FORM
HC10
YEAR
f. .
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I 1fi
INSTRUCTIONS: See reverse side (or filing instructions. . � �
1
CERTIFICATION STATEMENT
I(We) �'� certify that he 4�t�ybt�rch, 19�
I(We) occupied as our principal place of residence the following descnbed real property for which a Homestead Propert�az`Credit is reby cl me
i
❑ I(We) owned ❑ Are buying under contract f n`D,.�ps,i
❑ Have a beneficial interest in the entity thai is liable for the property tazes on the property and that owns the pro ' � cF a Coniract.
GIBSON
� CONTRACT RECORDED �
If buyi�g on coniract, Fee Simple ownels name
Recordefs office where coniract is recorded . Record number Page
PROPERTY DESCFiIPT10N
Counry Township Tating distric c' town, (ownship)
�� S o,.� f� i?� ,�fl- %�t.,�
Parcel /nu�mber Legal tlescription
�/'7 � O Y�� %'- a-U
If any portion of ihe residential stmcWre or the land not exceedirg one (7) acre that immetlatey surtounds Nat siructure is usetl to protluce income, tlescribe Ne use and portion of
Ihe OroDerry utiiizetl to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township County . Township
Signature of claimant
�ereby certity the above statements are true, correct and complete.
Address (number and streeG ciry, state, ZIP code) -
�D/ fJA�/�rG fl✓e �ncefo�, zN 5���70
ASSESSOR USE ONLY . TRUE TAX ASSESSED HOMESTEAD NON-RES�DENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately (» -
surtounding residential improvements.
Oiherland (2)
Total land (line 1 plus line 2) (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvements " (6)
Total improvements (line 4 through line 6J (7)
Total value (line 3 plus line 7J (8)
I hereby certify the above is true, covec4 and Signature ol Assesor Date signed
complete.
Verifying action - SignaWre of Auditor Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Le of 2 Homestead �
al ation r S2,000
Signature of Autlitor Dat signned
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