Homestead_Sturgeon SIAM FORM 5Jrt•iR`/gam 1R(_ISUIEA FORM Su
APPROVED BY SLATE BOARD Of Mfltxrs.2VN FLrflTh n BY Mt DEPARTxaNToF LOCAL CAt2RYMtwT RNA'+fEIL41.�
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 net for homestead franc Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county gen'emment to better monitor homestead
filing.This information will be kept confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will toe this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Sturgeon, Timothy M/Karen A
2200 Taylor AVE
Princeton IN 47670
1242
Timothy M/Karen A Sturgeon
2200 Taylor Ave State Parcel Number Legal Description
Princeton IN 47670-3212
III I III
to ruP not x 26-12-08-204-002.682-028 0l/29-02682-00 DIKE EAST EXTENSION I I nr I cI r I I I r I I I nt I I nt In't I
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 INFORMATION
Owner I First Middle Last
//aOrli? /7IRR/C S7L E&1 orJ
g Address(number and stray.city,state,and ZIP code) .0 Same as property address
22-0o 7&Lot 4//6-./ PR/NGE /o.) 2 JD• 171762 O
Spouse First Middle Last
A • A✓ Y�S-0726EC2�
Mailing Address(Number and street f�f city,slate,and ZIP code) Same as property address
Each undersigned 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 Signature Date
� :r.,F
� �,
: ���
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R2 / 5-92)
FORM
HC70
YEAR
�� ` � V 7 �
INSTRUCTIONS: See �everse side for (iling instructions. .
� �
CERTIFICATION STATE NT
I(We) lJC/ UG/ 1" 1 th� On t�8 ls1 day of March, 19_
I(VJe) occ ied as our principal place r si ence the following described real properry for which a �siead Properry Tax Credit is;hereby claimed:
❑ I(We)owned ❑Arebuyingunderconiract .- /y��';�''"���"��.� � �,=;��-:11n'-�`'`'O��
�Y P P rtY P P KY P P�Y Y� 9
❑ Have a beneficial interest in the enti ihat is liabte for the ro e taxes on the ro e and thai owns;tfi¢: io e or is bu n under a contract.
CONTRACTRECORDED
It buying on contract, Fee Simple owners name
Recorders office where conVact is recorded� � . Record number Page
PROPERTY DESCRIPTION -
Counry Township Taxinq tlisinct (dry, rown, rownship) �
Pa I nu r � Legal description I�
Ii arry portion ot Ue resiaential structure or the land not exceeding one (1) acre that immed ey surtountls iha cture is used ro produce income, d cnbe he use and portion ot
the property utilized to praduce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Tovmship Counry Tovmship
Signature laimant �
�ereby certify the above statements are W e, correct and complete.
ddress (num6er antl sireef, dry, stafe, ZIP cotle) �
Zzoo � Le/t ,QUUT,. l�,�u;lv./ ?"�/. )` 7U
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately (� � -
surrounding residentlal improvemenis.
Otherland (2)
Total Iand (line 7 plus line 2) (3)
Dwelling (4)
Residential improvements
Garage (5)
Oiher improvements (6)
Total improvements Qine 4 thiough line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true, correct, and Signamre of Assesor . Date signed
complete.
Veritying action - Signamre of Audiror Date signed
• STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead S
Valuation or 52,000
Sig�ture of Audibr � Date signed