Homestead_Tuck -
[IN£FORM!MI.(R`,Riot TREASURER TORN MIA
nrrMNEo BY float WNW rw MYY4A1-3.9+ PtLYTrnm BY TE DEPARTMENT(*LOCAL&MERMFK1 FINANCE
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standani deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Ilomestead fmud causes higher tae bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify-that they are eligible to incise the
benefit and to provide additional identifying information oecessaty to allow county government to better monitor homestead
filings.This information will be kept confidential and can only he accessed by authorised county officials.The Department of
Local Government Finance will use this information to create tsds that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
-- • -Taxpayer Name Property Address
Grace, Helen L Trust
109 S Damosa DR
llaubstadt IN 47639-8I SO
7336
Helen L Tuck
109 S Damosa St State Parcel Number Legal Description
HAUBSTADT IN 47639-8159
26-18-36-403-000A 70-009 013-00170-00 WEST HGTS 3RD ADD 209
Itlrrlltttlr'll till lilt 111lltlt It ill lit lt'ElEtllrr tit 11th 1.•1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
e/e r/ �, o0- 5e— / IC Cl�
- _em g Address(number and street.city,state,and ZIP code) � � [ �}� J � - me as property address _ —` - -
C1 S. ��/no3O_ {J yN L{763C
Spouse nn First Middle / Last
ay17104E_ ai __ / arc
Mailing Address(Num'ber and street,city,state,and ZIP code) I I Same as property address
(o- -4 N . E • 4, 7o C� 3y� (o6 •
PART 3:CERTIFICATION
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)Signal�r'e�)� � Dare
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
"= CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (11215 92)
INSTRUCTIONS: See reverse side for filing instrgatipCs.
_ CERTIFICATION STATEMENT
W /.
I (We) - certify that on the 1st7day of March, 19
"9) occupied as our principal place o residence the following described real properly for which .a Homestead Pr6rNq 1 ACr dij reby claimed:
L7 I (We) owned ❑ Are buying under contract �'i
El Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns i �roperty.oc)S buy44 unde4a coo act.
CONTRACT RECORDED
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPT O
'
Count ' _
Township
Tain r
o
-
Parcel ber
Legal desc iptoM-00170-Y)
�a
If any portion of the residential structure or the land not exceeding one (1) acre that i ediately surrounds that structure is used to produce income. describe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
�eby certify the above statements are true, correct and complete.
Signature of claimant
Address (number and street, city state, ZIP code)
O a oS0.
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL.
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or S2,000
Signs re Auditor -
Otherland
(2)
�i79
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pbs line 7)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
- STANDARD DEDUCTION ALLOWANCE -
19 —Pay 19_
Lesser of 112 Homestead
S
Valuation or S2,000
Signs re Auditor -
Date signed
�i79