Homestead_PetrusoCLAIM FOR HOMESTEAD PROPERTY TAX FO M
i.� CREDIT /STANDARD DEDUCTION . HC10
.�:;; • State Form 5473 (R2 / 5 -92) 2 9
Feu
INSTRUCTIONS: See reverse side for filing instructions.
I certify that on the 1 st day of March, 193�
as —op�lf principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
I (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
CONTRACT RECORDED. _
It buying on contract, Fee Simple owner's name -
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Township i I
Taxing of x;t ( r1. low . townshiyh
Parcel number
04
9- con
Legal d •i n
If any portion of the residential structure or the land not exceeding one (1) acre that immediately 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.
Si ature t claimant
Address ndsireeGa sOe. ZIP code) r ����
/T/5` / � cg 2�I.r/C sco
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON- RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line I plus line 2))
(3)
I
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
(Date signed
tying action - Signature of Auditor -
I Date signed
19 Pay 19_
Lesser of 1/2 Homestead
Valuation or S2,000
Signature
DEDUCTION ALLOWANCE
S
STATE FORM!"M IR21 YNI TREASURER FORA(SIA
.APPROVED B1'STATE INNRnd'MYY(IRAS`ar. PRESCRIBED BY EICDEPARTACYf(F LOtAl GOVERNMENT FINANCE ICLI.1_!.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 sandani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than net for homestead fraud.Homestead fraud causes higher tat bills for all;therefore.
ILEA 134+-2009 requires tatpa)crs who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling:.This information will be kept confidential and can only be accessed by authorised county officials.The Department 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
Petruso, Judy K
Well d 09-055
Francisco IN 47649`' �
677 �`
Judy K Petruso
8251E 450 N State Parcel Number Legal Description
FRANCISCO IN 47649-9245
IFIttIItItIFlltttlttlltltFl[IFrFFI[IFIFtIFIFIttIFlttttllFlttll 26-06-21-200-000.591-017 0009-00591-00 PT NE 21-1-9 4AC
Y
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�g Address(number and street.city,state,and ZIP code) name as properly address
b2-57E- vSvN rninci s co, N Y7X Y 7
S First Middle Last
Mailing.Address(Number and street,city,state.and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits)_I Other(please spaafi in Pan below)_ _____ —_ _ --.
Stile
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.
Owne ignature Date
(
)
PART 4:ADDITIONAL INFORMATION