Homestead_Tomassetti} CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
YEAR
I (We) V R certify that tha�t on th st daylni�taDcS
I (We) occupied as our principal pl of residence the following described real property for which a Homestead(propel CrediL�Ls.pered❑ I (We) ow ned ❑ Are buying under contract ��Ijijll"�� hFil l.
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the properly pl,i;; buying gr qa contract.
.'CONTRACTRECORDED m.`wom
If buying on contract, Fee Simple owners name ./f1�iJi`�
GIBSON COUNT P.UGITOR
Recorders office where contract is recorded Record number Page
tea` %'s't `r�us.F;�i -'e-•y n�a3.aii+
', "1c�i*'Y'w.2""PROPERTY
DESCRIPTION.["
County
Toomship
Address (number and sheet, ci7: st e, IP code)
Taring district (city, town, township)
P I r 030 .0o
(�/]q�/)
Leg oo �
MW
� I — 10 4O I ep in question:
Land not exceeding 1 (one) acre immediately
✓i eat propeM ❑ Mobile Homo (LC. 6r.1 -7)
If any portion of the residential structure w the land not exceeding one (1) acre that im nediatey surrounds that suttefure is used to produce income, describe the use and portion
of the property ufif¢ed to produce income.
surrounding residential improvements.
I
rM
'�k
_ `; E. s.. t`` �_ �,.r- .v_�...t{?5�-�.- �PROP.ERTY; OWNED )BYCL'AIMANT;IN'OTHER`COUNTIES `�,�.r;.,, -:fir
County Township j
County Township
hereby certify the above statements are true, correct and complete.
Sig tur im
Address (number and sheet, ci7: st e, IP code)
P
.'y'!r -'
ASSESSRp US,O�NY.c,Y,�
c`TRUEtTAX�t >;v
ASSESSED VALUE
°
HOMESTEAD
r N N RESIDENTIAL r.`.
'•.�
�YALUEs.�y
zAT100 /,:OF?TV
,VALUEVALUE�`.ti,,�
Land not exceeding 1 (one) acre immediately
,' ')S"r �'�?
surrounding residential improvements.
Other land
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
'fit, ' T:,.,vs • -cv;r ss•��;.�
e .Y,.,s, ,-o
ax"`t
Residential improvements w Annually
Assessed Mobile I Manufactured Home
Garage
(5)
_
-
Other improvements
(6),
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20_Pay20_
Lesser of 112 Homestead
Valueuon or 535.000
5
Signature of Auditor I I Da7rn ,
T -!
SLATE rn0.AI,3tl ,R_t YMI TREASURER POEM 711A
APPROVED1WY ANCIE BOARD OF AmnLn,a. PITSCRWw BY PIE DEPARTMENT[FLOCAL COVERNMENT'DAN'CE ICIEI.12211
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homesttad fraud.Homestead fraud causes higher tax hills for all:therefore.
a-
l. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to serily that they are eligible to receive the
benefit and to provide additional identifying information necesiry to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only he accessed by authorized county officials_The Department of
Local Government Finance will uw this information to create cols that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
FILE Taxpa4•h Property Address
Tomassetti,Anthony Name C/Debra L
No Location Description
APR 1 2 Lulu Hazleton IN 47640
64 yr
Anthony C Tomassetti ( ter
4-7.7
Giro Rd GIBSON COUNTY AUDITOR State Parcel Number Legal Description
Hazelton IN 47640-9373
u �tt���t tr�r�rrt��t�III�t t��ttr��r�trt��rtt�� 26-02-27-100-000.361-017 009-00361-00 PT NW 2711040.232 AC
itltr llII�t��trr
PART 2:-TAXPAYER INFORMATION
Owner I First Middle Last
CA nF\nont.,1 t C_\ck:r`E, I.oYY,w.11-1
�rgAddrss(nuenberandstticet.Teitflfate.and ZiP code) - _ _ __--- .. - -- - D.-Same as propem'ai.l. - _
/23, ea ro \-x1/4-21 e io1n . -I-v-% tCU `t O - °I 3`13
Spouse First Middle Last
Cb l err\ MOma.\aa.1-41
Mailing Address(Number and street.city,state.and ZIP code) Same as property address
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,h9Jor she may be liable for back taxes and substantial financial penalties.
Owner iigo uru/e �y Date
PART 4:ADDITIONAL INFORMATION
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