Homestead_Brucertx� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION.
State Fonn 5473 (R2 / 5 -92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
r ' '�'- RTIFICATION STATEMENT =: °7 -:`• ^, . --`' - , „-a L -1�
/J _ / 801 Q1 17J
I (We) . _. r _e �yvr L-9-7� e'//C.r x.... _ �.. ._.. certify tt'cHy of]March, 19
I (We) occupied as our principal place of residence the following described real property for which a Homestead P Tax C rit is /herebyMClai d:
(We) owned ❑ Are buying under contract 66619 0 N y 1
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 oontn�t.
•.. 'sr: ". -. CONTRACT RECORDED.... .�• ,•,E, .- ,..... r - !�`�•°"�,..
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
- ' -- -
PROPERTY DESCRIPTION
County
r
T ns
Taxing district (c own, township)
-
/
Township
I hereby certify the above statements are true, correct and complete.
// �/
*an (number and street, city, state, ZIP code)
rad,,6-1ja
VALUE -
•G�/
Parcel nu r
Legal description
/7 6
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
Townshp
County
Township
I hereby certify the above statements are true, correct and complete.
Sig to a of claimant
*an (number and street, city, state, ZIP code)
rad,,6-1ja
' ASSESSOR USE ONLY
TRUETAX
ASSESSED
HOMESTEAD
NON- RESIDENTIAL.
.VALUE.
VALUE.
VALUE -
VALUE r�
Land not exceeding 1 (one) acre immediately_
-
surrounding residential improvements.
Other land
2
a:
Total land (line 1 plus line Z)
(3)
Dwelling
(4)
G
Residential improvements
Garage
(5)
Other improvements
(6)
-
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(S)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
verifying action - Signature of Auditor
Date signed
AT.VE FOtSI 53,44,0u I 49. • • nrssum PoRV 7.IA
AlPitnvEn BY 5115E BnARD(XMYY CM.`n. rttni-BED BY no DEPARTMENTOF LOLL COVERNMrNT FMK'E a'.-/.1-1:-S I
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 ever for homestead fraud 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 receive the
benefit and to provide additional identifying infomumon necessary to allow county government to better monitor homestead
filintp.this information will be kepi cnnlidemial and can only be accessed by authorized county official.The Depannrem 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
Bruce, Jesse R/Corellen Trust
104 Poplar
Patoka IN 47666
491
Jesse R Bruce
P O Box 17 State Parcel Number Legal Description
PATOKA IN 47666-0017
�t�r t��rrr�t��tal��ttr lluil Ittt�� �l�tt t�t rr���rrr�a�r�t� 26-04-24-302-000.255-020 018-00255-00 COL DIV 24
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
J csse Robe-r4 13ru ce_.
to Address(number mid itfect,city,state,and ZIP code)- — -_nn. _ -_ _ - !—1 Saweus property address— —- —
-V D ox 17 /0+ PorIAr t'afokict, In 4-'764(0
Spouse First Middle Last
Corelle n nru c.a.
Mailing Address(Number and street,city,state,and ZIP code) n Same as property address
Pc l
PO Sox V7 I64- 'PopI&r 1 ok, !� 7(o lo,
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. p//
Owner I Signature Date
PART 4:ADDITIONAL INFORMATION
I