Homestead_TorresCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
= i CREDIT /STANDARD DEDUCTION
State Form 5473 (R817-07) HC10
Prescribed by the Department of Loral Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
I (we) W v (J (..CXI
I (We) occupied as our principal place of residence the fol owing described real property for which a
I (We) owned ❑ Are buying under contract f,
//�111IIrr
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the propertyOMStwying under
a contract.
If buying on contract, Fee Simple owner's name
contract is recorded
Tomship
Record number I Page
I Pa I numbeerl/ '� /� Legal descd lion Is the pro m question:
l.[ — V Y'—Op —� . �� 60 IpnWerty ❑ Mobile Home (IC 6-1.1 -7)
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.
• • •
• •
Cnty Tmmship
County Twvnship
certify the above statements are true, correct and complete.
Sigaawre Ofd am
:s (number and street city, slafe and ZIP Code)
Cam^ S W , 7 l�
M'
Land not exceeding 1 (one) acre immediately (1)
surrounding residential improvements.
•
-
Other land
(2)
-
Tdal land (line 1 plus line 2)
(3)
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Dwelling
(4)
r; '
Garage
Other improvements
(6)
..
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature ofAssessor
Date signed (month, day, year)
Vaifyirg action - Signature of Auditor
Date signed (month, day, year)
2U_ pay 20
Lesser of 1/2
Homestead Valuation
or
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 S
43,000 for 2009 pay 2010 40,000 payable after 2012
Date signed (month, d r)
g -il -tom
------------------------ I --- I --- ------------- ------------ - - - - --
•
MATE l OR ,,y un
*IR:r
M 1REAScmER FORM TS-IA
.AOWNED BY MAIL BIARUOT ACCOUNTS_9w PRRY(AIam BY PIE DEPARtMEYT OF LOCAL tICATINMENT FINANCE MLI.1-4.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 In dividuaL.and married couples are limited to one homestead standard deduction.As the receipt of This deduction becomes
mere beneficial.there is more incentive than eser 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 rrcene the
benefit and to provide additional identifying infornlanon necessary to allow county gocemrnent to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Ikpartment 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
Torres, Sherrie L
201 West St
Patoka IN 47666
168
Sherrie L Torres
201 West St State Parcel Number Legal Description
PATOKA IN 47666-9514
Itlltllrttllllttlllrltllttltlrltltlttttlltlttll' limn( 26-04-26-202/-000/0.535-020 018-00535-00 PT NE FR 26111 .3671 AC
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
Siier -
-tr Lynn 7rr 3
,sz Address(number and surer.city,state,and ZIP code) as property address
0 i We-5-e- -5t. Patoka, T✓VA 't7&w,
Spouse First Middle, Last
A///1
Mailing Address(Number and sweet,city,state,and ZIP code) 0 Same as property address .
A / R
Social SSec curity Number(last 5 digits) Driver's specify s License/State ID Number (last 5 digits) Other(please in Part 4 below)
x /e St=
PART 3:CERTIFICATION - - - — — ---- --- —'�--�—'
Each undersigned certifies,under penalty of perjuy,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 Si azure Date Telephone
Spouse Signature Date Telephone
( )
PART 4:ADDITIONAL INFORMATION
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