Homestead_Turpin (3)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fomn 5473 (R5/ 10-01)
Prescribed by the Department of Local Co smment Finance
INSTRUCTIONS: See reverse sidQ for filing Instructions.
AM q
F E B 0 A 2003
I (we) n- LX—Lt-1141'(�/k- `K-
certii
I (We) cccupjed as our principal place of residence the following described real pr�oAfertyfor�w�hich a Homestead PF60&E�.Te&tQftYs Altrr-TnP 1
ereW 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.
RAqrzRECORDED
If buying on contract. Fee Simple owners name
Reourder's office where contract is recorded Record number Page
YASSMONLO
WW:4b
County Township
RTYdESdFtIJP Tj6NLVB
County
Township
A dross (number
T 7777,
T ct (cityto townshl
UM
E
V'
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Land not exceeding 1 (one) acre immediately
PaAe n —
jt-eWesc�pgton,
epro question:
pe�eR
VZ Q .2
(1)
J,0j:
p-rty C1 Mobile Horns (I.C. 6-1.1-7)
If any Portion of the r8sWentird structure or the tend not exceeding we (1) acre that immediately surrounds that structure is used to produce Income, describe the use and portion
of the property ulilkm to prod" income.
(2)
YASSMONLO
WW:4b
County Township
County Tavnship
I hereby certify the above statements are true, correct and complete.
Signature of claimant
A dross (number
T 7777,
e. 6gMRWO
YASSMONLO
WW:4b
MEE�UEAAg X
S–EiMSeDV—AW
fi-59
4NON!RE t6EWW
ft
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gn
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Land not exceeding 1 (one) acre immediately
M
surrounding residential improvements.
(1)
I
Other land
(2)
Total land (fine I plus line 2)
(3)
Dwelling
(4)
MV 'R
15"
Residential improvements
Ganage
(5)
Other improvements
(6)
RK.-
6MV
Total improvements (fine 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
UARCOEDUCTIOW9 W-WANCE
qW 20 _ Pay 20_
Lesser of 112 Homestead
Valuation or $6.000 $
Signature of Auditor Date signed
is
SLATE FORM!)WUC I s t TREASURES FORM 7S1A
APPROVED BY SI ATE BOARD Of,1tv*MISym PR/SCRIBED BY TIr OEPARI\fE`IEOF LOCAL GOVERNMENT FINANCE IC 6-1.1-124.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couples are limited to one homestead sandard 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 taxpascn who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.'fins information will be kept confidential and can only he accessed by authorized 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
Turpin, Sherman PNictoria L
• RI Bus 10 ex
Patoba IN 47666 gil.
161 1
Sherman P Turpin b S C/i ?a,-I-0 (ticei •
-�oL+era - 7 v
PATOKA IN 47666-9002 State Parcel Number Legal Description
ItlttlltttlElltttlltttllutlllttlltrtlllltlllllttlllllttltlrlll 26-04-25-400-000.559-020 018-00559-00 PT SE 25 1111.00 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
C erManl # PA-LIL I I1/4-_, rpii1/
,g Address(number and street,city,state,and ZIP code) Same as property address
(e.2 y s_CO 1 fl Pry IC g r(
f - ' t� Ce CO to
Spouse First Middle Last
1 )iCA.prt\t,� J.
. Ly,vid ) LcI ,V
Mailing Address(Number and street,city,state,and ZIP code) S as property address
Loaq Sr cod I kYc,L id PV S Tv 4-a/ 9 f0 (e) Co
_ __ ___ _____ _____________
.
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 I Signature Date
`) (
PART 4:ADDITIONAL INFORMATION
•