HomeMy WebLinkAboutHomestead_Sartore (2)CLAIM FOR HOMESTEAD PROPERTY TAX
sue: CREDIT/STANDARD DEDUCTION
State Form 5473 (R215 -92)
INSTRUCTIONS: See reverse side for tiling instructions.
FORM YEAR
HC10
c -: •: ` -•: " - _' CERTIFICATION STATEMENT:
( � 1
I (We) _ _ certify that on the ay ch. 1
I (We) occupied as our principal place of residence following described real property for which a Homestead Property Ta
❑ I (We) owned ❑ Are buying under contract MAR O 2 1999
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 co tract.
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Ip code) \
CONTRACT RECORDED: - .GIBS0t4-(bUtSTY AUDITOR
Otherland
It buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded
Record number
Page
-
PROPERTY DESCRIPTION
County
Township
Township
Taxing district (dry, (own, township)
Parcel numbep gg s��
Legal description
Ip code) \
O ^
Otherland
(2)
If any portion of the rd structure or the land not exceeding
one (1) acre t at mediatety s roundsrounds tpt hat structure is used to produce income. describe the use and portion
to prod
of the property utilized m produce income.
Total land (line I plus line 2)
d:::;'G - da Ud -
cz 7_
- - PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signature of aimant
�tldress (n ber and street. dry, star
Ip code) \
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Mal
-_ ASSESSOR USE ONLY
TRUE TAX_
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(2)
<"
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(a)
-
Garage
(5)
Other improvements
(6)
-
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(g)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
19_Pay 19_
Lesser of 112 Homestead
Valuation or $2,000
Auditor
MATE FORM!3,e 12'/f.YI FRFASJF[ORM iSIA
APPPPF➢BY MTATEBm1 Or*AITYRI tS.1cosh PFEARmEDBYT EOFPMfML4T LCAW.rM=RYMrmeT FPnseEMH.1-004.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead tandani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than exer for homestead fraud.Itomesread fraud causes higher tax bills for all:therefore.
0 HEA 1347-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi confidential and can only be accessed by authorized county officials.The Detainment of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Sartore, David
RI Box 183
Patoka IN 47666
711
David Sartore
3629 N 100E State Parcel Number Legal Description
PATOKA IN 47666-9223
Irintllt..I.II...II ..II..lrlrrrrI.I.tltI..II...IitI.I...I..II 26-05-00-007-702.288-018 010-02288-00 BLDG ON LSD GRD
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�ng Address(mintier and stIoeL city,start,and ZIP code)-' -'- - -- - - - - yt Saito:us property address-- — - --
C� 2-� n )3 o r to�� +n /i 1-f'764,
Spouse First Middle Last
1ac� 5 SGcr�e
Mailing Address(Number an street,city,sale,and ZIP code) CZ Same a s propeny address
�(oa°I h /Dc) & \oitn t In Id ILi 7&66
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.
Owns I Signature Date
PART 4:ADDITIONAL INFORMATION
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