Homestead_Sartore (3)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State I= 5473 (R614.03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
FORM
YEAR
I (We) �- ) X \ IT I t UXJ) N -Ir �:� , certify that on the tat day of March. 20_
11, (We) occupied as our principal place of residence thWowing described real property for which a Homestead Property Tax Credit is hereby claimed:
H:a) owned ❑ Are buying under contract
e 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.
WCONTR A CT,
If buying on =tmcL Fee Simple owners name
Recorders office where contract is recorded Record number Page
f
County
Tomnship
Turing diritown,
I hereby certify the above statements are true, correct and complete.
townshipV
Parcel number
0 -66 a 33 -C6
Legal description
-wek
�s the property in question:
� b
I - i ,
I n"89property, ❑ Mobile Home (I.C. 6-1.1-7)
If any portion of the residential structure or the land not exc6din&15ne (1) am that immediately surrounds that -st-moture is used to produce income, describe the use and portion
of the property utilized to produce income.
Signature of Auditor
surrounding residential Improvements.
Date signed
PROPERTY, 0WNED'BY.CLAIMANT;lN OTHEWCOUNTIES-a�*'
County Towinship
County
Tomship
I hereby certify the above statements are true, correct and complete.
Signature of claimant
aress (number and street, city, state, ZIP code)
2
ASSESSOR USE ONLY.
TITRUETAX
ASSESSED.YALUE
HOMESTEADI�
k--9-iWALUEZ�%
��Ai.NON RESIDENTik
V'=-= A60
'yU
15 Vz'
S
Land not exceeding 1 (one) acre immedistety
(1)
Signature of Auditor
surrounding residential Improvements.
Date signed
Other land
(2)
C
Total land (line I plus line 2)
(3)
Dwelling
(4)
}rtr 4 X Ilk,
Residential Improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
I at improvements
(6)
Total Improvements (line 4 through line 6)
(7)
Total value (line 3 pits line 7)
(8)
I hereby certify the above is true, correct and
Signature of Assessor
gne
complete.
Verifying action - Signature of Auditor IL
MWOMW&ILIP]
STANDAIRMDEDUCTIONIALLOWANCE-
20_ Pay 2O_
Lesser of 1/2 Homestead
Cl
COUNTY AUDITOR
S
GIBSON
Valuation or 535,000
Signature of Auditor
Date signed
[IArE FORM!)MILI, .1 MEASURER f00.4 73-IA
AFFRIT'ED DV STATE DCHRDOF A(Cll4STl.!O.1 ptrgtThmnY fir Drp,nn Evr Of LOCAL C-0verssm AT ENA\CE ICI-II-2241
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 preside additional identifying information necessary to allow county government to better monitor homestead
filings.'this infotmauon will be kept confidential and can only be accessed by authorized county officials.The Depanment of
v Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Prnpern Address
Sartore, Thomas A/Julie
RI Box 181c
Paroles IN 47666 �(
190 I L JI I, 6C''
Thomas A Sartore MAY 3 2010
R 1 Box 181 C State Parcel Number Legal Description
PATOKA IN 47666-9221
26-05-20-300-00 .233-018 010-00233-0o PT SW FR 20-1-1010.680
Illi tllltllllllltlltrtIIlIIultuIIIIittllltllllllll It 2 9 AC D-12C-1•----- 'GIBSON COUNTY AUDITOR - -- ' - _"
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 Hirst' Middle Last
fi ni s / ' •' Area Sig eD,e
mg Address(number and Suter ct ,sate, ZIP code) ICI Same as property address
i7S' Al. Ku-i LL CIA_ 470i4/4, /Ai 4/1‘i6
Spoke First Middle , Last
0 u..ti t in/R- SE C/ �'�6
Mat g Add`rrests(Number and street,a state,and LIP ccode)(4 Sa l/mee as prrooppeene address
1st / / V . 1 V� PL11641 A� T 700
` ' ' " ' .
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
unlaw fullVhe or she may be liable for back taxes and substantial financial penalties.
Own I Tam= Date
,, PART 4: ADDITIONAL INFORMATION