Homestead_SullivanCLAIM OR HOMESTEAD PROPERTY TAX
MC
CREDIT /STANDARD DEDUCTION
State Form 5473 (R6/4-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instritcliorm w4i' Illict r
I (we) Hom� certify that
I (We) Occupied 11 our pncipa'I place of residence the ollowing de i ad rea Ito which a � Homestead Prop
❑ 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 in rl
e,prope
FORM YEAR
20
bu ��/
ying ,uncle ra contract.
.-.;CONTRACT�RECCIRDED
If buying on contract, F" Simple owners name
Recorders office where contract is recorded Record number Page
20 _ Pay 20 —
Lesser of 112 Homestead
Vouation qr1 535.000
-/(0-0
Coun
j7-- own�bip
Taring district I
Township
Panel n her` l�O
Legal description
Is the prope
question:
Real property ❑ M.1hil. Homo (I.C. 6-1.1-7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that sine
of the property utilized to produce income.
tire is used to produce income. describe the use and portion
20 _ Pay 20 —
Lesser of 112 Homestead
Vouation qr1 535.000
-/(0-0
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signs irnant
),At
dress (nu ipbef U
,ak(I —
i:� k
qW f
&T R U LE T
VA_ E
ASSE9Si&'"ILbi
jR9*1 M
1�1-, -70
I
gl)HCIMESTEADI�
VALUE..
L -��Ii rEN TIAL�
I.
-1-F4T
_ Y
Land not exceeding 1 (one) acre immediately
2 —'M
surrounding residential improvements.
Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
17- W
N-4
Tr�_: 114m,
Residential improvements or Annual
Assessed Mobile I Manufactured Home
Garage
,
Other improvements
(6)
t-21WIM
Total improvements (fine 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
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20 —
Lesser of 112 Homestead
Vouation qr1 535.000
-/(0-0
slnTERMW,W IRYnm) ♦TflASIJ UIIPo0.V PFIB
.1lrMIT'EO BYSis1L 1ttOIWAOCTENrt!vv EREYTIBEDBY TIIr nrpAan crrlh'ALCA.TRNMrKI FINA\CE IC I.1:_-AI
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 become,
more beneficial,there is more incentive than e'er for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
S HEA 1344-2009 requires taxpa.ers who receise the homestead standard deduction to verify that they are eligible to reeehe the
benefit and to provide additional identi ing information necessary to allow county government to better monitor homestead
filing.This information will he kept confidential and can only he accessed by authorized county officials.The Depannrml of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpaver Name Pro1ert - - I dress
Garrett, Paula J •
RI /
. / a Patoka IN 47.•. 6 V
.47 bit
1
/ ,
Paula J Garrett 1
R1 BOX 199 State Parcel Number Legal Description
Patoka IN 47666-9243
26-04-23-400-002.087-018 010-02087-00 PT SE SE 23 1 11 4.35 AC
IIIIIIIIIIIIIIIIIIID111111111,11111111 Idled! I I t IIo I
\X/ C-1
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
_ t-- \Q T 3ul1 ) vnNI (C�ACREi'1 -
.�g AAdrcss(number nna street.city.stet',and ZIP eodr). _._ _._ _. _-_ _ — •U Same 1c property oddras—__—_ _____ - - __
?)( c10 . -7 W �t p.,Thv_ s, tKt U-7( otoc o
Spouse First Middle Last
•
---el)r1AN K 3U, IIvR1\1
Mailing Address(Number and street,city.state,and ZIP code) 0 Same as property address
el N\ X15 w Pt t—(_) IC.A- . —Cr.( q"71nt0 ( 0
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
O PART 4:ADDITIONAL INFORMATION
•