Homestead_TroyCLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R614.03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instnictions
YEAR
certify that on the 1st day of March, 20
I (We) pied ur principal place of residence the following described real property for wh a stead Property Tax Credit is hereby claimed:
,C-,f I/(We) owned ❑ Are buying under contract -7�� —, 7, -IT-' T-'�\
rh Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property of buying uq)deir a contract.
NTRACT..RECORDED
If buying on contract, Fee Simple owner's name
Recerdees office where contract is recorded [Record number,�W-tx-1 .Pa`fe�
COUNTY AU [ll� OR
5MR-1 �V—x ONLY 'r-
it V
X ROO -15P�ljkff-
-Ff ERTY; PT16N Vtt
County
7
Township
Si nature of claimant
Taxiing disW,
ownjtip)
I be
C1
L aldesonption
U., roc A 'A I
/?I
Is the property i� �ue
(2)
I'VA (0,
-
Real property ❑ Mbile Home (LC. 6-1.1-7)
If an y Pori land not ex
of exceeding we acre thatinl�r income. describe the use and portion
of the prop u
arty fir¢
5MR-1 �V—x ONLY 'r-
it V
County Towns
sh,
I hereby certify the above statements are true, correct and complete.
Si nature of claimant
Address (number and sheet, city, state, ZlP code)
TOO 474, fo�
5MR-1 �V—x ONLY 'r-
it V
I
RUE-TAX
'ASSESSED VALUE
'OFT
�100% .Wl,
H011lffgTUD
-ZVALU -' I
-rN'O -6�13E-4iR M
:ipk VALUE.
Land not exceeding I (one) acre immediately
surrounding residential improvements.
$
VNZ or 535.000
Signature of Auditor
Other land
(2)
I'VA (0,
0-5! O My!*
R
t -'01,
Total land (line 1 plus line 2)
(3)
Residential Improvements or Annually
Assessed Mobile I Manufactured Home
Dwelling
Garage
(4)
(5)
O11N O
R" N' V
I% M
MEN
Other improvements
(6)
if Ni
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 of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
1- - �V;`STANDARD - MEDUCTION ALLOWANCE
20 Pay 20
Lesser of 112 Homestead
$
VNZ or 535.000
Signature of Auditor
T3LA S
ig .
I'VA (0,
V�) /0jyX4-k
t -'01,
•
RAT'_FORM!tt4lC/YNI RFASUaUR EMITS-IA
APITCKED
HOMESTEAD GOVELNMENT FINANCE '4
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to orr homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who remi'e 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
filing.This information will be keg cootdemial and can only be 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
Troy,James DfLuretta
R I Boa 72-d
Patoka IN 47666
1
James D Troy
R1 Box 72 State Parcel Number Legal Description
PATOKA IN 47666-9072
I t1tt11f tt1t11rttllf ttlltrlrltt llt ttlt tt ltt�r11ttt1tt11ttt 11t1
26-05-18-100-000.306-018 010-00306-00 PT NW 18-1-101.623 AC
' 1
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 1NFORMATIOSN
Owner I First Middle Last
Taints 0, Troy
g Address(number and street,city,state,and ZIP code) ZSame as property address
�/ 7 W 55OM/fakes; l) q76
,
Spouse First Middle' Last
u re f fat � e / %Ko
Mailing Address(Number and street,city,stale,and ZIP code) I ,yaame as property address
all lJ 6:3e
;Tk kka, , 7--YJ `f 7 66 LLLJJJ
PART 3:CERTIFICATION
-- Each;undersigned certifiesyunder pa-airy-of p c r j u r tha:the above and•foregcing info.^station•icTrue ard•ce:Tect-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.
PART 4:ADDITIONAL INFORMATION