Homestead_ParravinciniCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (Re 14.03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing inslmctions.
c
e atI
I 1st
I (WQ) o u le as our principal place of residence the following described real property for which a oMys tpr, iCre tts lined
1 (VJe) owned ❑ Are buying under contract rh Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the propKir it bByQMer a contract.
If buying on contract, Fee Simple owners name
whom contract is recorded
AUDITOR
Record number I Page
REMW
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PROPERTY DES d .0 19XkW k
1� VMW-N-� 10
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County
Township
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Taring list own 10)
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Address (number and street, city, state, ZIP code)
fika-,90K
at description
0
Is the property in question:
Land not exceeding 1 (one) acre immediately
❑ Real property ❑ Mobile Home (I.C. 6-1.1-7)
If any portion of the residential structure or the
of the property utilized to produce income.
land not exceeding one (1) acre that immediately surrounds that structure is used to produce inwme, describe the use and Portion
7?'M .
REMW
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County Township
County Township
ii4—omigir"-v
M&rE fR�iMN
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01
I he by certify the above statements are true, correct and complete.
Signature o
Address (number and street, city, state, ZIP code)
fika-,90K
REMW
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Zxlvl�-U0-2 4qmgN
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Al, 100
.RLJRFAj��'
WE
VAL
--VAI1UEE 1 M-N.,
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
'110 MW
AN ME
Total land (fine I plus line 2)
(3)
Dwelling
(4)
' 4
sp -
-15 10-
Residential Improvements or Annually
Assessed Mobile I Manufaclured Home
Garage
(5)
-
Other improvements
(6)
W-!; Wrl
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus 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
fj0. 'STANDARD ! DEDUCTIO W&LIDWANCE
20_ Pay 2O_
Lesser of 1r2 Homestead
Valuation or 535.000
Signature of Auditor Date signed
•
STATE FORM"n tR_Il-'P l ItTA5elUA FOAM T3-IA
.SrlWWED BY SIDE WI RDOF■ YRmtt],n PtIS TED BY tilt DEPAAtMEIE OF tCAI rOV2AMMnn FIANCE Mns-rat
I • Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
'r 101 N Main 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 ner 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 receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only Ks accessed by authorized county officials:The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead feud.
PART 1: PROPERTY INFORMATION .
Taxpayer Name Property Address
Parravicini, Humberto
13011 E 1025 S
OAKLAND CITY IN 47660
9324
Humberto Parravicini
P 0 BOX 92 State Parcel Number Legal Description
LYNNVILLE IN 47619-0092
III IIII I I I I at I I IIII rr I I III 26-21-32-303-701.232-001 001-01232-00 BLDG ON LSD GRD
1 rr Frr r r rr 1tt t t ail t t tt r rrt Lynnville Park Lot 25
PART 2:TAXPAYER INFORMATION
Owner I First Middle Lau
er'{o Fe_/. arraJtcrtit
ling Address(number and street,city,state,and ZIP code) - - - 0 Same as properly address -— _--
VP' 13vX 72 L9ra.v✓fl/e. , : O , x{76/7
-
Spouse First Middle Last
Cyzt fltia yNA, art'aVIeftJf
Mailing Address(Number and street,city,state.and ZIP code) `` [] Same as property address
Sammye 42$ a.Lsv C__ _
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 � ^ [)ate