Homestead_Leturgey ..• Sliit rotsi IM dCM1wt TREASUEER KIM/79-1A
.APPROVED BY 5r1TE MAIM M NTV a.\Ti.11• EEPYNnm BYttlr DEPMnrT(w 10(AL COVER.01MT re:.srEte Vl.l"at
Gibson County Auditor
101NMain 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 hills for all:therefore.
As— HEA 1341 2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit ant to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he Leo confidential and can only M accessed by authorized county officials.The Depanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Leturgey, Joseph T
205 N Walters
Fort Branch IN 47648
7764
Joseph T Leturgey
205 N Walters State Parcel Number Legal Description
FORT BRANCH IN 47648-1125
Imlnllu tlrilutlu llninnllu tllnit�tlt�t llnndtlr�tuil 26-19-18-303-000.814-026 011-00814-00 WALTERS ADD 348
PART 2:TAXPAYER INFORMATION
Owner I z{) 4' First a r+r'L jx ) .zl ` Middle / /`,r(t. 2a SO Last
3-� e.
--- g Address(number and street,city,state,and ZIP code) - - -- —® Same as property odtlrcfs - - — - --
Q-0 t5' , ort-A L.Ja. 11Lens S 1-
Spouse First - Middle Last
Cfiv4i(z ! fUz_ 8te_c( l-L-TU 2GE y
Mailing Address(Number and street.city,state,and ZIP code) ®Same as property address-
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
III
t
rt�� � CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
S � Sfate Fwm 5473 (RI / &00)
�o.
INSTRUCTIONS: See 2verse side for filirg instructions.
0"�9'10� 2
I(We) certify thal on the 1st day of March, 20_
,,,I���(.W///���e) ocwpied as our principal p o id e foliowin described real property for which a Homestead Property Tac Credit is hereby daimed:
�(VJe) owned ❑ Ne buying urWer contred
ave a benefidal interest in the entity that is 1ia61e tor the property taxes on the property and that owns the property or is buying under a contrad.
II Duying on contracL Fee 5"unple ownefs name
Recortlers ofixe where coniraG is recoided
Counry
Parcel number
Townsttip
Legal
:, �-- �� �7 ��v� ��� �
II arry poNOn ot the resiAential sWCture w the land not exceeding one (1) ave that
of Ne properry utilized lo produce income. ��
town, township)
Record number
�
Page
�
sVUCture is used to pmduce inmme, describe Ihe use aM por6on
.'�y=� �_" .�'�,�`�45��''�o�'�..�_�-�-'�„_-'�.�2�°�N �1; �STANUARD'DEDUCTION�ALLOWANCE���'�,�'„�".c�,��-�'��.����'`�'z�i..i{f?.':.y,"'�'.`-,a*,—y,,,,,,
20 _ Pay 20 _ -
Lesser of 12 Homesiead
Valuation or E6,000 $
S' ture t ditw oate signe� _� -0
1 O