Homestead_Sterczerfyf `f rl
CLAIM FOR HOMESTEAD PROPERTY TAX - FORM
=�!E CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R2 15 92)
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INSTRUCTIONS: See reverse side for filing instructions.
YEAR
I (We) _ _ �•�Y- U —L ±.qx certify that on the 1st day of March. 19
e occupied as our pri. ^pal place o� idencethe following de ibed realproperty for which a Homestead Property Tax Credit is hereby claimed:
(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 the property or is buying under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple owners name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County ,.
Township
T 'ng district (city, town, township)
Parcel number
Legal descripti .
Signature clai nt
PdAess (number and street. city state. ZIP code)
Yk Z
Signature of Auditor
It any portion of the residential structure or the land not exceeding one (I I acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
reby certify the above statements are true, correct and complete.
Signature clai nt
PdAess (number and street. city state. ZIP code)
Yk Z
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2,000
Signature of Auditor
Other land
(2)
Total land (line 1 plus line 2))
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pDs line 7)
(6)
1 hereby certify the above is true. correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2,000
Signature of Auditor
Date signed
Suit FORM 535M t2` .-u4) TREASURER wev sIA
.APPROVED BY STATE BMRnnr NT'ii1N7S.2v,r PILLfTRIBED By THE DEPARTeEnoFIOCAL rsysrAma FD ANCE IC.-I.bra I
Gibson County Auditor
10) IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
'.N Main
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser 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 am eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he Lepl confidential and can only he accessed by authorized county otticiails.The Depannsent 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 P„rt�las
Sterczer, Gloria A-Trust
R 2 Box 132a
Princeton IN 47
1825
Gloria A Sterczer-Trust
5576E 475 S State Parcel Number Legal Description
PRINCETON IN 47670-8765
ItIuIIutItIInIutIIIntIuItI I t II I rItIu tIt IIuIn rII 26-20-06-100-001.020-001 001-01020-00 PTN6-1965.50 AC D10
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PART 2:TAXPAYER INFORMATION
Owner I �S First Middle Last
'/`rJ\ /0FCcl AI S'f- � rcze- r-
•xg Address(number mid street.city,state,rind ZIP code) 'Same to property uddrxs- - —— - -- • -——
SS76 E 47s S . PHnce*on , N 4767o - ?76.�
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sus
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
unlawfidly,he or she may be liable for back taxes and substantial financial penalties.
Ow I Si ttsc (hie
( )
PART 4:ADDITIONAL INFORMATION
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