Homestead_Pruett 51ATL f OAN!r•Mlti/oral IREASnanE FORM TS-IA I.
VnRtw'ED nY'TSTE a&MRDOF MTh tS'TS.vr, PAG.(AIBm BY TIE DEPAR156:YTOF LOVa.roe CAIMT FPANCE K'LE.1-_J.I
Gibson County Auditor •
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS•
PRINCETON IN 47670 Individual and married couples 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 tat bills the all:therefore.
• g E EA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
gap it and to provide additional identifying information necessary to allow county government to better monitor homestead
e 'Dtts information will he kept confidential and ran only he accessed by authorized county officials.The Department of
{ i Government Finance will raw this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
APR 1 9 2010 Taxpayer Name Property Address
— a-s Pruett, Thomas UCynthia A
GIBSOON,C000/NTY AUDITOR Rb Box 244 1
UDITOR livansvillc IN 3771 I
10964
Thomas L Pruett
5238E 1300 S State Parcel Number Lezal Description
EVANSVILLE IN 47725-7829
1t1n11 n1-111In.1.1.1.1Intllu.1111(111.1111 1.11.1.11.1. 26-23-13-400-000.817-024 004-00817-00 PT S SE 13410.60 AC
X
• PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
hornr- S L.e_ e el' ueA--k---
tg Address(number and street,city state,and ZIP code) -i - - El Same as property tidiness -- - - - - - —
6-93R e . 1300 s Euca..su \lam gnu 11 'lga,1)-
Spouse First Middle Last
C� ruk\ \ e A Pr u e.-4—
Mailing Ad ess(Number and street,city,state,and ZIP code) ® Same as property address
Si 13 V L \
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
u •t , : I r she may be liable for back taxes and substantial financial penalties.
(OwnerlSi/ 8 Dam
•
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
' "' " CREDIT/STANDARD DEDUCTION HC10
t � � State Farm 5473 (RS / 70-01 � . r. �—uuu�'''
••� PrescriDed by the Deparhnent of Local Govemment Finance ����
INSTRUCTIONS: See reverse side lor filing inshuctions.
a =��.. . ' �.�::..�- .,, �a°a.�- N - - -�r-
��:..����_,��?"���. �..��'"��; :..cERnFica,n, srn�MeNT�r��� �.r�'� : . .: �_�:_..__��;ff-��_s._��e
i�we� Y-' cer5ry ihat on th �s ���1��y or Ma:cn. �2�0
I(We) occupied as our principal place of resi the foliowing described real property for whirh a Homes �tead-Eroperry � GreOU�ishe(elfy-daimed:
❑ I(VJe) owned ❑ Are buying under contract !� Gi350N CV�UNT Y AUDITOR 1
� Have a benefidal in[erest in Ne enfity that is liable for ihe properry taxes on the property and that owns the property or is buying under a conVad.
If buying on conlreU, Fee Simple owners name
Recordefs ofice where cantrad is recorded
County � Tawnship � Tatiqg Oiytrict jqiry, town,
Legal description // � Is Ne property
Record number � Pa9e
pmperty ❑ Moblle Nomo (I.C. 6f. f-7)
H any ponion ol Me residenilal atrucWre w the land not e:ceedinp one (7 ) aae ihat immediatey wrtounds Nat swcNre is useC to produce income, desuibe Ue use and portion
of the properly uhl¢ed tn produce incoma.
I hereby certify the above statemenls are W e, cortecl and complete. �Sig�aa� of
dty, sfafa.� ZIP code)
�' �:x "�`�k'--��'"�'�-�� � � � � . TRUETAX � - �ASSESSED�VALUE �HOIdESTEA��" � NON=RESfUENTIAL i'a
ASSESSOR�USE ONLY
�'y� i���''�,.,+�n-��.x�j�,a,4r�.���,��`�y�,��a ��„VA1:UE�> "AT2100%'O �TTV� � VAI.UE,�� � ��-�,5';.VALUE�+�:
Land not exceeding 7(one) aae immediatety ��� �' t� -�-r '3:��;�
surrounding residen6al improvemenis. (� � � '��',���,,; � �
c,� ��' �t�� �
Other land �y) a ��_�������� -
=�sn.
Total land (line 1 plus line 2) (3�
_ ��u-m.S:`i �
Dweiling (4) ��t.� � =- 2���'�� ,�,'
Residential improvements '�`�° �, '�t°'M., „._„"�'"'�
�� ... � �
Garage (g� �� : ���'-,�1��
�1r. 'w.} �?+.r:s�.te`':.._ !
����'�
Other improvemenls (6) �Y . ^. � 4:`�����
� '4�'9�Z�t�caS
Tdal improvements (line 4 through Irne 6) �7�
Tdal value (line 3 phs line n (g�
I hereby certify the above is tnle, corred, and Signature of Assessar Date signed
complete.
Veritying action - SigfaNre otAutlitor Date signed
� „�F.rwS�c��-''���•r"_.'���.�t"r.dTa.`�1-� _ .. s�� "T°,ST/WDARD:DEDUCTIONALLOWANCE-.-.•s;�'�;'n z"....,�;s' sz+�-'z,e• � . .
� �` �«,�i�...�����„=�'�"+�`..�'+«_: _---_�'a=
20 _ Pay 20 _
Lesser of 1/2 Homestead
Valuation or $6,000 $
Signatureoflwdda " Datesigned