Homestead_Wethington (2) SCALE FOAM i .s12'/NMI TREIStt[l FOAM i}IA
1 .ArrBn'ED BY SLSTL MSP Doi ArtR.\fS.enn PAM-10M)BY THE DEPARTMENT("LOCAL rovargwr ETA\CE M41.1-3.41
Gibson County Auditor
101 N Main 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 exec for homestead fmud.Homestead fmud causes higher tax bills for all:therefore.
• FIFA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive a the
benefit and to provide additional identifying information rKttsarr to allow county government to better monitor homestead
film .This information will be Lept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create mots that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Wethington, Martha J
R2
PRINCETON IN 47670
872
Wethington
K24-5 N 465E State Parcel Number Legal Description
PRI CETON IN 47670-8940
I I I I I"III III I I I I IIII 1 1 1 1 1 1 1 26-05-36-100-001.555-004 002-01555-00 PT NW 36 1 10 2.748 AC
r i tart nut err n e t err n run c o u n t ` ' C-1 D-7-13C
x
Spouse �A�� 7 J First Middle \ I� �/ �1t- Last
M A-R rfl W YI• E / N i ✓1 G -Fry,
I
Mailing Address(Number and street,city,state,and ZIP code) //� Same a s property address
:9, I a.S A/ z/‘r 1 9"E2iNC,z_ �N• `N [j 7E, 70
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
unlawfully,lly,he or she may be liable for back taxes and substantial financial penalties.
0 1 CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
State Forth 5473 (R614-03)
Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side for filing insfmcfions.
I (We)
of residence the following described real prop for which a Homestead ProVVpe . az redit is hereby claimed:
❑ 1 (We) owned ❑ Are buying under contract ��1 // /�
Have a beneficial interest in the entity that is liable for the property taxes on the property and - thiertpe o"�l -is byv�und' er a contract.
/O GIBSON COUNT N' AIIDITOR I
.*TS'' w PLf�, a CONTRACT! RECORDED
If buying on contract, Fee Simple owners name
Recorders office wh a contract is r Record number Page
WRIER` °
SESSDR USE ONLY
County
County
Township
Taxing district (dry, town, town )
P(�lLcel�� number
Legal description
Is the Propqrty in question:
/�
-c[D
sax -¢..
°' �v. VALUE
O rs.,_ ..pia -..>"
Z Real property ❑ Mobile Home Q.C. bf. 1-7
H any portion of the residential structure or the Land not exceeding one (1) acre that immediately surrounds that 6tructure is used to produce income, describe the use and portion
of the property utilized to produce income.
WRIER` °
SESSDR USE ONLY
County
Township
County Township
Jeby certify the above statements are true, correct and complete.
Signature of claimant
Address (number and street, city, state, ZIP code)
Ra. /3 3 Nc Xff
-33 Fk'
417620
WRIER` °
SESSDR USE ONLY
'TRUE TAX
ASSESSED VALUE
NOMESTEADi't
'c'
WN-- RESIDENT -A
�___ �fi, _ -t .r, a q - j
x VALUE "spy ,
o
TAT;100%OFTTV
,„.r., ...-
eh
. , VALUES'
,£s.,. „a'-
sax -¢..
°' �v. VALUE
O rs.,_ ..pia -..>"
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)t
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
`=r c s r'�ydi€
�'�' �°'�`'"�
Residential Improvements or Annually
Assessed Mobile I Manufachlred Home
Garage
(6)
. ''r - ge £ >-
Other improvements
(6)
Trial improvements (line 4 through line 6)
(7)
Trial value (line 3 plus line 7)
(6)
hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20 _
Lesser of 112 Homestead
valuators or S35.DOO