Homestead_Wilcoxen STATE Maki 5.:!....110 i...le; NIA MAUI R&M IS-IA
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•
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS:
may' ggggg 101 N.Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
pi�rl L yI.7670 more beneficial.there is more incentive than ever for homestead Gaud.Homestead fraud capes higher my bills for all:therefore.
S IIFA 1344-209 requires'wavers who receive the homestead standard deduction to verify that they am eligible to receive the
benefit and to prow ides additional identifying information necessary to allow county government to better monitor horncacad
filings.This information will be kept confidential and can only be ace.sed by authorized county officials.The Department of
JUL10 2012 Local Government Finance will use this information to crutc tool:that will help county officials eliminate homestead fraud.
• PART 1 PROPERTY INFORMATION
C. .ny Taxpayer Name Location Address
v �v\ Wilcoxen, Michael J
GIBSON COUNTY AUDITOR
42475 750 E
FRANCISCO IN 47649
4846
Michael Joseph Wilcoxen 1101N MI1111111111111E1 010 11011011 111111 II II MIMI 111111 31111 H 11I11 II
4247 S 750E
FRANCISCO IN 47649-9115
IIIIIIIIII'IlIltlllllii[Illrlrl[II1III"IIIIIIIIII'1I11IIIIIIII' State Parcel Number Legal Description
26-13-32-400-001.453-004 PT SE SE 32 2 9 7.214 AC
•
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
_► ` I •I • 1 '
-r I First Middle Last— —
1'/ ICAlei SSEply bi-r" lcoxeu
Mailing Address(number and street.'city,state.and Z�IIPP code) f�/`/�y(�j ',\ `�� t U7 N Same as property address
Spouse First Middle I ' r / Last
TCreSQ Dar)eNC, YV i!COX e ✓ •
Mailin Address(Number and street,city,state.and ZIP code) (�-Scree as property address
aye e 76-� rai/ei•sco „id �71�J�9
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,he or she may be liable for back taxes and substantial financial penalties.
Owner 1 igtnture Date i
i- - CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 /5-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM
HC10
YEAR
- CERTIFICA ON TAT ME
I (We) rti that onthe 1sA , rc 19
I (We) occupied A our principal place of rest 01 ce the following described real property for which a l4ornestead Propew TrViAbeerreby claimed:
❑ I (We) owned F-1 Are buying under contract [[�V
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns t roperty or is uyi nder a contract. -
,r, J
CONTRACT RECORDED _.. `DyTy 41I:)T o
If buying on contract, Fee Simple owners name '
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County
Township
Taxing district (city, town, township)
Parcel nu er II
�r 3
Legal description
_
If any portion of the residential structure or the land not exceeding one (1) 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 COUNTRIES
County Township
County Township
' nature of claimant
reby certify the above statements are true, correct and complete.
raw (number and street city, state, ZIP code)
Y 4476449
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Otherland
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assesor
Date signed
complete.
verifying action - Signature of Auditor
r.t.igned
STANDARD DEDUCTION ALLOWANCE
19 Pay 19
Lesser of 1/2 Homestead
S
Valuation or $2,000
Signature of Auditor
Dat signed
-Da