HomeMy WebLinkAboutHomestead_Wilson (3) 0
STATE FORM 53500 ture-1el M renascent Focwnu
APPROVED OY STATE ROAM OF ACCOUNTS 01:09 YRESCRIUW 0Y THE OFlAR1MET OF LOCALOOVLRNMEYT FINA'CE IC 61.131-0.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever 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 are eligible to receive the
FILE A p benefit and to provide additional identifying information necessary to allow county government to better monitor homestead.
LED/(J filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate.homestead fraud.
DEC 2 7 2011 PART l: PROPERTY INFORMATION
' - Taxpayer Name Location Address
C'3 n f� Y Wilson, Michael R/Connie J o
GIBSON COUNTY AUDITOR _ 5539 E SR 64
FRANCISCO IN 47649
4492 _._. - IIII - -- _ __
Michael R/Connie JWilson IIII�III_�III�III �III �IIII��III�I�II_IIO�II�II�II_III�I_IIIIII-II��II�II�II_II II
5539 E SR 64
Francisco IN 47649 -
State Parcel Number Legal Description
26-13-19-100-000.796-004 PT NW 19 2 9 1.56 AC C-1 0-7
•
. _ . 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.
_ - : • •'AVER INFORMATION. "•
Cr‘.- ' C I-CR-e l N' First yR Middle 1 \I I n_. , Last
_
Mailine Address(number and shred,city,state,and ZIP code) - ' Sameyas property address
55-3q .E. sQ 4 iK wisco -1-1..i yacy9_
• Spouse First Middle Last
Mailing Address(Number and stmt,city,state,and ZIP code) - SO Same as property address
cq g .cR 64- f aNtitt� �(n'i J�1 .
- -- - --
- —°— _ — - Pi-- --CuRTIFICATIoN -
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,
rOR11.1 HC 10 1575 To 6 Filed in Ou{lu:e
Prescimed S•; Slate edam of ia� Commissioners
CLAIM. FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 1.9�`� /
SEE BACK FOR FILING INSTRUCTIONS ✓ppa _ OD X96-00
1�'e) ` !�. II)s/l- � , certify that on the 1st day of
Nt,.,.h, 19_ &'�_, 1, (we) occupied as our pnnclpal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
1, (We) Erowned /�/
F-1 are buying under contract CG - /`3- /�— /OU��j60. 7 —66�
❑ have a beneficial interest i_ n the taxpayer
Property Description in o arp County
Taxing District (City, Town, Township):
Parcel Number
It buying on contract: Owners name I'll simple owner)
Township
or legal description shown on tax statement:
Q4 NLLY 15 -a -9 1. 5-9,4C-
Contract recorded in Recorders Office - Record No. Page
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
Any other counties in which individual owns or is buying real property:
certify the above statement is true, correct and complete.
County Township
"Signature V Street Address r _ .. Gty. State and Zip Code r1�1`
Individual either owns or is buying under a contract that provides he is to pay the p OP t tax i
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY - JUN 3.0 1909
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other Land
Total Land
Residential Improvements Dwelling
Garage
Total
Other Improvements
Tot- �provements - Line (6) plus (7) equals (8)
1 hereuy certify the above is true. correct. and complete.
S,gnamre 01 Assess.,
Aonroved: ft
True Cash Assessed UDITCRO'G ead
Value Valuation Valuation
(1) d 800
(2)
(3)
H
(5)
(6) ESL o 0
(7)
(8)
- ACTION BY AUDITOR -
•
i
as
<�--/ X130
oate
Date: �' - 0
kS 30