HomeMy WebLinkAboutHomestead_Wallace VIDE FORM!!!to Ir/• •t tRF.SN.ER FON TIA
AMIMEO BY,1AIL D(SRD OF AnrOUNT.9M PRESCRIBED BY fir BEPARTO?(T OF LOCAL COVEILMMDT FNASCEW fro-U4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670
• Individuals and married couples are limited to or homestead sandard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax hills for all:therefore.
damHEA l511-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to recebe the
benefit and to provide additional identifying information necesry to allow county government to better monitor homestead
tiling',.This information will be kept conlidential and can only he accessed by authorized count'officials.The Depanntent of
Local Government finance will use this information to create njols that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Pruperh•Address
Wallace, Haskell E/Carolyn S ^11
itl
Oakland City IN aa76no
4318
Haskell E/Carolyn S Wallace
1498 S 1050 E State Parcel Number Legal Description
Oakland City IN 47660-8662
IF Itt lltrtlFllttJIIJI,IIItJFIILIrIItIrdIILIrJIJILILI 26-13-13-300-000.389-006 003-00389-00 PT SW SW 13-2-9.92 AC
C-1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
_ l-�ASK iI-�- . ' 10,,41_ kA•to Address(number and street.city,state,and ZIP code) ame as property address -
98 5, /oSOE, ®A/l ,4L d d t 4q, /AI 47&4o
Spouse
�� First Middle Last
'
Mailing Address(Number and street,city,state,and ZIP code) [] Same as prupeny address
Social Security Number(last 5 digits) Drivers License/Slate ID Number (last 5 digits) Other(please specify in Part 4 below)
sou
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 I Signature Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
!l, CREDIT /STANDARD DEDUCTION
i' State Form 5473 (R2 / 5-92)
I6
INSTRUCTIONS: See reverse side for filing instructions.
YEAR
FiC10
CERTIFICATION STATEMENT
I (We) s- o CB 1, _ m �C
certify that on the 1st day of March, 19_
1 (We) occupied as our principal place of r sidence the following described real property for w0h a Homestead Property Tax Credit is hereby claimed:
I (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.
� t
CONTRACT RECORDED
If buying on contract, Fee Simple owner's name
Recorde /s office where contract is recorded -
Record number
Page
PROPERTY DESCRIPTION
County
Township
Taxing dst "ct (city town, township) '
Parcel number
Legal description
It any portion of the residential structure or a lard 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.
-12
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
ANk
Township
County
Township
Signature of c nant,
. hereby certify the above statements are true, correct and complete.
Address (number and street, city, state. ZIP code)
��� Ho 75 6 O
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON- RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Other land
(2)
Total land (fine 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 Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
$
Valuation or S2,000
Signature of Auditor
1
Date signed /
l