Homestead_Weightman r
alatE rfRN!1o,It /YWI TR[ASUtUA FORM:J-IA
•
.,rrxrs I IPORTANTNOTICETO DEPARIMENTOF LOCAL :_
:Gibson County Auditor
101 N Main
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 ewer for homestead fraud homestead fraud causes higher as bills for all:therefore.
III HEA 1344-2009 requires avpa)ers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to pnwide additional identifying information necessmy to allow county government to better monitor homestead
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.
PART 1: PROPERTY INFORMATION
Taxpayer Name Properly Address
Weightman, Mark A/Julie B // 11l4oE• dSD S3
Oakland City IN 4766,
4898
Mark A I Julie B Weightman
9940E 450 S State Parcel Number Legal Description
Oakland City IN 47660-7645
�t1t t11rrr1t11rarllrtllrtrlttrlt�1tr r1rr1r1r1rr1r rlll III 26-13-35-300-000.863-006 003-00663-00 PT SE SW 35294.00 AC
C-1
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
in - /4 UJE1 Qk+rnA-&, .
�eg Address(number and street.city,state,and ZIP code) —- Same as property address- -
'-$40 6- LISD (bAK.tn A., eiH Du `t1(4 (e0
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) )ame as property address
,a
- _
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
l
II -
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEA
i� CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R2 15.92)
��1�j�Y�'. ���'��j''�j��/]
F I L ll� ,d Sy
INSTRUCTIONS: See reverse side for /fling instructions.
CERTIFICATION STATEMENT RRAV I C r-
[I 'We) - certify that on th�,"l� s�t day of March, 19
occupied as our principal place of rest ce the following described real p perty for which a Homestead Property Te(' rojfffs h'€r.- bydc%ai -S
I (We) owned ❑ Are buying undei contract AUDITOR
❑ 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.
.r
_ CONTRACT RECORDED
It buying on contract. Fee Simple owner's name -
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Tow
AID
Taxing (i iLY 'ty, town, fow,nship)
Parcel number
om3- e1�8c,<3
Legal tion
ZF� �SW 5 a- �►
It 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.
191 3
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
eby certify the above statements are true, correct and complete.
ature of claimant
tldr umber ;8W my state, ZIP e)
4L4 CL 6 k
LWA
ASSESSOR USE ONLY
TRUETAX
VALUE
.ASSESSED
VALUE
HOMESTEAD
VALUE
NON- RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or S2,000
Signature of Auditor
Otherland
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plrs line
(S)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
verifying action - Signature of Auditor
�f
Date signed
- STANDARD DEDUCTION ALLOWANCE - -
19 _Pay 19_
Lesser of 1/2 Homestead
S
Valuation or S2,000
Signature of Auditor
Dates nede n
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