Homestead_Wibert SATE FORM 53560(Ri/&la) WARM'FORM TS-IA
APPROVED By STATE BOARD OF ICCDUYIS'1W FREYRta1D BY TIIF.DFPARTMEVT OF LOCAL GOVERNMENT FMANCZ IC 61I.'34.1
. • 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 receiv are e the homestead standard deduction to verify that they a eligible to receive the
4 FILED benefit and to provide additional identifying information necessary 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 .
NOV 7 2011 Taxpayer Name - Location Address
C.3.n Wibert, Gerald R/ Mary K
4290 S TALEIA DR
GIBSON COUNTY AUDITOR OAKLAND CITY IN 47660
4967
Gerald RI Mary KWibert I Ill I ii III _III fl..]iiii ii 1: 1111 1111!IflI flU IlL IL Ill El. III 1111101li11]II]ILII_III
4290 W Taleia Dr
OAKLAND CITY IN 47660
State Parcel Number • Legal Description
26-13-35-300-000.782-006 PT SW SW 35-2-9 12 AC C-1
/r - ,
• 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.
_• ! _.,_-____— _.__ -_---.:1_-_PART 2: TANPAYER INFORNLATION _ .:
— —
Ov..._ Last e GO:I First Middle r - - la
Gerald I 'Kola nel
Mailing Address(number and street,city,state,and ZIP code) L.)_Same as property address
it -Ro 5 .. Talel(a Dr. OaK1a-nil 0 ; y7G-6, •
Spouse 0 - First Middle ^ Last
412 r- Ka th Is.e- v, IP, b e r-i"
Mailing Address(Number and street,city,state,and ZIP code) rQ Same as property address
PART 3:CERTIFICATION I
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.
Owrn's�1 Signature f. l Date
PIM..Ued By Slate Boa d pl la. Cop..i,wwcla
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR /1199
(, SEE BACK FOR FILING INSTRUCTIONS // 0p3 OD Z8Z—DID
</% A A. fi y 1 , A d YYY
wvve! - - ' ' l"' - certify that on the 1st day of
19-&-C4-, 1, (we) occupied as our rincipal place of residence the following described real property for
w a Homestead Property Tax Credit is hereby being claimed:
an
1, (we) wed &o? —�G(o
❑ are buying under contract
❑ have a beneficial inter e t in the taxpayer
Property Description in_� Co ty Township
Taxing District (City, Town, Township):
Parcel Number. or legal description shown on tax statement:
L
If buying on contract: Owners name lice simple owned
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: County Township
certify the above statement is true, correct and complete.
t7
Add,ess / -.
Individual either owns or is buying under a contract that provides he is to pay the property !axe`s
on the residence, or has a beneficial interest in the taxpayer. APR 06 1989
FOR ASSESSOR'S USE ONLY -
aX - -'& ? 14e --S
True Cash Assessed Homestead
Value Valuation Valuation
Land not exceeding 1 (one) acre immediately
surrounding residential improvements (1)
Dther Land (2)
Total Land (3)
4esidential Improvements Dwelling (4)
Garage (5)
Total (6) _
ether Improvements (7)
rolal,Arovements - Line (6) plus (7) equals (8) (8)
her certify the above is true, correct. and complete.
isgnaluie of Assessor
is
I r.d.r
(/Q
Date: