Homestead_Wiseman STATE FORM 53569(Rf-09) TREASURER FORM TS-IA I
APPROVED BY STATE BOARD OF ACCOUNTS.2009��qq pp��`��}}''��pp a� y�y'�� p q�PRRE�S�C�RIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE ICbl.1-1-8.{I
tea_� 11tk 1 a-� ° Ea1gfir Lf�l\vl3.11 tiro ° O V .at11mT71-J: s' ° u r,t.°,llJtnya vt ° .°'''. ? 1
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 ever for homestead fraud. Homestead fraud
•auses higher tax bills for all; therefore, HEA 1344-2099 requires taxpayers who receive the homestead
standard deduction to verify that they are eligible to receive the 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.
rtf `� Y - - -; " yn; PARTt:_PROPERTTY INFORM TI ON, >s:` a
. ?^l' tom' .. . .. •. -r3.se�L�ri?.... ' k'.�yC`r:''i
Taxpayer Name Property Address State Parcel Number Leeal Description:
Phillip A/Zella M Wiseman Box 240 A I 46-GCE r,7S-S 26-14-29-100-00L039-006 / 003-01039-00 PT NNW 29-2-8 3 AC
Oakland City IN 47660 w C-I
Complete and return to: 5
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
;.: ?d x. 1. r >•.:::a_ I;.aRT?: T.1..CPAYiE'RANF_oki∎I TiIONr a.4.: t ; ='6L9 tC. ' ii A-:
Owner•l First Middle Last
”);Pi f�- 1 (1 ti
Mating Address( ber and stool.city.state and ZIP cede) "V 1 C� I r L a t�
+ Sartre as property address
►as/00 g
( p �/� �/, Last
7/&�1a .. K 6lr )-V 0tIJV/✓IC�I /
Mating Address Barber and street,city,state and ZIP code) Same as property address
)2570 13 2-75- s 0miclolfrl d cd, 7-4 io
- 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
•
FORM HC ID 1979
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19
To Be Filed in Duplicate
J
SEE
[ /BACK �FOR FILING INSTRUCTIONS� /A oo3- %0311 -00
-(We)_ ���!�� +� +± y - ^- � � ` n u' 3,e,- �' certify that on the 1st day of
March, 19 I, (We) occupied as our principal pike of rest (Qnce the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in /&-C� -:) County
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name Dee simple owner)
Township
or legal description shown on tax statement:
QiT, AJ]� /1) LJ:.� - 7,9 -2- 3.�e
Contract recorded in Recorders Office - Record
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
01 ereby certify the above statement is
/�.. true, co rrect and complete.
0'" -0 l fQ K `2 % V 4 / / ( y Gty. StaT Zt/
Cote sigiamr Street Address d
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land n cre immediately
surroun V st nti im o ments
Other Land -
Total LandpPP 8 1983
Resid tia m vement
U. Dwelling
AUDITOR Garage
Total
Other Improvements
Tprovements - Line (6) plus (7) equals (8)
I r. ,eby certify the above is true. correct. and complete.
Signature of Assessor
True Cash Assessed
Value Valuation
(2) —yam --
(4)
(5)
(6)
(7)
(8)
- ACTION BY AUDITOR_:
oar
Homestead
Valuation
Approved: c-� 4�F • L� j 1 Date: - 3 ��