HomeMy WebLinkAboutHomestead_Woolsey STATE MIIA.SI!Mt.IC I S,YI flF SIALIZ HAM i}IA
APPROVED SYSTSIE W1 t)OfMXflLTS.!n•/ p11r3PisEn BY Tilt DEPARTMENT OF LOCAL o LNMFTT ra:A\'CE M 6-1.1-2:4.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
• .
'PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more bene&cial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344--2000 requires taxpayers who reecho the homestead standard deduction to verify that they are eligible to reeene the
�^�,
benefit This to provide additional ipt confidential information and ca Ionly e c allow county government county o ciaer monitor homestead
of and
41�{' Jtl� filing..'lhis in(nrnulion will he kept conlidenlial anA can only h.accessed by authorized rnunly otTici��lla.'I'Ae Ik}+anment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
- APR 8 2010 Taxpayer Name Property Address
•
_ Woolsey, Bernard R/Zella M
� 13169 E 200 S
7
GIBSWO TY AUDITOR Oakland City IN 47660
Bernard R/Zella M Woolsey
13169E 200 S State Parcel Number Legal Description
Oakland City.IN 47660-7686
I II II 1 1 11 II I I III 26-14-20-400-001.051-006 003-01051-00P 1-NW-SE 20-2-85AC
to Ott nl n utnrt luuu nt lltnttl C-1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
-'21•""1 Esc y (Y\ tJ0o1 Sty
elg Address(number and street,city state,and ZIP code) ❑ Same as pmpery address
13 Vi
OA KLA (m a/r? Srj, 117 4 6 c
Spouse p'e C%R SL.D - First Middle Last
C rattfteArt C.NGGOSED
•
Mailing Address(Number and street,city,sue,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) I Other(please specify in Part 4 below) —
sot
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 Signal Date
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r� CLAIM FOR HOMESTEAD PROPERTY TAX s jAZ olian, .' ff M YEAR
R
CREDIT /STANDARD DEDUCTION �� 90 [�(�90V C10
State Form 5473 (R215 -92) 9661 L L '
INSTRUCTIONS: See reverse side for tiling instructions.
e) Zc o O c.- 56 �/ certify that on the 1 st day of March, 19J�
occupied as our principal place of residence the following described real. property for which a Homestead Property Tax Credit is hereby claimed:
I (We) owned 1 0 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.
- CONTRACT RECORDED
If buying on contract, Fee Simple owner's name _
Recorder's office where contract is recorded Record number Page
' PROPERTY DESCRIPTION
County -
Township _
Taxing district (city, town, township) -
&/8-Co, r
00 'G "t
Signature of claimant
ZV
Parcel number
00.3- o/o.S 1-00
Legal description
.SE-
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.
-/5� aa- � e2
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
�eby certify the above statements are true, correct and complete.
Signature of claimant
ZV
Address (number and street, city, state, ZIP code)
9-3 3o x sra 0141C..5`14_� C, -, Z.✓ 7c 6 0
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2.000
Signature of Auditor
Other land
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(6)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
,V_'ifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 112 Homestead
_
$
Valuation or $2.000
Signature of Auditor
Date signed `
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