Homestead_Wheaton STATE FORM!lM de/N•l Ti MSS L£R(1JK,M TS-1A
.A/TWAT°nT 5■TE BARDrw A!Trr:5Rt 9+ PRIY1nBm BY fIE DEPARTRYT(W USCAI GfnZR.YMEFT FINANCE 1r 64.124.1
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 become,
more beneficial.there is more incentive than net fur homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-21)09 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing,.This information will he kept confidential and can only be accessed by authorized county officials.The Ilepanment 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 Property Address
Wheaton, Martha J �/
RI Box 128 A 'Ur,�
llaubstadt IN 47639 C�
8303
203 S 6th State Parcel Number Le_a1 Description
HAUSSTADT IN 47639-8212
11111,111 26-19-31-400-000.728-009 013-00728-00 BRIARWOOD 11
Spouse First Middle Last
/-far)ha e fil4ieatell
Mailing Address(Number and street,city,stale,and ZIP code) [] Same as properly address
_203 5, 6 .142 Ave, fit a sc. As,edi L N `/ 76.39
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
unlaufirlly,he or she may be liable for back taxes and substantial financial penalties.
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R4 18-00)
INSTRUCTIONS: See reverse side for filing instructions.
ILEFORM u(� YEAR
HC10 1 Da Or�
SEP 12 2001
I (we)
residence the following described real property for which a Homestead Property.Tax Credit is hereby claimed:
n 1 (We) owned ❑ Are buying under contract
&ave 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.
xCONTRACli, E RDED' =s`-s
If buying on contract, Fee Simple owner's name -
Recorders office where contract is recorded _ , - Record number Page
�°93PROPEgTY,,_O SCRIP�TIONh, .:....x.'xe;•z.�+y'_�, -� .
County
Township Toting district (city, town, township)
Parcal
nu r
Legal descripti
_
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds Nat structure is used to produce income, describe the use and portion
of the property utilized to produce income. -
--
-
County, - Township
County - _ _ Township
1 hereby certify the above statements are true, correct and complete.
ign of "mat
're s (number and street, state, ZIP code)
v 5, " . s -, . &i',7 4wac • .
Y '
SSiS
F '"'.e.` ^a'.
T_RUETNC
Yb°'
ASSESSED'VALUE
a HOMESTEAD
-� UErw
0. "tmm RESI v NTI
.NON- RESIDENTW
VVALU6 i
�"- 'NAVAL' -UE 7•�y
ATy100%o'iOFsTTV/B
r:V.
3``
Land not exceeding 1 (one) acre immediately
(1)
-_"
surrounding residential improvements.
s:+=vya4, g
F
Other land
(2)
Tdal land (line 1 plus line 2)
(3)
Dwelling
(4)
YC: lT�
^
'
Residential improvements
,��
Garage
(6)
�C�jR
F , r
tag
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 We, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed