Homestead_Wickham I.
SIAlE 100.M`ls,,R://+Mt 1wASUIEI(OMITS-1A
.APIA Et BY:P.1E BnVlD(K∎COI \T5.!,/,/ PRES(111BED BY Tilt DEPARTNIZ4TCIF LOCAL GIATRNMrWT FINANCE en-Lr-_JI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verily that they are eligible to recebe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept cont:demial and tin only be accessed by authorized county officials.The De)anment 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
Wickham, Phyllis A
PO Box 248
Haubstadt IN 47639
10790
State Parcel Number Legal Description
HAUBSTADT IN 47639-8238
�t�tt��trtI I�tttr��t�t�rtI �tf r�f�f tI�f�ft�f tt�r�tr�f�f��f t� I1^v^266--23-06-100-000.781-009 ALTE DEUTSCH STADT 27 UNIT 4
V \
Spouse First Middle Last
(----01V 10 a
Mailing Address(Number and street,city,state.and ZIP code) IVl Same as property address
5)i 9V/ 1/ ld
PART 3:CERTIFICATION
Each undersigned certifies,under F malty 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
{Tand$ubstantial financial penalties.
Owner I Sig . �i�'�% '*'y [}ate
PART 4:ADDITIONAL INFORMATION
CLAIM FOR HOMESTEAD PROPERTY TAX \ ✓� 1 oRM
CREDIT/STANDARD DEDUCTION
State Farm 5173 (8614 -03) �1
Prescribed M the Department of Local Gowmrtbm Finance q
INSTRUCTIONS: See ravaraa &W Apr AMrV 6taviLcUmlo. T- IF
I (We) certify thaa@^ Q 1st f1Wk March, 20_
(We) occupied as our principal place of r escrtbed real pr erty for which a Homestead Propvrty�jax Credit-lls.hereby claimed:
e (We) owned ❑ Are buying under contract
GIBS; -4 f'9,' UNPY�UDITOR
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the pproppertX Br &,tpyirip ur)r1e�rR contract.
GIBS ON
c <= .nz"�iti`�`T- rki�'Cc�a.��.a -2 "` �° ` � "'2�•iCONTR/1CT?RECO_R_DEDs�` �� � -'� -r 4 's' - x�'-,aT�x?;;'t,s �rt�
If buying on contract, Fee Simple owner's name
Retarders office where contract is recorded Record number Page
i�itt.�•..t' Ll _
�'e...,: a„ e-_ rz.-. Si. t. �" LW '.4'i:#�v- n..•�HSiY'�kS..t� -1.
County
Township
Ta it d' ricl (city, I , Iwnshi.
Parcel number
Leg desc 'prior Is the prope in question :
• �� 1 _
L
r ear property ❑ Mobile HOmoll.C. 6/.7 -7)
If any ponwn of the residential structure or the End not exceeding one (1) acre that immediately surrounds that structure is used b
of Chef the o to produce income. Droduce income. describe Na use and portion
Land not exceeding 1 (one) acre immediately�."�'�:_'-
G ,Vj -a/0- ion_ 000. 11791-0z9
"` ASSESSORrUSE ONLY "„xt 5y. �^-.1
�PROP.ERTY.OWNED'BY CLAIMANT_INi OTHER.` COUNTIES( - :< -.,:x :i3 •., ` -`--., '� +t - rT'°?!+ -` ".-
County
Township
County Township
hereby certify the above statements are true, correct and complete.
ig ture U
N 'Idress (number and $treef, cdy,
c�0 L
e,
"` ASSESSORrUSE ONLY "„xt 5y. �^-.1
y,TRUE TAX I,
ASSESSED,A
�HOMESTEAD=x
NONRESIDENTIAL
rtATt700Ye O IIY..VALUE
'u'VALUE'"'r-
a..
Land not exceeding 1 (one) acre immediately�."�'�:_'-
r }rt.A,}P
surrounding residential improvements.
Other land
z_
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
'Residential improvements or MnuaOy
Aseasaed MobIle I Manuf3c4ued Hans
Garage
(5)
i A,
Other improvements
(6)
�y:�
+r +�15
; ,e l. - a
Total improvements (line 4 through line 6)
(T)
Trial value (line 3 plus line 7)
(S)
1 hereby certify the above is true, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of A ditor
Date signed
20_Pay 20_
Lesser of V2 Homestead
Valuation or 535.000
of Auditor