HomeMy WebLinkAboutHomestead_Wilson (10) snit FORM e!,.t R_/4N1 tRFASV RPo0.V'IA
nrrww'EO Beata BOARD OF Mttk%TS.2.4 RFAAIamaY tSlr OrrAltialrfr(r LI AL rA%TRIMElT FDa'tr M LI.I-E--x.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple are limited to one homestead s andard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than cser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recei.e the
benefit and to (amide additional identifying information necessary to allow county government to better monitor homestead
filings.Ibis information will be kept confidential and can only be accessed by authorized county officials.The Depannient of
Local Government Finance will use this information to create tcols that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Wilson, Robbie L/Karen L
102 N Campbell BLVD
6 Haubstadt IN 47639-8163
2694 SS66..��
Robbie UKaren L Wilson
102 N Campbell Blvd State Parcel Number Legal Description
Haubstadt IN 47639-8163
ut�r�nt��� 26-18-36-401-000.647-009 013-00647-00 WEST HGTS 4TH ADD 24
n
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.
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
Robb;< Lee W`I (sox
on,Address(number and street,city,state,and ZIP code) Same as property oddress
—
Spouse First Middle Last
Ka re,., try\
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
— ------Each undersigned 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 1 Signature Date
PART 4:ADDITIONAL INFORMATION
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
I. State Form 5473 (R2 15-92)
'r
] lfi
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
kiHC1U i
F.'!
JUN 2 3 2000
CERTIFICATION STATEMENT
T o!•Marcb4
, (We) certify; tha4on ffie 1st'day 199
�.Cr. d'y tun,—.._ t
I (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
l(We)owned F-1 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
It buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County
Township
Taxing strict (d ,town, township)
Parcel number
Legal description
�o
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.
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
Signatur claimant
�ereby certify the above statements are true, correct and complete.
dress (number and street, a. state, LP code)
1ozI4��z3
ASSESSOR USE ONLY
rLoand
TRUE TAX
ASSESSED
HOMESTEAD
NON- RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Otherland
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assesor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
$
Valuation or $2,000
Signature of Audit r Date signed