Homestead_Wilson (11) - .4
SIAM FOAM5s a1R21 NMI MASUILA PORN:]-Is
.ArrRTT'En BY STATE INIARD DFAMRI%TS.!I" P,IAIUaED BY fill DEPARTSLYI OF LOCAL rdK£R.4MTT maser Me-1.1.r. 1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited m one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than mgr 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 recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept conliddauial and can only be atm>ud by authorized county officials.the Depanment 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
Wilson, Terry L/Vickie L
205 3rd AVE
Haubstadt IN 47639
8249
Terry L/Vickie L Wilson
PO BOX 10 State Parcel Number Legal Description
Haubstadt IN 47639-0010
1111111111111 26-19-31-304-000.130-009 013-00130-00 E PARK ADD 400/401
J �
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
_ Lee GJ, �SD
ng Addr (number and street,city,state,and ZIP code) ❑ Same as property address •
�O ab /0 arm5-/ae4 Z,v 471039 -00/0
Spouse First Middle Last
!
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
20 aoX /0 Alai, As eat TA-) 476,39 - 00/0
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 Signature/l Date
PART 4:ADDITIONAL INFORMATION
•
a1 , CLAIM FOR HOMESTEAD PROPERTY TAX
'= CREDIT /STANDARD DEDUCTION
r+ State Form 5473 (R2 15 92)
•au
INSTRUCTIONS: See reverse side for tiling instructions.
CERTIFICATION
a 96
_0 _ _ 0 LY,,Qbn— certify that onine 1st 0dylpk In
occupied as our pri pal place of residence the following descri d real property for which a Homestead Propeny Tax Credit is hereby claimed:
❑ I (We) owned ❑ 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
Recorder's office where contract is recorded Record number Page
'
PROPERTY DESCRIPTION
County
Township
Township
Taxing district (city, town, township)
Parcel number
Legal description
0/0' LL
m\ 3 -OOl 0 Oa
Otherland
Yoo
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is t.nfed to produce income, describe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
1
10eby certify the above statements are true, correct and complete.
Signature` of claimant
4 1 --
Address (number and street, city, state, ZIP code)
0/0' LL
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
0)
Signature of Auditor
Date ' ed
Otherland
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pbs line 7)
(g)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
.Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 _Pay 19_
Lesser of 1/2 Homestead
Valuation or S2,000
S
Signature of Auditor
Date ' ed
_
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