Homestead_Wilzbacher (5) • slut FDRf1!l,.IV:Rim TREASURE,FORM USIA
nrFRwwEO BY Stst1.BOARD(W NMTi1t'Ta.Run PAISOURED DT THE DFPARTLCITfttAL rwatVVnl MANCrw&I.IrA1
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 beneficial.there is more incentive than et er for homestead fraud.Ilomeaead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to serify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
6lin�e This information will he kept confidential and can only he attested by authorized county officials.The Department of
Local Government finance will use this information to create tails that will help count'officials eliminate h,nentcad fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Wilzbacber, Kevin/I Carol Sue
113 S Weber DR
llauhstadt IN 47639-8130
7413
Kevin/Carol Sue Wilzbacher I I
113 SWeber Dr - - - State Parcel Number Legal Description
Haubstadt IN 47639-8130
26-18-36-404-000.396-009 013-00396-00 WEST HGTS 2ND ADD 113
t o II t It II nu II r I t I I n I II I t II non I I a II n It It I
PART 2:TAXPAYER INFORMATION _
Owner I First Middle Last
kVIN SVAN V111-76121011--ER
�g Address(number and strcct city,state.and ZIP code) _ -.N Jame m'properry nddrrns_— — . - —__ . —_
113 S 1 h/EGE2 halve Hau4S A-dr� INOU�N 9
P- 47623
.
Spouse First Middle Last
Os- cuC YU/r zMMM4,46-p,
Mailing Address(Number and street,city,state,and ZIP code) Same as property address.121
143 J. hlcl3ER. Q2/V6 i%'aa rflr", /NaoN14- 47/0 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
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
ill .
•.. CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State.Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions. .
CERTIFICATION STATEMENT
FORM YEAR
HC10 199
I (We) K Q,, U l}�� 6� l N Jh certify that on the 1st day of March , 19
1(We) occupied as our principal place of residence theme, foil wing described real property for which a Homestead
P,®:rty Tax Credit is hereby claimed: tom' 1 (We) owned ❑ Are buying under contract
❑ Have a beneficial interest in the entity that is liable for the property taxes on thelg� and that owns the
property or is buying it under a contract. JJ��iid1.
CONTRACT RECORDED M Y di n
If buying on contract, Fee Simple Owner's Name
Recorder's office where contract is recorded Reco R ..age
PROPERTY DESCRIPTION
C 1 - 0� - 00 ry flc e—� cy /
If any portion of the residential structure or the la4 not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
oonoGRTV nwNFn RV rl AIMANT IN OTHER COUNTIES
County
Township
County
Township
by certify the above statements are true, correct and
lete.
gnatujV
Address (Street, number, city, state and ZIP code)
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON- RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
19 — Pay 19—
I1989
SSer of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Sig re of Auditor I.`.
(5)
(6)
(7)
(8)
1 hereby certify the above is true, Signature of Assesor
correct, and complete
Verilying Action - Signature of Auditor
Date Signed
Date Signed
eTAninnon nr-nl IrTInN AI I nWANCE
Pay 1990
1990 Pay 1991
1991 Pay 1992
19 — Pay 19—
I1989
SSer of 1/2 Homestead
,I ILbsser of 1/2 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
it,';) Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Sig re of Auditor I.`.
Date Signed
— c� — goz-
i