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Home My WebLink AboutHomestead_Willis (3)FORM YEAR HC10 I 1,11LEF CERTIWCATION STATEMENT UN P. 7 7002 I (We) I on he 1 st a 1 1. arch, ?D certify 'a Is' aru'�y P/ a& r b c A d b I (We) occupied as our principal place of residence the following deVed real property for which a Homestead arch tj 1, ❑ I (We) owned ❑ Are buying under contract GIBSON 6OU Ty AUDITOR? 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. W CO NT RA C T! R E C 0 R D E D If buying on contract, Fee Simple owners name Recorders office where contract is recorded Record number Page '-PROPERTY.DESCRIPTIDN County Township Taxing district (city, town, township) P num Le all Dscn . at, R Is the propeLym 94ion: (1) rQ 6 A� I N�4eal property E) Mobile Home (LC. 6.1.1-7) If any portion of the residential 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. T100111 R %R&V' 1 n County I Township I CLAIM FOR HOMESTEAD PROPERTY TAX Township CREDIT/STANDARD DEDUCTION Agnature of claimant State Form 5473 (R5110 -01) 14 Uw(go Somervitte -i7CR3 Prescribed by the Department of Local Government Finance Land not exceeding 1 (one) acre immediately INSTRUCTIONS: See reverse side for filing instructions. FORM YEAR HC10 I 1,11LEF CERTIWCATION STATEMENT UN P. 7 7002 I (We) I on he 1 st a 1 1. arch, ?D certify 'a Is' aru'�y P/ a& r b c A d b I (We) occupied as our principal place of residence the following deVed real property for which a Homestead arch tj 1, ❑ I (We) owned ❑ Are buying under contract GIBSON 6OU Ty AUDITOR? 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. W CO NT RA C T! R E C 0 R D E D If buying on contract, Fee Simple owners name Recorders office where contract is recorded Record number Page '-PROPERTY.DESCRIPTIDN County Township Taxing district (city, town, township) P num Le all Dscn . at, R Is the propeLym 94ion: (1) rQ 6 A� I N�4eal property E) Mobile Home (LC. 6.1.1-7) If any portion of the residential 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. T100111 R %R&V' 1 n County I Township I County Township I hereby certify the above statements are true, correct and complete. Agnature of claimant ss (number and street, city, state, ZIP code) 14 Uw(go Somervitte -i7CR3 ggr-4-�— T 1- -, AiiSE§ sbRQSEONILW�'�,- 7t �' � 1-- '�AJRL[EtTAX.�-"' ASSESSED VALIJIE 'AT.1 HOMESTEAD j--,--:'-N0N:Ri AL RESIDENTIAL -1 VALUE'_._ --- 00% 0 �TTV� VALIJE,!�—' � VALUE. Land not exceeding 1 (one) acre immediately surrounding residential improvements. Other land (2) Total land (fine 1 plus fine 2) (3) Dwelling (4) 55- -:X Residential improvements Garage (5) L Other improvements (6) Total improvements (line 4 through line 5) (7) Total value (line 3 plus line 7) (8) I hereby certify the above is true, correct, and Signature of Assessor Date signed complete. Verifying action - Signature of Auditor Date signed 20 _ Pay 20 _ Lesser of 1/2 Homestead Valuation or 56,000 Signature of Auditor S STATE FORM!3 W Or'/)wi TREASURER FORM sIA Arrtc%Eo BY STATE BOARD OFM TI:TS.2,m PtEARtn[D BYnir oEPARTILYT 4FtnnmvrRNMENT FINANCE ica-tt-rai • 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 Snore beneficial.there is more incentive than rcer 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 am eligible to receive the benefit and to provide additional identifying infomhanon 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 Depanmeni 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 _ Willis, Allan W/Susan J P 0 Box 85 Oakland City IN 47660 3207 Allan W/Susan J Willis P O Box 85 State Parcel Number Legal Description Oakland City IN 47660-0085 l I II Ill II II II II I I III I I III 26-20-02-401-000.161-003 020-00161-00 BARRETT ADD 8/9/10/11 rte nt t nt a nt nr nt u u r t u u t nit ____ -_ 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 I First Middle Last t.Lin Wo.yne. \ iiat5 �a Address(number and street.city,state,and ZIP code) ❑ Same as property address O. 80 K E35- (� KLanok. sateN, Spouse First Middle Last SvLsa.n 3aor, vJLLS Mailing Address(Number and street,city,state,and ZIP code) - ❑ Same as property address P. o. f3ox Oa,ECatd G/f ,SN, L1760 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) Signature Date PART 4:ADDITIONAL INFORMATION • •