Homestead_WinkelW
ee CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
FORM
- CREDIT /STANDARD DEDUCTION HCtD
/ State Form 5073 (8215-92)
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eTs
INSTRUCTIONS, See reverse side for filing instructions.
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} CERTIFIC TIONS
ATEMENT
M�yAA{{ ((�� ''ppff00
e) ify that on thel l5 ,day`Of �aAP%
I (We upi as our principal place of resident the following described real property for which a Homestead Prope ax Credit is Pere claimed. 71
I (We) owned ❑ Are buying under contract,..
❑ Have a beneficial interest in the enti that is liable for the ro taxes on the and that owns the roe or+s n tihtli;r a coiitiacl C'i
entity property property P P rtY rt 9
CONTRACT RECORDED
If buying on contract, Fee Simple owners name -
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCR
ON
County
Township
Taxing trip (city, town, township)
P el umber (�S_
Legal description
t any potion of the residential structure or the land not exceeding one (1) acre that immadiatefy 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 jrounty Township
Signa a of t
�ereby certify the above statements are true, correct and complete.
t�
GAddress (number and street, city, state, ZIP cod
ay� � r
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON- RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(2)
Total land (line 1 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 plus line 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
Va atio r S2,000
S
Signature of Auditor
Dag C,j
'TM"FORM:.15404R3r410i TP:AwRER LORM IS-IA
APPIIOFoa1cT\iE an\RO OF AI I I1Trt.7.M IR*SCYLRO BY THE 11rrsnMLsT OF LOCAL OVtRssusI FX OiCt-1.1"4.1
- Gibson County Auditor •. IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS,-
•▪ 101 N. Main Street Individuals and married couples ale limited to one hones:ad standard deduction.As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud cause:higher u'bills for ell:therefor,
• IIFA G44-2IX4 requires taxpayers who receive he homestead standard deduction to verify that they are eligible to receive the
FILET benefit and to prmidc additional identifying inlixmmiou ne_cssary to allow county government better monitor hmncucad
'�/\/ filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead loud.
• r • PART I:PROPERTY INFORMATION
MAY 18 2012 Taxpayer Name Location Address
Winkel, Robert W/ Norma
10209E TENNESSEE ST
I I SOMERVIILLEIIIN 47683
gril ?ON COUNTY AUDITOR
Robert W/Norma Winkel 1111 I0III_u 111111111MOIMM 1I1I
ul IUIF II_Illul�l IuIII LUU1I_IIIIUIII
10209 E Tennesee
OAKLAND CITY IN 47660-7705
' '1�111111�I1"�"'ll'l�lrllrl�lllll'I�I�'�I"1111'11"II"�I'I State Parcel Number Legal Description
26-20-02-401-000.205-003 BARRETTS ADD 18/19
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 .
a I First Middle _.--" oLast
Robert Wesley W v--e
Mailing Address(number and street.city.state.and ZIP code) R5anse as property address
/oaoq T ee Oa-LI0. c 't-y 3T/t/ 1-U7 4.
Spouse First Middle II Lag
gV0rrn0— Cax-oIy4 W'' Y1t2 �
Mailing Address(Number and street,sit}',state,and ZIP code)
Ernie as property address
0aoq F_ Teh tit e5Sec Ca2CIanA 4y fn/ 14 -7 /4/ o
- - - 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 Date
• PART 4:.ADDITIONAL INFORMATION
•