Homestead_Wilson MAlt 10851 our,' IPF-ssulra FORM TS-1A
V rww'E°HI(r ATE BMROM'MYY*N1%.2nn PRINBJBFO BY TlR DEPARTMENT OF L t t GOVEPLNNIna FP.44 M tl.nrrI
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 dun eler for homestead fraud Homestead fraud causes higher tax hills for all:therefore.
AEA 1344--200c requires taxpayers who teethe the homestead standard deduction to eerily that they arc eligible to teethe the
benefit and to provide additional idenul-ymr information necessary to allow county government to better monitor homestead
flints-This information will he kept confidential and can only Iv accessed by authorized county officials.'the 0.ryunntcnt of
Local Government Finance will use this infomation to create tools that will help county officials eliminate homestead fraud.
PART 1:PROPERTY INFORMATION
Taxpayer Name Property Address
Wilson, Carlotta D
Box 326
Somerville IN 47683
8588
Carlotta D Wilson
P 0 Box 282 State Parcel Number Legal Description
SOMERVILLE IN 47683-0282
Irlttlltttltllttlttlttrllrll Ilttltttltllttltttlrllltttl 26-20-11-202-000.039-003 020-00039-00 PT NE 11-3-92.67 AC
/
PART 2:TAXPAYER INFORMATION _
Owner I First Middle Last
1111 g Address(number and street.city,state,and ZIP code) -0 Sortie as prdperty address - —" - -
o. 0 V. a:a \ /y/ e.e1// /7P., ,70/. 5'74,8a
Spouse First Middle Last
Mailing Address(Number and street-city,state,and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Sew
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 '
Spouse Signature Date Telephone
( )l
PART 4:ADDITIONAL INFORMATION
•
CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
CREDIT /STANDARD DEDUCTION FORM
State Form 5473 (Ra 17-07)
HC10
Prescribed by the Department of Local Government Finance F I
INSTRUCTIONS: See reverse side for filing instructions.
I (we) - J�L�LLL ��A I &Z � I I 1 X.C1.Ll"� certify that on the 1 st day of March. 20_
](We) occupied as our principal place of residence the (dbwing described real property for which a Homestead Pro by claimed:
�] I (We) owned ❑ Are buying under contract GIBSOvvN- COUNTY AUDITOR
L7 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 • -r r
If buying on mntraM Fee Simple owners name
Recorders office where contract is recorded Revd number Page
Township
IR,:
Is the grog" in question:
If arty portion of the residential stmdure or the WrW not exceeding one (1) acre that immediately surtountls that 3Ud:6ro is used
of the property Wined to produce income.
County
Township
I hereby oertity the above statements are true, correct and complete.
(number and street oil)4 state, and
Mobile Home (IC 6- 1.1 -7)
mme, descdbe the use and portion
Township
ASSESSOR
!ASSESSED*VALUE
HOMESTEAD
NON-RESIDENTIAL
rr'. OF TTV
VALUE
i VALUE
Land not exceeding 1 (one) arse immediately
surrounding residential improvements.
Other land
(2)
-
Total land (line 1 plus fine 2)
(3)
iz
Residential improvements or Annually
Dwelling
(4)
Assessed Mobile ) Manufactured Home
"�� `a;'-¥` ruT cX 7 �
Garage
(5)
i -
tyz5 h
Other improvements
(6)r
-�;
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus fine 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day, year)
.. -.. . WA It 11011YI-0 111"
20 _ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 44.000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation
$
or 43,000 for 2009 pay 2010 40,000 payable after 2012
Jr
Sign r
Da nerd ( /m��n day
V W`V