HomeMy WebLinkAboutHomestead_Wolfe (2) STATE IOLM!3e IR:I4n1 WLSSIIIIIU FORM 7SIA
ArrRrn'EB BY SI OE WARD OFYn"R'.Nfl.]in PRs tom BY nit BEMARTHE4T OF LOCAL GOEt4S1M7 FINANCE n'00.1-r-.
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.homestead fraud causes higher la%bills for all:therefore.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only M accessed by authorized county officials.The Depannont 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
Wolfe, Jerry RJEffie
none
Francisco IN 47649
592
Jerry R Wolfe
2402 E John Ford Rd State Parcel Number Legal Description
HAZLETON IN 47640-9264
lrlrrllttt ltlltltlt tilltt tltlttttlt ltllt ttltt illrrr sr irlsllsrl 26-05-57-061-000.947-017 0009-200947-00 PT MD 611102.50 AC
i PART 2:TAXPAYER INFORNIATIOeN
Owner I First Middle Last
serer RQ ,y/ l�lolf e
- - tg Address(number and sued,city,state,and ZIP code) -/---- I — --"-- -0 Sank to prupem'uddre s- -- — -
$(9Q, 6, a.'r0 h COP cN Rd, l/ Z L �1 ri , �76 t/ D
Spouse First Middle Last
F C C i e- ] orei-ca it, / al e
Mailing Address(Number and street,city.state.and ZIP code) 0 Same as property address
1u62 E Jolt) DE % i kt / /e7-r7 -�/) 476 VD
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 S. ^attire Date
• PART 4:ADDITIONAL INFORMATION
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Slate Form 5.473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for lilinq instructions_
FORM YEAR
HC10
I (We) t V--J certify luat bn _je 3Lday 6f
1 (We) occupi 6as our print I place of reside c the following described real property for which a Homestead roperty Tax Credit is hereby claimed:
❑ I(We)owned ❑ Are buying under contract Nov iU 2003
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is bung under a contract.
, "i,j;etn: s' ��.'Ft ;? i?�'. NI1-1,;
-r:
CONTRACT;RECORDED >�, m,G13S0 �F+`.
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
sT n- vyrs>•^ yy.
- s. _ _. _ _ _ _ _
RT. Y: DESCRIP. TION�: ?. �^- s�s�?�. �'':;,�„,a'Yx���`',- �.�°'sna -:
County
Township
Tacing district (city, town, township)
Parcel number
L I description 11
Is a property in question:
001?- DO 1
l e
❑ Real property ❑ Mobile Homo (I.C. 61.1 -7)
If any portion of the residential structure or 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.
g
• PROPERTY,OWNEE BY C- aIMANT;
IWOTHER` COUNTIES `t..,:. ` �-i .' %ik`. 5. =fir- ;i'?? "•. °. i�f"1 Wl'
County Township
County Township
I hereby certify the above statements are We, correct and complete.
Signature of claimant
gaAd (u and street, " ,state, ZIP
e) ^
VALUEyS�
- ..TRUE
LY?�'
ESSOR
7AX` t-
ASSESSED VALUE'
"ATx100%.OF "TfVO
HOMESTEAD~
NON- RESIDENTIAL'¢,�r%
�s -
VAL UEx`A:h
Signature of Ndrtor
VALUEyS�
M=VALUE
rl.
g
Ru
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
z `
Total land (fine f plus line 2)
(3)
Dwelling
(4)
�. � A� .
Residential improvements or Annuallyu�;axCk
Assessed Mobile / Manufactured Hame
Garage
�R
(5)
13� -gyp
Other improvements
(6)i"
`
N �s:
Total improvements (line 4 through line 6)
(7)
Total value (fine 3 plus line 7)
(6)
1 hereby certify the above is We, coned, and
Signature of Assessor
Date signed
complete.
Vedfyirg action - Signature of Auditor
Date signed
,L:` =`�.' l gW..- _'-STANOARDDEDUCTION"ALCOWANCEt ',;<F.; -1t, ,'?;wiz' r x"s- ts'u' -r'.s t`ts4 -y. `_.''.,•,r�:z
20 _ Pay 20
Lesser of 112 Homestead
$
vauaaon or 535.000
Signature of Ndrtor
Date signed r®