Homestead_Wolfe (3)CLAIM FOR HOMESTEAD PROPERTY TAX
i CREDIT /STANDARD DEDUCTION
l
State Form 5473 (R2 /5-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM
HC70
YEAR
CERTIFI ATION STATEMENT
I (We certify that on the 1 st day of March 19
I (We) occupied as o r rincipal place of residence the following describe le eat property for which a Homestead Property T r ere la d
�' ••!
K(We) owned Are buying under contract
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is b}p'j(�9 I -IHR u9d eri angct.
UU
CONTRACT RECORDED / '
If buying on contract, Fee Simple owners name
l
•Record
Recorders office where contract is recorded
number
Page
PROPERTY DESCRIPTION
County
Township
Taxing district 1city, tc , township)
rcel�avtbe� O^
O
Legal descdpdon
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, descdbe the use and portion of
the property utirrzed to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township _ County
Township
nature of imam
�ereby certify the above statements are true, correct and complete.
Atl ess (number anpg street, city, slate, ZIP code)
C7oX- &3 I q76"10
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
aluati or $2,000
CLP
$
Signature of Auditor
aasigned '3
<LxWE rots',,,.'tr IVW) MP£ASLLER/ORM ASIA
nrram'EP BY<TSIL MUDOf MVNLMS.I'r PL,SWBW BY TILE OLMAAN:M tLOCAL CMeLNIAMT FIANCE IC 41.1-2_4.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
iiTET I 47;670. Individuals and married couples are limited to one homestead standanl deduction.As the receipt of this deduction becomes
gpp more beneficial.there is more incentive than ewer for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
j HEA 1344--3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene 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 to accessed by authorized county officials.The Department of
APR7 ZULU Local Government Finance will um this information to create tools that will help county officials eliminate bounced fraud.
PART l: PROPERTY INFORMATION
_ '--yr, Taxpayer Name Property Address
v fQ 6 Wolfe, Toby C/Patricia
GIBBON COUNTY AUDITOR RI Box 83
Hazleton IN 47640
262
Toby C/Patricia Wolfe
Toby Az 25 ter C.
State Parcel:Namtier- "O st' 'Le aa?Description ' ''9'"
Hazleton IN 47640-9263 '4 v lilt tilt rrl111rr11rt ll lrl rlrl rrrrlrlrl lrrrrll rlr rl tit It tt tit ll 26-05-57-069-003.089-017 009-03089-00 PT MD 691107.305 AC
C-1D-12
X
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
o!ay CLi2i15 r��v�/=
ng Address(number and street.city,state,and ZIP code) 11-3an'ie as property address
Spouse First /
r Middle Last
Yes+�icic,_ Joy (/ ore-
Mailing Address(Number and street.city,state.and ZIP code) f f� get R.Same as property address/ / / r
.g6-7 .[_ 3-721'w 1 For(.( ?IX Yte{.Z(c-f-o Jn ,Z rl �-t -2 to `Y o
-- --` --
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 1 Sim . t ; -/ Date
PART 4:.ADDITIONAL INFORMATION
L.,
S f4As-Wp�,
C Du TO /_ - 9//