Homestead_Frederick (4) cp1E FORM 5_Iw,IC/Yen TREASURER!ORM 31A
.AFTRlw'ED nY STATE 11CUPDrEVTTUATs.2Ms Pt!w,aw DY mC DEIWITMENTOFIAXIM,CAwERNMrN'T MA\CE!CO-I.122-tI
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 than can for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpaxens who receive the homestead standard deduction to verity that they are eligible to recene the
benefit and to provide additional identifying information necesry to allow county government to better monitor homestead
filing,This information will be Leg cnn[dential and can only he accessed by authnri,ed county officials.The Department 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
Frederick, Wilma Jean
715 N High ST
Oakland City IN 47660
5058
Wilma Jean Frederick
723 Highland Ave State Parcel Number Leeal Description
Oakland City IN 47660-8967
I I I III I I I I I III I I I V I I I III 26-14-18-104-000.373-007 016-00373-00 J M COCKRUM 64/65166/67
t u ut t nt n ututt ut lI ruuIrn tut PT
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) Same as properly address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Sax
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing inforrhatibo is true and correct and.tha[lie 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 Dateet/
EYE n` rF
e a CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 5 -92)
reia
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
C10
rl 11
27 1993
W LAJ " "/"� �ihe 1 st day of March. 19�
occupied as our principa ace of residence the following described real property for which a estea roperty Tax Credit is hereby claimed:
t (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 buying under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple owner's name
Recorders office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
Township
Township
Taxing district (c it , town, township) ,
Signature a4cfalmant
�w4z� Pr
A dress (number and street, city. state, ZIP code,
/?/
1
Signature of Auditor
Parcel number
Legal descr
n
46;/41 U
I( - 003-73
�
If any portion of the residential structure or the land not exc6pling
one (11 acre that immediately surrounds that structure is us Ad to oduce income, describe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County -_
Township
County
Township
® eby certify the above statements are true, correct and complete.
Signature a4cfalmant
�w4z� Pr
A dress (number and street, city. state, ZIP code,
/?/
7 6
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2,000
Signature of Auditor
Otherland
(2)
Date signed
Total land (line I 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)
(6)
I hereby certify the above is true. Correct, and
complete.
Signature of Assessor
Date signed
aging action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 _Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2,000
Signature of Auditor
Date signed