Homestead_Wolfeey � CLAIM FOR HOMESTEAD PROPERTY TAX
i'
CREDIT /STANDARD DEDUCTION
;• State Form 5473 (R2 / 592)
INSTRUCTIONS: See reverse side for filing instructions.
GYEAR
I (We) -W" _1j certify th n the 1 t,&y o §�J
c
1e) occupied as our (`iinncipal place of r idence the following described real property for which a Homestead Propeny aAWTO y claimed:
I (We) owned XJ Are buying under contract
❑ Have a beneficial interest in the entity that is liable for the properly taxes on the property and that owns the property or is buying under a contract.
r CONTRACT RECORDED
If buying on contract. a imple wrier no,
Recorder's office wh. ere contra t i?,ec&ded I Record number Page
PROPERTY DESCRIPTION
County Pr 1\ I Township Taxing distric (city
Parcel number 0 1 � — p0�� � Legal description
If any portion of the residential structure or the land not exceeding one (t) acre that immediately 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 COUNTIES
County
Township
I County
TownshQ.—
Oreby certify the above statements are true. correct and complete-
Siiggnature of clamant
X
.adress (number and street city. state. ZIP code)
VALUE
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
Valuation or $2.000
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line I plus line Z)
(3)
Dwelling
(a)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
I (r)
Total value (line 3 puts line 7)
(g)
hereby certify the above is true. correct. and
Signature of Assessor
I Date signed
I1 complete.
Verifying action Signature of Auditor
Date signed
�l
I
ii
STANDARD DEDUCTION ALLOWANCE
I 19_Pay 19_
Lesser of V2 Homestead
Valuation or $2.000
Signature of Auditor ( \'��
F/.
Date signged
- p S
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1rlR(T'En RYSTVTE VIMRO M'YYYM1-TS 9u PVYInBmaY TR DEPARneJr f4 LOCAL GOVZILW.IXT FINANCE M VI.t-r-ai
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 escr for homestead fraud.Homestead fraud causes higher tax bills tix all:therefore.
HEA 1343-2009 requires taxpayers who receive the homestead standard deduction to verify that they are elicib1e to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.'his information will be kept confidential and can only be arce sed by authorized county officials.'the Depannlent 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, Carolyn /
Mary Ann DIO
Patoka fist 47666
662
Carolyn Wolfe
111 S Mary Ann Dr State Parcel Number Legal Description
PATOKA IN 47666-9014
Irlrt��Fttltf lttll'tlrlllll.11111 11111 t1rrrllrtlllt�t�t� 26-04-26-202-000.522-020 01&00522-0o MARY ANN TERRACE 2/3PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
C.arot �� lar, ne, lvdL P
gAddress(number and stmet.city,sure,and ZiP code) "— e as property address -- - —
l l l • , \ ]\c-\ r 1��, Rc ckq -N_ z-1 ``t Coln( 0
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as propeny address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sot
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 p Date Telephone
PART 4: ADDITIONAL INFORMATION