Homestead_Sisk (3) ST ATE flM4•!•MIN:/YN1 I RLAsein FOR.V iS-IA
ar EIMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 1 t
Gibson County Auditor
101 N Main
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 e'er for homestead fraud.I lomestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeei'e the
benefit and to provide additional identifying information necessary to allow count'government to better monitor homes:ead
filings.This infmmaion will he lop.confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead freed.
PART 1: PROPERTY INFORMATION i
Taxpayer Name Property Address
Sisk, William J/Kimberly A
308 F Ellen
. Fon Branch IN 47648
2813 •
•
William J/Kimberly A Sisk
308 E Ulen State Parcel Number Legal Description
Fort Branch IN 47648-9703
IIIIIIIIIIIM ntlullnitltlnitnlll ..1-1nlnlnlnll- 26-19-18-301-000.268-026 011-00268-00 HILLCREST 42
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.
f PART 2:TAXPAYER INFORMATION i e
Owner I First Middle Last
GJ (\\IC,rt..) J - SI S
' g Address(number and street.city,state,and ZIP code) Same as property address
- M £ . (4j-,n }--- i 1 61ahch ( ` ylUq?
Spouse - , First Middle • Last
�`mb2( l 4 s Islc
Mailing Address(Number and slree4 b'ly,state,and ZIP code) -in Same as property address
30'3 E . \e:r S-k- Ft. Rra in.&• y1 O <8
--- . ---- "--�__. - --
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
•
a`/ -� 4 CL�AIM FOR HOMESTEAD PROPERTY TAX
i��� CREDITISTANDARD DEDUCTION , '
State Porm 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse sidelor7iling instructions.
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� � - ' � ' � - CERTIFICA ION STATEMENT ' � � <�'—'� `� - - . ,����TQFi 1
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I(We) certify.thai on the 1st day of March. 79_
"e) occupie� a�s our principal place of residence tlie following descnbed real property for which H mestead Property Tax Credii is hereby claimed:
u I(We) owned ❑ Are buying under contract -. ..-.
❑ Have a beneficial interest in ihe entiry ihat is liable tor the properry tazes on the pmperty and that owns the property or is buying under a contraci.
'.,'t _ �- � �� � � - CONTRACT.RECORDED , �, - " � � �
If buying on contract,fee Simple awner's name - � .
Recordefs oHice where contract is recortletl Record number Page
r PROPERTY DESCRIPTION ' �
Counry .. Township . Taxing district dry, rown. fownshipy � I^ � � "
. - T V
Parcel number Legal description �
a c�� �
If any portion of ihe residential strucwre or ihe lantl not exceeding one (7� acre ihat immediatety surmuntls that structure is usetl to produce income, describe the use and portion
ot the properry utilized to produce income.
• PROPERTY OWNED BY CLAIMANT IN OTHEfl COUN'fIES
Counry Township Counry Township
�reby certify ihe above statements are irue, correct and complete. �9 amr o( Gaimam �
Address (numberarMSbeet, dy, sfate. ZlPCntle)
� ASSESSOR USE ONLY THUE TAX ASSESSED . HOMESTEAD NON•RESIDENTIAL
-VALUE VALUE VALUE VALUE -
Land not exceeding t(one) acre immediatety
surrounding residential improvements. (�) "
Otherland (p) -
Total land Qine 7 plus line 2� (3)
Dwelling (4) .
Residential improvements
Garage (g) .
Oiher improvements (6)
Total improvements (line 4 through line � (7) �
Total value (line 3 p�s line � �g)
1 hereby Certify the above i5 Irue, torreCl. and Signature ot Assessor Date signed
complete.
Veritying action - Signature of Auditor Date signed
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� . STANDARD DEDUCTION ALIOWANCE � �
19_Pay19_ .
Lesser of 1/2 Homestead
� Valuation or 52.000 S
Sig ur oi Autlltw � Dare sgnetl
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