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Homestead_Wade (6) I. • SIATE FORM`I r.R_F-,N1 IPFASUrrR FORM TS-IA .VPWNEO III RATE afiARD(rtMTitStc.T.N ms-mBED BY Tn oEPMfMVT Or LOCAL IXK_P.Vf,rNT F t%CE ICH.I-_-r.l 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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. /110 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.'Ibis information will be kept confidential and©n only to accessed by authorized county officials.The Depanntent of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY LNFORMATION Taxpayer Name Property Address Wade, Pamela S 800 E Vine Fon Branch IN 47648 7795 Pamela S Wade 800 E Vine State Parcel Number Legal Description Fort Branch IN 47648-1230 26-19-18-304-000.355-026, 011-00355-00 HILLCREST 67PT 1F1tt11ttt IIlll rrlrrllrrirr rrllrt ItlrtlIt IlFtr llrFtlltrrtlritl PART 2:TAXPAYER INFORMATION Owner I First Middle IS e A AI e_ 1- 6 5 (A) A De__ rag Address(number and street,city,state,and ZIP code) — - - - —- Seine as pmpe ty oddmss — —�(nil' ? Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) sue . 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 Signatur �Q Date • • t°� ��°, CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR ���'= CREDIT/STANDARD DEDUCTION H �,��� State Form 5473 (R2 / 5-92) �iG . . - . _ . - . .. INSTRUCTIONS: See reverse side tor liling instructians. �FEB 3 1994 � - . CERTIFlCATION STATEMENT � . � 'We) Q � . � ,1.1 �� • � certify ihat on ih fsq �k.q �k9- � occu ied as our rinci al lace of residence the followin described real ro ert for which a Homestead Pro ert Tax Credit i ereti Ula�med: P P P P 9 P P Y P Y Y I(We) owned ❑ Are buying under contract . ❑ Have a beneticial interest in ihe eniity that is liable for the property taxes on the property and thai owns the property or is buying under a contract. � CONTRACTRECORDED � � If buyi� on contrad, Fee Simple owner's name Recorder's oHice where crontraa is recorded Recortl numher Page � PROPERTY DESCRIPTION Gounry ��' Township Tartirg di5tr' (ary, w. town5hip) �-l./Yt_.C�4'� f Parc41 number I Legal de�crjptioC� �O ��� o I I- 6�355 -o � '� i L' any portion of Ne residential structure or ihe IaM not exceeding one (7) acre that immediately surrounds that struciure is used to produce income, describe the use and ponion of ihe pmperty utilized to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUN'fIES � � - Gounry Township Counry Tmvnship reby certify ihe above statements are tme, correci and complete. re or am �� --�,..._ C,.� � r s(numberandsbeeC ciry, sfate, ZlPwde) �o o E vrti e Sf. Fo-�- �-�, �P � L�� ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL. VALUE VALUE VALUE - VALUE Land not exceeding 7(one) acre immediately surrounding resideniial improvemenis. (�) ' Otherland (p) Total land (line 1 plus line Z� (3J Dwelling (4) Residential improvements Garage (5) - Other improvements (6) Total improvements (line 4 through line � (7) Total value (line 3 p�s line � (g) I hereby ceRify ihe abOVe i5 true, cOrreCi, and Signature of Assessor Date signed complete. �fying aciion - Signature oi Audimr Date signed 19_Pay19_ Lesser ot ll2 Homestead ya�uation or $2,000 S Syn` at�� Autlimr / % ^, ^, ' / / I 1 l^ , � ^ �/ I uate sign a / ^ I A l / i/ h �i `i