Homestead_Wallace 12 "
SIME FORM.JR.ire 64+1 1RrAsummm FORM:a.IA
.ArranvEO BY SiklEbn\RD(F VTYRLST1.:nx ptt3RIBED BY TIE DEPARTMENT OF LOL's1 tSw'Et.YMrNT FI:ANCEIC I.1.1-L-A l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAd PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple are limited to one homestead srandani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than exer for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receise 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 be accessed by authorized county officials.The Depanntnt of
Local Government Finance will u.c this information to create tools that will hap county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
• Taxpayer Name Property Address
Wallace, Chris E
107 N Main
Fort Branch IN 47648
6886 -
Chris E Wallace
107 N Main State Parcel Number Leal Description
Fort Branch IN 47648-1301
II III I II I I I II II IIII I III I 26-18-13-404-000.838-026 011-00838-00 GENUNG 8 WALTERS
r tt err t rrl rr rr ever rt r ern err t tr 16OPT/161/162
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
�f�K/eS 1 . (jS -LG£
•�DAddress(number an 4 strcet,/city,state,and�ZIP/r)�ade) �� ix/`— —-� — --Same as property address /� --- — — - -•L�/7 /,IsV// � 2 / / / .'1 /- /C//rog-4- _ _ _. ., , _xi)
°
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) 9 Same as property 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. / ) �r7�
Owner I ' arose%/� C, ��/ /��
•
0
.•�^•� CLAIM FOR HOMESTEAD PROPERTY TAX
d !;_ i+ a
::'� y : CREDIT/STANDARD DEDUCTION -
� :� State Form 5473 (R2/t-90) `
'' '°" ' INSTRUCTIOfNS: See reverse side for liling instructions.
<�
ne,9 �,� CERTIFICATION STATEMENT '
u
FORM YEAR
HC10 Q' �
✓
e)����h%�C�� ��,�__„_„'� .��LV`�' certify that on the 1st day of March , 19 R 0
) occupied as our principal place of residence the follo ing described real property for which a Homestead
erty Tax Credit is hereby claimed: ' I(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 it under a contract. ..-
If buying on coniract.
contract is recorded
CONTRACT RECORDED
DESCRIPTION
: � Record Number � Page
Par el Numberr I Description � � n � � � � �T, / � � I J � .� ;
� 15 - oo$3g-an �x.�«M � i
If any portion of the residential structure or the land exceeding one (t ) acre that immediately surrounds hat struc-
ture is used to produce income describe the use and portion of the property utilized to produc
. . . . • ���
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES .1Uiv 15 199
.Township County . Township
�nereby certi(y ihe above statemenis are
complete. • - -
Address (Streei. number, city, state a
ASSESSOR USE ONLV
correct and ' � �
� �
TRUE TAX VALUE ' ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not ezceeding 7(one) acre immediately . _
surrounding resideniial improvements (�)
Other land (2)
Total land - line (7) plus line (2) (3)
Residential improvements Dwelling (4)
Garage (5)
Other improvemenis (6)
Total improvements - line (4) ihrough line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 1990 Pay 1991 1991 Pay 1992 79—Pay 19—
lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,500 Valuation or $2,000 Valuation or �7,500 Valuation or $1,500
of Auditor Date Signed
.., � M . i _. �. � �n— �C—C1�