Homestead_Wallace (7) •
• Sl\h FORM 5Jn tCr4n1 CREASUAli FORM 11-IA
APrROCEn BY STATE BMRUM.ACMINTS.1IMn PRr91IBFD BY 111E UEPAR1WNT(F UAW.rxwERNMPAT FINANCE M 6-1.1-L4j
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead sandard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than rter for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
® HEA 1333-300c requires additional identifying who receive the homestead standard deduction to verify that they are eligible to homestead
the recebe FILE i, benefit and to provide additional identifying infomsation necess�n to allow county go:emnwiit to better monitor horrlestead
t filing.This information will he Lepi conlidential and can only be accessed by authori,ed county officials.'the Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
DEC 1 7 ZUtU PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Wallace,-6"''l/Michelle J
727ca te ,
302 E Foster
— GIBSON effONTY AUDITOR
Fort Branch IN 47648
7854 1� 3-113
Stemaa /Michelle J Wallace —I0 m 1�le Qltacc
302E Foster State Parcel Number Legal Description
Fort Branch IN 47648-1612
HiiIiIII 26-19-19-101-000.616-026 011-00616-00 SMITH ENLG 2PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
� ' e� _ _ /A 1(r
ens Address(number and street,city,state,and ZI/P code) ❑ Same as property address — - — --
261 . F54e c- F�t 8Rar„,,', J 1-t7L,v
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)
sow
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
•
aE ^"n' � CLAIM FOR HOMESTEAD PROPERTY TAX
;��p.��o��'� CREDIT/STANDARD DEDUCTION
,�wa,��� State Porm 5473 (R2 / 5-92)
t?,
uu
INSTRUCTIONS: See ieverse side tor liling instructions.
- � ���
-� � ' � �'- CERTIFICATI
FORM YEAR
►+cio �
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I �We) %//,��p�Q� /L'��/1����.certify that on ihe tsi day ot March, 7�
�occupied as our pri`cipal pl ce oLresidence ihe.following cribed'real.propeny for which a Homest� Pr �c C�Iiy'y5,beceby claimed:
- �q�.
� �(we) owned� �,1 ❑�,nre tiuying unde� cono-act _ �. AUDITOR
❑ Have a beneticial interest in ihe entity ihai is liable for the property taxes on ihe property and Ihat owns ihe property or is buying under a contract.
� � CONTRACTRECORDED
If huyirg on contract. Fee Simple owner's name �. , .
Recorder's oKice where contraci is recorded Record number Page
- � PROPERTY DESCRIPTION
County - � Townsttip - _, Ta<ing tlistnc ci
Parcel nu er Legal d�scriptio
P /-z9p � �
tl any ponion of the residential structure or e land not exceetling one (7) aue that immediatey sur n s t
ot the property utilized to produce income.
PROPERTY OWNEC
County Township
r--
�•eby certify ihe above statemenis are irue, correct and complete.
Address (number and SheeC city, stafe, ZIP code)
BY CLAIMANT IN
Cauniy
��-
ro produce income, describe the use antl p
. ASSESSOR USE ONLY . TRUE TAX -� ASSESSED HOMESTEAD NON-RESIDENTIAL-
- � VALUE VALUE VALUE VALUE .
Land noi exceeding 1(one) acre immediately
surrounding resideniial improvements. (�� �
Other land (p)
Total land (line 7 plus line 2� (3)
Dwelling (4) �
Residential improvements .
Garage (5) . �
Other improvements (6) `
Total improvemenis (line 4 through lina � � (7)
Total value (line 3 pLs line 7) (g) �
I hereby certity lhe above i5 ime. correCt, and SignaNre of Assessor Date signetl
complete.
ifyrtg action - Si9nature ol Auditor Daie signed
.�
1Q� Pay 79y�
Lesser of 7/2 Homestead
Valuation or 52.000
STANDARD DEDUCTION
S
����iii � i7�7��L� i s.