Homestead_Wallace (9) •
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1RE tset I.t:}IA
APPRO.ED BY STATE BMMDnE',MUNI/SY PRISSIBM BY SS DEPARTMENT OF MM.CMRhVMIM ra:PCE IC VI.t-2-l.I
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
II / more beneficial.there is more incentive than ever for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to teethe the
benefit and to provide additional identiiyim_ information necessary to allow county government to better monitor homestead
filings.This information will he Lepi confidential and ran only he accessed by authorized county officials.The Depannrent of
Local Government Finance will use this information to create tools that will heIp county officials eliminate honcstcal fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address \r _
Wallace, Thomas L/Lorinda L /7/\f��\
R I Box 20
Fort Branch IN 47613
7989
Thomas L/Lorinda L Wallace
7917 S 38 E State Parcel Number Legal Description
Fort Branch IN 47648-8012
26-19-19-204-001.310-026 007-00971-00 INDIAN HILLS 120/121
to II fitIs II fit I n II uI fiIt II II se I t I t III fitI ieIt II
D-27
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
j KGB A. [^mt-.-ffiC .
ion g Address(number and street,city,state,and ZIP code) - - _.. . - Same as propert✓Bdarms - - ---
7917 5 3e 6 Ra2T g24vc1 j A) Lf 70'FS'
,
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) l resume as property address
?
,. . PART 3;CERTIFICATION L. ; _; ,_, l_ :.__ '-_--;---- ----- -- -
E a c h 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
unlawf y,he or she may be liable for back taxes and substantial financial penalties.
Owner nature Date
•
,.«•�., CLAIM FOR HOMESTEAD PROPERTY TAX �- FORM YEXAR
d � p ` V
;. � --� „ CREDIT/STANDARD DEDUCTION - � - Hcio
' .� State Form 5473 (R2/1-90)
.�� ,°�° � INSTRUCTIONS: See reverse side for filing instructions.
. - _ _ � - - :D-o 7- 009>/ ozs
CERTIFICATION STATEMENT ' '
I(We) ___ ertify that on the 1st day of March ; 19
_ . � _
�I,We) occupied as our principal place of residence the fo ing described real property for which a Homestead
roperty Tax Credit is tiereby claimed: I(We) owned ` ❑ Are buying under contract
e terest in the entity that is,liable for the property taxes on the property and that owns the
�,�o�r�o yi it under a contract. : , _
n e
0
Simple
T
CONTRACT RECORDED
!ame
I _ .
PROPERTY DESCRIPTION
Legal Descripiion
Record Number
;ity, town,
Page -
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and-portion of the property utilized to produce income.
. / 9 /� �i� 5G �/_ Q3/d -
PROPERTY OWNED BYCLAIMANT IN
Township Cou nfy ��
ER COUNTIES
ertify the above statements are vue. correct and
(Street, number, city, state and ZIP code) .
/ � . • . • _
ASSESSOR USE ONLY - TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
� ' VALUE
Land not exceeding t(one) acre immediately ��- �
surrounding resideniial improvements (�) �
�Otherland (2)
Total land - line (7) plus line (2) (3) �
Residential improvements_ _ Dwelling _ (4) _
Garage (5)
Other improvemenis (6)
Total improvements - line (4) through 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 7 9— Pay 19 —
sser of t/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of t/2 Homestead
Valuation or $2,500 Valuation or $2.000 Valuation or �7,500 Valuation or �1,500
Auditor