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Homestead_Wampler SLATE FORM 53W Ir/swl TRF VNR2 FORA IS-IA APFRrn'ED BY STATE BOARD Of Mrl*-STS.a". rREANBED BY TIE DEPARTMENT OF LQALCO4ERNMEFT FD ANCE ICH.ISYF.1 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and flurried couples are limited to one homestead sardard deduction.As the receipt of this deduction becomes • more beneficial,there is more incentive than OCT for homestead fraud homestead fraud causes higher tax bills for all:therefore. HEA 1343-3009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the benefit and io provide additional identifying information necessary to allow county government to better monitor homestead filing',This information will be kept confidential and can only be 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 fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Wampler, Jennifer L 305 W Locust Fort Branch IN 4764S 2528 Jennifer L Wampler 305 W Locust State Parcel Number Leal Description FORT BRANCH IN 47648-1307 IFIuIIluitllullnllnlnnllulil iinlihullinnitlIdIlII 26-18-13-403-000.760-026/ 011-00760-00 HOFFMAN ADD 3 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. PART 2:TAXPAYER INFORMATION Owner I First Middle Last •ilmg Address(number and street,city.state,and ZIP code) C..� %Same as property dress D5" u ) 5 Spouse First Middle Last Mailing Address(Number and street.city,state,and ZIP code) 0 Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specfy in Pan 4 below) /____ Sea 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 Signet � Date b� CLAIM FOR HOMESTEAD PROPERTY TAX - � CREDIT/STANDARD DEDUCTION t ' Sfate Form 5473 (RS / 10-01) �� Prescribed by the Department of Local Govemment Finance INSTRUCTIONS: Sea 2verse side for (ling instructions. � FORM HC10 � YEAR I(We) certify thal on the 1st day of March. 20_ I(We) o ied as our prin al place oi residence ihe followi described real property (or which a Homestead Property Tac Credit is hereby daimed: ❑ I(We owned ❑!ve buyirg under contract � � Have a benefidal interest in ihe entiry that is liable for the property taxes on the property and tlial owns the property or is buying under a conVaG. If huying on wnVact, Fee Simple ovmers name Recadefs ofice whrse contrad is recorded County H eny portion ol Ne residentlel sW cWre w the land of Ne propeny utiaed fn produce income. County Tavnship Record number � Page Taing disUict (dry, tawn. fownsAiP) Is the property in question: ❑ Real property ❑ Moblle Homo (I.C. &/.1-� ona (1 � arre Ihat immediatety surtounds that sWCWre L5 used b produce income, desaibe Me use and porUon County I hereby certify the above statements are We, corted and complete. �9nature o( n,.,,,. Address (number arM sOeet, cily, afate, ZIP cada) �- ' ��'��"��-"'� • �"��'�' .�.. �TRUETAX � ASSESS DE VACUE�. �HOIdESTEAD�- i�T� �NON�tESI0ENTIAL �� ASSESSOR�USE ONLY3, � "��s�� *� ��UE�'i`��; �AT.�00%OF,TfV� ��.VALUE3'C� ��- "�"j�'.s3r YALUEjr�-p��~��'�' ,�, L a .� � '�d: �` 4�.T�°u'b'.^rn�" � ,k.� '4�a --" �. i... Land not exceeding 1(one) aae immediately ��'�' �;.��`c'� a;�.�-^z surrounding residential improvements. �� `,��"��--' .�� 1.��-`fY�. {�1� Y ' Otherland �y� ,.:��, ��,°;,-� •_.�� Tdal land (line 1 plus line 2) (3� :� '� � `�j8��"�� Dwelling (4) ��i��,,��;�r� Residentlal imprwements ,�..�. `.x, �: �� ; y„� . Garage (5) � �t! '�;E�'� � i wU i`'K�-K�AAT j, � Other improvements (6) �jv� Total improvements (line 4 through line 6) (�� Tctal value (line 3 pha line � (g) I hereby certify ihe above is We, corted, and Signawre o(Assessor Date signed complele. Verifying adion - SigrmWre af/wditor Date signed 20 _ Pay 20 _ Lesser of 1/2 Homestead Valuation or $6,000 5 SignaWre ofNM'rtw � � �� I Date sigyed,_ �� i� n �, . �;