HomeMy WebLinkAboutHomestead_Wayman (3) e
STATE mtAI.A W Its_/YNI MIASMA FORM SIA
APPROVED BY<TATt bMRDDr AlTYaNT%.9v PIMIDPD BY nil BFPART\4:n OF HEAL COVELNMFI.T rtAxence-.I-r-li
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead stzndanl deduction.As the receipt of this deduction becomes
S more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher rat bills for all:therefore.
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 intonation necessary to allow county gtnemment to better monitor homestead
filing,.This information will be ley confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will use this infommtion to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Wayman, William Brett/Monica J
S Lincoln
Fort Branch IN 47648
2970
William Brett/Monica J Wayman
1007 B S Lincoln State Parcel Number Legal Description
Fort Branch IN 47648
26-19-19-103-001.088-026 011-01088-00 LOWES ADD 14PT/15
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,II First �i Middle \&) Last
W il�iam J �Y"e�+ aym n
�ilrtlg Address(number and street,city,state,and ZIP code) Same as properry address
100 '7 S . Lincoln S3-. . tor+- 13randh t TA) crkplp
Spouse First Middle Last
Pilo n r at ,AD a`1 ma i'-\
Mailing Address(Number and street,city,state,and"LIP code) I-1 Senne as property address
/Dori S. L'I- nCcIn Si-. Fork Bretnc,h, D' (-1767 YP
_
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
- Ti .
Th-,;'s nddress no lon3or has r NEC" in 1+-,
�•• ^+'�
e�' "; CLAIM FOR HOMESTEAD PROPERTY TAX
i•°�`!= CREDITISTANDARD DEDUCTION
,�,;� � State Form Sa73 (R2/5-92)
�eu
INSTRUCTIONS: See reverse side 1orliling instructions.
FORM
HC10
YEAR
e) � f� fJ /�-' 1 �_� _�_� ��t/`�___�j� ����tffy that on the 1 st day of March. 79
z) 9xupied as our principal place of residence the following described real property f r hich a�HOmestead Property Tax Credit is hereby daimed:
/
I(We) owned ❑ Are buying under contract � . . .
Have a beneticial interest in the entity that is liable for ihe property taxes on the property and ihat owns the pro�pyrj_qbq,�rg ur�d�� �Qntract.
II buyirg om m�tract, Fee Simple owner's name
Recortler's oNice where coniract is recortletl
Counry
to
CONTRACT RECORDED
AUG 0 6 1996
� PROPERTY DESCRIPTION �
Township Taxing disiric y, fo , town ' 1 -
O� Legal tlescription . ' .
stmaure or the land not exceeding one (11 acre that immediatety sunountls that structure is used m produce income, describe the use and ponion
ke income.
PROPERTY OWNED BY ClA1MANT IN OTHER.COUNTIES
Counry Township Counry
�eby certify the above statements are Irue, correct and complete. Signature o� claimant
�e�.ca ,�. Y.c.
Atltlress (num6er and slreel. ury, slate. ZIP code) � �
ASSESSOR USE ONLY
land not exceeding 1(one) acre immediately
surrounding residential improvements.
Other land
Total land (line 7 plus line �
Dwelling
Residential improvements
Garage
Oiher improvements -
Total improvements (line 4 through lina �
Total value (line 3 p�s line �
I hereby cenify the above is irue, correci, and
complete.
19_Pay19_
Lesser of 7/2 Homesiead
Valuation or 52.000
TRUETAX I ASSESSED
VALUE VALUE
(�)
12)
(3)
(4)
(5)
(6)
I�)
I8)
Signature ofASSessor
STANDARD DEDUCTION ALLOWANCE
�
HOMESTEAD I NON-RESIDENTIAL
VAIUE VALUE
Date signed
oate signed
����� '� '� /�����- � �
.