HomeMy WebLinkAboutHomestead_Wheaton SPATE FORM 53569(RIB-10) TREASURER FORM TS"IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 106-1.1--22-5.1
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS:14MM
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
d duction becomes 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 verify that they are eligible to receive the benefit and to provide additional identifying
information necessary to allow county government to better monitor homestead filings. 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.
-. if' -. - . _ - PARTI: PROPERTY INFORMATION H . :.,: 4_. -P G, , `= ;.: . ,,•
Tasnasel-Name Prenem'Address State Parcel Number Letal Descrinlion;
Randy/Louis/Billie Wheaton 202 W STRAIN ST 26-18-13-404-000.898-026 MCCRARY ETAL 67
FT BRANCH IN 47648
Complete and return to: EIIUD]DVDOQEDlUOIMIBIZI MMIN]OIIV
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
x 1: - PART 2i TAXPAYER INFORMATION n'' a`t
Owner 1 First Middle Last
II
n An 1LP A tv n
I� aQ See �
Mailing Address(iyber and sVeet,city,state and ZIP code)
Same as property 8ddfe59
Spouse Fest Middle Last
Mailing Address(number and street.dty,slate and ZIP code) Same as property address .
Social Security Number(last 5 digits) Drivers License/State ID Number(last 5 digits) scat Other(please speedy in Pan 4 below)
,y; ...
.. -` � '�.>.?.;;' i. '.. t_ -a „ .• PART 3i CERTIFICATION. < ; �' 4c:'' _,
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 1 Signature Date
., `
•
FILED
NOV 13 2012
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GIBSON COUNTY AUDITOR
¢/`�f^�TM � CLAIM FOR HOMESTEAD PROPERTY TAX
;.. ''
la��; CREDIT/STANDARD DEDUCTION
,�='• State Porm 5473 (R2 / 5-92)
�su . . .
INSTRUCTIONS: See reverse side tor liling instructions.
FORM �
HC70
��.rn� n�. wno�M��m�rvi �
I( e) _ _ certify that he st a: ar 7_
� � � •
''"te) o ied as our n i al place of residence ihe fo�lowing descnbed realproperty for which a Homestead Propeity Tax Credit is hereby claimed
I(We) owned Are buying under contract r� �,�� 1� �993
❑ Have a beneficial interesi in ihe eniiry thai is liable for the property taxes on the property and that owns the property or is buying under a contract.
. ' . • . � �ii_- _ . .l} Yi. - ..
(� nIT(1�_
- � - ' . CONTRACTRECORDED - -
1f buying on contract. Fee Simple owner's name . - . � . -
Fecorder's oHice where coniract is recorded Record number Page
� PROPERTY DESCRIPTION
County. • TownShip� . � . . Taziig dis[rict (
�
P I u er O Q� Legal description �
i
If any nion of the residential stmcture or the land not exceetli ,g one (1) acre that immediatety surr
ot the propeny utilized to produce income.
BY
certify the above statemenis are true. correct and complete.
number arrd sbeef. ury. sta(e;ZIP code) /��
W S'�TG,.UL �/Q� .� ,vCL
_ �
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is used to
IN OTHER COUNTIES
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income, tlescribe the use and ponion
' ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTiAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvemenis. (�)
Otherland . (p) �
Total land (line 1 plus line � (3�
Dwelling (4)
Residential improvements
Garage (g)
Other improvements (6)
' Total improvements (line 4 through line bj �7) I
Total value (line 3 p�s line 7� (g)
I hereby Certity the above is �rUe. correci, and Signa;ure of Assessor Date signed
complete.
Veritying action - Signat e of imr Date,��+gn/tl �/y.�
�X L7
.:� ' O
STANDARD EDUCTION ALLOWANCE
79_Pay19_ .
Lesser of 7/2 Homestead
Valuation or 52.000 S
SignaNre of Audit Dafe �q�7e i 1 ,(��
U / Y