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Homestead_Wilkerson y s1ME FORM IJA+,R_l a-m TRL'StzIR FORM 75-IA Annoy En BY STATE B s,snor M'M1RIN1R.Nis rRLosmax me DEPARTMENT OF LOCAL rusER.NMfwr IFIN,ViCE IC 41.1-1:4.1 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 • more beneficial,there is more incentive than ever for homestead fraud Ilomestead fmud causes higher tax bills for all:therefore. HE* 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they an eligible to receive the benefit and to provide additional identifying information necessary to allow county taemment to better monitor homestead filings.This information will he kept canlidetuial and am only le accessed by authorized county nfftcial.The Department of Local Government Finance will tic this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Wilkerson, Carl V/Diana K 107\V John Fort Branch IN 47648 6778 Carl V Wilkerson 107 W John State Parcel Number Legal Description Fort Branch IN 47648-1005 26-18-13-402-000.309-02✓/011-00309-00 WALLACE&FRENCH 276 t n II L It II InI n II n I nn IIII nt II nn It It I'nL I ul II 11I t I PT/277 PT PART 2:TAXPAYER INFORMATION Owner I First Middle Last Car-- I Vn 1 u / Kcrsot) •Ibtg Address(number and street,city,state,and ZIP code) M Same as property address - - ---" -10-7 3-61-ii SF Spouse First Middle Last D f G in c--. U4^{ f. I K c`'S o .v Mailing Address(Number and street,city,state.and ZIP code) ®Same as property address /0 7 U `JO In li St 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. Ow I Si attire Date -. • • a�f RI� g CLAIM FOR HOMESTEAD PROPERTY TAX xi �� CREDIT/STANDARD DEDUCTION ��'� State Porm 5473 (R2 / 5-92) �� �eis INSTRUCTIONS: See �everse side for liling ins(iuctions. e - FORM HC10 ��� i�we) \V}LS✓iJl �/ . ��f J�x,�'CXJLXI,C1 v�-' certity tnat on tne tst day oi March, ie_ '2) upied as our principal place of residence ihe foliowing described real pmperty tor which a Homestead Propert Tax Credit is hereby Gaimed: ,� 1(We) owned ❑ Are buying under contraci . ip{�� iII�II'�II!1 ❑ Have a beneficial interest in ihe entiry that is liable for the property taxes on ihe property and thai owns ihe prope or is'b� g,u�a2or7tract. If buying on convaa, Fee Simple owner's name Recorder'S oNice where contract is recordetl Coumy If any portion of the resitl o� the pfopetry UliliZed Io CONTRACTRECORDED l,t'.N„�� � li�.y-�. Record number Paqe ' PROPERTY DESCRIPTI • � Township . - Ta<ing disN t(ci i wn, fow sbi a. ^ O Legal description A���-ee al �2e�c �,Y o27 G icture or ihe land not exceetling one (7) acre that immediatety surmunds Ihat siructure is used ro prod inCOme. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES p Counry � cenify the above statements are irue, correci and complete. 5� �a;ure o( Gaiman2 �a...��_�'� (number and street. ury, s(ate. ZIP code) ASSESSOR USE ONLY Land no� exceeding 7(one) acre immediately surrounding resideniial impmvements. Oiherland Total land (line 7 plus line Z� Dwelling fiesidential improvemenis Garage Other impmvements Total improvements Qine 4 through lina � Total value (line 3 p�s line � I hereby cenify the above is true, correct, and complete. 79_Pay79_ Lesser of ll2 Homestead Valuation or 52,000 TRUE TAX VALUE 1�) l2) (3) (4) (5) (6) l�l (8) of Assessor ASSESSED I HOMESTEAD VALUE VALUE STANDARD DEDUCTION S �a��� describe the use and ponion NON-RESIDENTIAL VALUE Date signed Date signed ��� �� `�l.`J��►V���` l�.���►�7■