HomeMy WebLinkAboutHomestead_Wilkerson (8) •
S IMI FfRM f 3w 1L'a fin, IRFstutra FORM 3-IA
▪ M*rIMPORTANT/MO
NOTICE TO HOMESTEAD PROPERTY OWNERS 'tt a
Gibson County Auditor
101 N Main
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 e'er for homestead fraud.I lomestead 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 teethe the
benefit and to provide additional identifying infonnanon necessary to allow county government to better monitor homestead
filing.This information will he 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
Wilkerson, Dennis R
' 200 E Walnut
Fort Branch IN 47648
2535 •
Dennis R Wilkerson
200 E Walnut St State Parcel Number Legal Description
FORT BRANCH IN 47648-1454 _
itlnllnrltiintiniininuiltlnlritlniniilnriirrir tll 26-18-13-404-000.184-026/ 011-00184-00 OLD PLAN 15 PT
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
DENN is - iC 14 t,c) 1I. 1K C kSoN
�iFmg Address(number and street,city,state,and ZIP code) Same as property address
Spouse First Middle Last
Mailing Address(Number and street,city,state,and'LIP code) 0 Same as property address.
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
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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
411
�� �
CLAIM FOR HOMESTEAD PROPERTY TAX FORM �
CREDIT/STANDARD DEDUCTION HCto
sr� r� saa rR� i sau�
P�asvibed by Me Oepertrnant af Lomi Govemmaa Finanm
" INSTRUCTIONS: See reverse side tor filing instructions.
,ry"�'� •Ya`"nnY�c'tt '•Y..c f a x �r ��� Y' .. � �;�^ '�
k ,:�r,4L.�.:s.�S".'Fx �«'.N"s."rkL+19<.a�'?'<`�i!L4ar5�.;�4�..t.�.t.4i .CERTIFICA710NSTA7ElAENTi'.::?;�.. .4�•'�'•�??r,m '�SK _fiT: >+�_�; ;�*�.at &+..a.�:�?''t•�s
��e) certify that on � 7�y��rch. 20—
I(We) occupied as our prindpal place o( residence the folbwirg desaibed real property for which a Hanestead Propeily tac t is ereby dairtied:
❑ � M�) � ❑ Are buymg under cmtract `a-y'�` 6� �
�Have a benefidal interest m the entity that is liade for the property taxes m Ne property and ihat owns tl�e property or is 5fy"u�g �r a contracL
GIBSON COUNTI' AUDITOR ,
tt bymg om m�traG. Fee sirtWle ownela rerte
Rewdds ol6m whaB tndreq is remfded
�b
n a�y � or ��u�n� so-„m,� a ma �d �,a «�a��y o� �i> �
d Ne popaM1y W6md In pmduce mcome.
I heBby ceAify ihe ebove stataments are W a. carecl and mmplete.
RecQd number � Pege
Tmmig distriU (�: fnwn. ta^�sfnA)
Is the praperty um question:
❑ Reel praperty � Ma6ile Fbma (LC. Sf.f-�
svrtaaWs lhal strucuae is usad b Woduce uwortie. descnbe ihe use and G�n
Counry
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