Homestead_Williamson J _
sT MT FORM!)YSI 2'/.wr nrAsu la FORM ZIA
APPROVED BY 5TUE KUM)rq NVVtaT'.U ra,RNBm BY m DEPARTMENT OF mlal nn%EER`MDCL FINANCEIV 41.1.I-1'4.I
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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 1544-2009 requires taxpayers wbo receive the homestead standard deduction to verily that they arc eligible to reeei'e the
benefit and to provide additional identifying information necessary to allow county goverment to better monitor homestead
filing.Ibis information will be kept confidential and can only he accessed by authorized county officials.The lepannicnl of
Local Goermnem Finance 6i11 we this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taipaver Name Property Address
Williamson,Jeffery A/Judy A Block
303 L'Sinclair
Fort Branch IN 47648
7662
Jeffery A Williamson
303E Sinclair State Parcel Number Lepal Description
FORT BRANCH IN 47648-1151
Itllll'Itll tllll rlr rllrrilttl lilt tllt ltlt art illi 111111(11 26-19-18-301-000.715-026 011-00715-00 HILLCREST 38/41
PART 2:TAXPAYER INFORMATION
Owner I First Middle . Last
SQ4.x-2;-1 W; l� �Qn'n56n
rte Address(number and street,city,state,and ZIP code) - — --. - -_- - l t�(i`3ame as pmpcny uddress — -' -
Spouse First Middle Last
-31,-Aci • Uy. \\lac- \sue
Mailing Address(Number and street,city,state.and ZIP code) Same as property address
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 Sig .w Date
• •
^
CLAIM FOR HOMESTEAD PROPERTY TAX
- CREDIT/STANDARD DEDUCTION
t -� StaU Fmn 5473 (RS / 10-01)
yw Presaibed Dy the DepaMieM of Local Govemment Finance
INSTRUCTIONS: See reverse side lor (ling rnstructions.
FpORM�, : YEAR
� C10 � �
MAY 0 � 2003
(� �(�/�/� � � rJr✓_ w- _ _�.-..
�(yyy) �� a U_Q ■ 61, H1l_.� R-� ���l� � y�_ e 1'1 �� �� ��l A Y�N �Zythat�on the'1 st day oR March. 20_
(We) occupied as our principal place of reside therbnowing scnbed i al prope for which a Homestead Property Tac Credit is hereby daimed:
�(We) owned ❑ Fve buying under contract �
''l�- Nave a benefidal interest in ihe entity that is liable (or ihe property taues on the property and thal owns the property or is buying under a contraG.
116uying on conVaq, Fee Simde ownefs name
Remrders otfice whwe contracc is recordeC
Counry
Parcel number
� � � �
TamShip
7aing
�� 1�` ��I L1 al ae cllpiton � )�� - I Is ihe
residenllal aWCNre or Ne lantl not Bxceetling One (1) a� that immediatety sunounds
^,A tD produte irKOme.
County Twvnship
I hereby certify Ne above statements are We, correcl and complele.
Address (numbereM s6eet cif}; afete, ZlPcrode)
�03 � �;,r�c�¢.-�r S"�. �� cmr
.
County
Record number
Page
fown, townshiP)
fe .., r
rperty in question:
�leal DropeM ❑ Mobile Homo (1.G 61.7-� .
t sWCWre is used b praduce inoome, dascriDe Uie use and portbn
�
� � v. ..- -�t•'���. �• � �'TRUET��� AS3ESSED VALUE +HOlAESTEAD� � ��'� �' � � " �'c
" � �ASSESSORNSEONLY � ���� * �' s.�!'�' � fiNONitES��ENTIAL
�.F ' .� � �.z_'�..'c 5�t1V.'�'�"�Fi�,.-S' .�'�¥'-� . �i ��:%3VALUE5��2,...�,. �ATt700%'OFS,TTV�'.°�",��1VALUE: � ����r��r"'o VALUE'�' `x' ,
Land not exceeding t(one) acre immediatery ��� ��+,., �*��'�'`. f a� -,
surrounding residentlal improvements. .���u�
ri'cY��� r �� .
Other land (Z� ,r��``�����
� ��
Tdal land (line 1 plus line 2) �3�
Dwelling (4) �� ...�k�l� ��a`�,sc�
Residential improvements
Gara e ( � s*��a�� - "�5'"�.�' -� �.;
9 5 ���' 1�'F`.:.�-.�'k.������
,, �, �-
Other improvements (6) � � �� �;�s
z�:�`� ' -��
7otal improvements (line 4 through line s) (7�
Tdal value (line 3 phs line n (8)
I hereby certi(y Ute above is We, corred, and SignaWre of Assessor Date signed
complela.
Vaityi�g action - Signature otNiditor Date signed
�-`. __