Homestead_Williamson (5) • StAlE F ORM!MMnRU''} IFFAa.Q FORM T-tA
.Ar/ROVED BY SIYTE WARD OFMYYRNTS ter PAr3NBFn BY flit DEPARIMEVT OF LOCAL rfRYMrNI FQ:AYLE Kr'FL1-Ii-tl
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead aandani deduction.As die receipt of this deduction becomes
more beneficial,there is more incentive than escr for homestead fraud.I lames-read 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 new:sary to allow county go ernment to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authorized county officials.The Depannett of
Local Government Finance will use this information to create owls that will h:Ip county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
-- Williamson, Russell E
404 E NI ulherry
Fort Branch IN 47648
2929
Russell E Williamson
404 E Mulberry State Parcel Number Legal Description
Fort Branch IN 47648-1636
26-19-19-101-000.699-02 011-00699-00 PT NW 19 3 10.4889 AC
n ur 1 r r 1 I l r se I I I l l I I nr 1 1
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
1 U65r.11, 0 G c Vv r w /.L�- f,i-/'rt 6-0)0
�ng Address(number and street,city,state,and ZIP code) 0 Same as property address
`/021 FRsi- 40113 g gRy t oRT GR4 wc-b S ti 4/7414S-
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property adds
Social Security Number(last 5 digits) I Driver's License/Slate ID Number (last 5 digits) Other(please specify in Part 4 below)
sox
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
•
;�
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stata Fam 5473 (R6 / 403)
IResWbed M tlro Departrnenl d Local Government Finarxe
� INSTRUCTIONS: See ievarae dds b�Yp iwtruc8iar.
� �
1
FORM YEAR
HC10
� •,:
�(We)+�- ��y 'r -�� certify that on lhe 1sl day o( March, 20_
I(We) occupied as our principal place of residence the foilowing described real property for which a Hom�d roperty-T� Credit is hereby Gaimed:
❑ I(VJe) owned ❑ Are buying under contract GIBSON � V P
COUN7Y AUDITOR
� Have a benefidal interest in Ne en6ty that is liable for the property taxes on Ihe property and ihat mms the property or is buying under a conUaG.
If buying on conVaG. Fee Simple owners name
conVaq is recorded I Record number I Page