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Home My WebLink AboutHomestead_WilsonI SIiVE turd!)!M FR:r FAN) WARMER FORM'.S-tA aaAtIMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS r Gibson County Auditor 101 N Main PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As die 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 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead ya t� filings.this information will he kept conlidential and can only he accessed by authorized county officials.The Depanment of }r ] A,� Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION APR Taxpayer Name Property Address 8 CU)ti Wilson, Barbara A 400 N Main C?ZS^G ^ O Fon Branch IN 47648 2491 "OJS/rte • Barbara A Wilson 400 Main State Parcel Number Legal Description Fort Branch IN 47648 26-18-13-402-000.282-02 011-00282-00 DOUGLAS ADD 1PT/2PT/3PT 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 t ng Address(number and street.city,state.and ZIP code) ©..Same as property address 1/061 /!/ rnGu!/1 5, Spouse First Middle Last /V1 Mailing Address(Number and street.city.state.and ZIP code) 0 Same as propeny address Social Security Number(last 5 digits) I Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) state 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 l nauue it 1) 1�1� . Date ill • ._.; ---. ; , . ... - � CLAIM FOR HOMESTEAD RROPERTY TAX CREDIT/STANDARD DEDUCTION t State Fwm 5473 (R614-03) ' Preauibed by Na Departrneirt of Local Govemment Flnance INSTRUCTIONS` S - 'd fo fl' ' FORM HC10 YEAR ee reverse si e r� m9 �nstruct�ons. _ o� QO oZ, ?�-�''�:-;`� �`t:�;..':r't ';�:��-3.A�t;��,?;.- �`-v+ �:?�?a'''CERTIFICATON�-STATEMENT�.�'� . r � . . "' -.�;' . , ' I(We) certify Ihat on the 1 st day of March, 20_ I(VJe) occupied as our prindpal place of residence Ne following described real property for which a Homestead Property T�c Credit Is hereby Gaimed: �(We) owned ❑ Pre buying under conVact Have a benefidal interest in Ne entiry that is Iiabie for the properry teues on Ne property and that owns Ne property or is buying under a convad. on oontreC, Fae Simple ownars neme Racordels office where contraq Counry �o ��C�:� a�a-� If any portion ot U�e residantiel struGUre or W Me propeny utOked W produce income. Ta�ing not ex mg ane (7) aae Ne� immediatey surtounOS Nat �t- a �; 3� IRewrd number I Paga i:.0 :�. ,;�;�u - t+�r•;. tShip ' ' - i� : al proparty ❑ Moblle Home (I.C. 6�1.7-n is used lo produce incoma, dascnbe Ma use end portion ��''�si��'.�4?��'^�`-v�, �.�r`f'.x`e�'i� �'�''�.+s:�`�}P.ROPERTY.OWNED'BY:CL'AIMIINT;IN;OTXER COUNTES:�.!.,�£`�,-ti:3,�-,.:5. .%t � - �+� �" " .a,� . , County Twmship County Twvnshlp I hereby certify Ne above statemenfs are We, torrect and complete. Signature of Geimant � tess (number end sUeet, ciry, state, IIP code) � ae�G°�„2'L`�_,��s.}k�ES�S U3��. O�NL�`"�" - tr �Y`�� '��'`�TRALUE `+�`'q`�2�� AT 1 0% OF T7V ¢,�iVALU E�`+D- .. 'P � xNON� ESIDENTIAL�s a� i� ` " i' � " VALUE ��'�d`�2, h.. � .e ��r�.h.st a.' e,r..._�- _. `� � �..<. _.C._ .. �F" ..v{,�n ..�k.�•a . a11��$�, . Land nol exceeding 1 (one) acre�immediatey �'� .,,�+.� � �,�,A,.;$ ��,� � F<�� ; surrounding residantial improvements. ��., „�, y, �.� k=as._ _,, t Otherland (2) _. �"'`+:;t..::; TRaI land (line 1 plus 1lne 2) (g� .:' 3 tt _ 2 . -e� , 2 Residential improvements or Mnuaity �Iling (4) � +, .z,�� '+ rykr � Assessed Mobile / Manufactured Home -L -�^ a'-s � r" 4: � Garege (5� ui , i"��S � �. a �'r.'. c:s�'.f Y'x' ' .i O�pef improvemeots (6) _ -'`..d��-=;; ��;'r�;.' '� '. 'r..� _ Tctal improvements (Gne J through liire 6) �7� Tctal value (11ne 3 pha line � �g� I hereby certi(y the above is We, corred, and SignaNre otASSessor Date sipnad complete. Verifying eWon - Slgnature of Auditw Dete signed �':�'r.�� '1':�`- k-.� _�. a ,+'�'t.�.. s'�_.r. =�STANOARD�DEDUCTION�ALLOWANCE , . ' -,' x . ";::. . :, . . _.;. „_ � ; :. 20 _ Pay 20 _ Lesser of 12 Homestead S ValuaUon w 335,000 SipnaWre NAUOitw Date signed ._ .............................__.............'......_..'........_..._._..._...'...'............................................'.........__._....._......._._.._.____.....___.._. ...... _. � . . _._ _—__---.