Homestead_Wolf (5) alalE FORM,.lcI,-,.l IAFAnimmB FORM 75-1A 1A
_
-, �l .V/ROVED BY'1VE 0114.1t0 tN MM1R 1T,.1* PIIMAIBED BY mr DEPMffNr(F LORAL rovrtN•R.T MANCE r It-r-.,
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.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
filings.This information will he kept cnnlidenlial and can only he accessed by authorized county officials The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Wolf, Gregory W
400 E Vine
Fon Branch IN 47648
7762
Gregory W Wolf
400E Vine State Parcel Number Legal Description
Fort Branch IN 47648-1122
26-19-18-303-000.769-026 11-00769-00 WALTERS ADD 128 PT/129
t o II fit It II fit In II II fit II itI t(iiI t III fit II t t I t I PT
PART 2:TAXPAYER INFORMATION
Owner I First iiiilli Li 1 Last •
Gregory Boyne
a6
�•mg Address(number d snort,city,state,and ZIP code) Same as property address
1110 <ask' V INe Scree-*' ,Port .(3rO %IC\ =. A/ 47- , 48 " 1/ r22
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last S digits) Driver's License/State ID Number (last 5 digits) Other(ple se specify in Part 4 below)
seue
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 Sign a Date '
•
STbp
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♦ '
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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION '
State Fortn 5473 (R2 / S92) -
FORM
HC10
YEAR
+a . . . ��., . `�t`
INSTRUCTIONS: See reverse side /or (ling instructions. �
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CERTIFICATION STATEMENT � . -
� � L'JUL
I(We) certify that on the 1st day of March, 79_
I(VJe) occupied as our principal ce of re nce the following describe r al property for which a Homest Property T�x C�t�it is he y i 5imed:
❑ I(We) owned ❑ Are buying under contract - ��c.�.i-a�,�.1 %��`"'�n
❑ Have a beneficial interest in the en6ty that is liable for the property taxes on the property and that ow s the�piopeiTy oY-iS�b�Uying'�n0er'a coniract.
CONTRACTRECORDED � -
Ii buyinq on conuad, Fee Simple owners name
Recordels ottice where contraM is recorUetl Record number Page
PROPEflTY DESCRIPTION
Counry Tovmship Ta�cing district (dry, (own, township)
Parcel number Legai descriptlon /�
I( any portion of IDe resitlential structure or the land no� exceedirg one (1) acre that immetliatety surtountls Nat s ructure is used t produce income, d s nbe Ne use and portion ot
the properry utilized to praduce income.
PROPERTY OWNED BV CLAIMANT IN OTHER COUNTRIES �
Counry - Tovmship � Counry Township �
Nre ol imani
. ereby ertiry the above statements are true, coned and complete. �
ddre (number and sfinet, city, slafe, LP maeJ
00
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediatey ���
sunounding residential improvements.
Otherland (2)
Total land (line 7 plus line 2) (3)
Dwelling (4) -
Residential improvements
Garage (S)
Other improvemenis (6)
Total improvements (line 4 through line 6J (7)
Total value (line 3 plus line 7J (8)
I hereby certify ihe above is Irue, conect, and Signawre of Assewr Date signetl
complete.
Verifying action - SignaWre oi Autlitor Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead S
Valuation or 52,000
SignaNre of Autlibr Dat netl /I
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