Homestead_WilkisonFORM HC 10 1919 To Be Filed in Ouplioate
Newieed By Stale Board of tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19ZY_ ✓
SEE BACK FOR FILING INSTRUCTIONS
f. //� 00►- 01151.00
®'(We) %/� y a l,.r�,�l certify that on the 1st day of
March, tg_Z�_ I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial Aiterest in the taxpayer
Property Description in_c�
Taxing District (r.,ity, Tewm ,, Township):
Parcel Number
If buying on contract: Owners name ltee simple
Township
or legal description shown on tax statement:
S 6a& N/.r / - ;7-3 -9 3. �8ae2cQ
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property: County Township
certify the
1
above statement
is true, correct and c mplete.
_ 5-- g -7 9
Street AddlaSS
City. State and Zip Woe V
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
FOR ASSESSOR'S
USE
ONLY -
True Cash
Value
Land :not exceedin g D
FjnjaLn
surrounding residentTTTs���'''
(1)
S`Oo
Other Land MAY 211919
(2)
1.2- o
Total Land
(3)
41 Z 10
Residential Improl,`6 �
r /
Dwelling
(4)
3/ 7o
AUDITOR
Garage
(5 )
Total
(6)
31 '70
Other Improvements
(7)
So
Tr Improvements - Line (6) plus (7) equals (8)
(g)
3� 0 0
1 *by certify the ab is true. correct, and
complete.
Signature or Assessor
/
ACTION BY AUDITOR
-
App
Assessed
Valuation
/70
�s a
4'i
Homestead
Valuation
/o
1-�fa L O
Date
Date: 2&.�f� I l 719
MATE'ORM a/.ya,R/ I TRFW1&FR FORM:S IA
.APPBSEO BY Stilt W1rtOrW MV,nryri 9m IV3WBFD BY THE nrpARm1FVr IF LOCAL GOERNMFAl FINANCE ICH.I"-LI
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.I lomestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2006 requires taxpayers who reecho the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifying information necessary to allow county eoremntent to better monitor homestead
filings. this information will he Lep ennlidauial and can only be accessed by authorized county officials.The Depannntt of
Local Goserlunent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpaver Name Property Address
Wilkison, Daniel/Ann �
R2 Box 2730
Buckskin IN 47647
3295
Daniel/Ann Wilkison
8476E 900 S State Parcel Number Legal Description
Buckskin IN 47647-9001
I I II 111 111 11 111 I1 III III III 26-20-27-100-001.151-001 001-01151-00 PT SW NW 27-3-9 3.88 AC
_.-_ _ r u—rut r nr n eta t n nr tot u t n _ ___ D-8-19 - -i- --_ __._-_
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
Do-A\ -� vVr [ Kt5oYl
Addnas(number and street,city,state,and ZIP code) 0 Sante as property address
`i4 G. O0 s> rouF,k. s� i t) . X10 - 4-7te
.
Spouse First Middle - - Last
A-nn W1 l � � r71
Mailing Address(Number and street,city,state,and ZIP code) El Same as property address
QS q t 9 0o fi t .�( e .('as z Li-7U V-7
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 I (
PART 4:ADDITIONAL INFORMATION
•
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