HomeMy WebLinkAboutHomestead_Wilkison (7)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
Vz Slate Form 5473 (R614 -M)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (We) t certify that on the 1st day of March, 20
I occu e a u principal ce of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
I (We) owned ❑ Are dying under contract ?�'1
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property is buing1der aTttraq. O
...
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�c tNTRACTRECORDED
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record ntanberl
COUNT y nUUITOR
�'ax_w �. _sir � ��PROP .ERTY;OWNEDBY;CIAIMANT;IN: OTHER' COUNTIES, Icy;;- �- �? ?�kj `sa? „�azs��?.'�'°`.""�r!^fka
-- ...P,ROPERTI', IDES-- ----
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County
Township
Taring d
ci , town, wns '
r
al description
s e property m question:
O
Date s
❑ Real property ❑ Motile Homo ( /.C. 6 -1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) am that immediately surrounds that structure is used to produce income. describe the use and portion
of the property utilized to produce income.
surrounding residential improvements.
�'ax_w �. _sir � ��PROP .ERTY;OWNEDBY;CIAIMANT;IN: OTHER' COUNTIES, Icy;;- �- �? ?�kj `sa? „�azs��?.'�'°`.""�r!^fka
ounty Township
County
Township
eNON= RESIDENTIA o=
VALUEAT00°/
I hereby certify the above statements are We, correct and complete.
Sig a ° of claimant
GinA�l
r
Land not exceeding 1 (one) acre immediately
Date s
ss ( mber and stree ' , state, ZIP code)
/
� `�°gpdASSESSORUSEONLY�
za.r�.n,e
TRUETAX�
ASSESSED VALUE
HOMESTEAD F'`
eNON= RESIDENTIA o=
VALUEAT00°/
aTOFT; TVvk,
VALUEVALUE.ex�"_
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Land not exceeding 1 (one) acre immediately
Date s
surrounding residential improvements.
-
Other land
(2)
z
f r7 -
Total land (line 1 plus line 2)
(3)
Dwelling
(4)-
# u Y1"NZ -;nor. .
Residential improvements or Annually
Assessed Mobile / Manufactured Home
Garage
(S)
Other improvements
(6)
i'�+''
Ls a6'"i';35an.
Total improvements (line 4 through line 6)
(T )
Trial value (line 3 plus line n
(a)
hereby certify the above is true, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
- e%44 - t W ,a-STANDARD;DEDUCTIONIALCOWANCE
20 _ Pay 20 _
Lesser of 1f2 Homestead
$
Vauation or 000
Signature of Auditor
Date s
IF - - r
•
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.vrem ED OIL?ATE an,Roorv((.'NRZI.Ii ?RFxw4'Lm Iw.1N:rAR1.tlk:.T 01 LOCAL COVEl t•Nf_\T FL\1•ilr sit-rat
• Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street Individualn and married couples are limited to one homes:cad standard deduction.As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tae bill:for all:therefor..
IRA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reccite the
F lr L chi and to provide additional identifying informaion necessary to allow county government to better m.mnor homestead
1 This information will be kept confidential and can only accessed by authorized county officials.The Department of
.oval Government finance will use this information to mate-tool:that trill help county officials eliminate homestead feud.
PART I:PROPERTY INFORMATION
MAY 9 2012 Taxpayer Name Location Address
Wilkison, Jeffrey D/Lisa M
8424E 900 S
GIBBON COUNTY AUDITOR ELBERFELD IN 47613
8839 II IIII IIII IIII IIII III IIII III II IIII II IIII IIII
Jeffrey D/Lisa M Wilkison II ILIII_OIII�IOII III�II I�OIIHI II_II 1111llll_Illlul IIIII�II��IIOII�III OI II —_
__ 8424.E-900 S - -- _ --
Elberfeld IN 47613-8427
11111"I'1IIIIIII1III'I'11111"111111I"I11I'Ill'IIIII'Illll1ll1l State Parcel Number Leqal Description
26-20-28-200-000.466-001 PT NE NE 28-3-9 4.363 AC D-19
•
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.
R •� �'
er I First Middle Last
JC -e4 • 0 gV1, (}/c (K:s0Iti
Malinke Address(Dumber and street.city,state.and ZIP code) I Same as property address
Spouse First Middle Last
dAtlit-
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
__ •
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
• PART 4:ADDITIONAL INFORMATION I. •
7