HomeMy WebLinkAboutHomestead_Wilkison (9)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R614 -03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS., See reverse side for riling Instructions.
i
FORM YEAR
HC10
I (We) ��:N " �)a ) I Y'i &.^^ J-440 1 "-J certify that on the 1st day of March, 20_
I (We) occupied as our cipal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
(We) owned It Are buying under contract
lave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
RosS CONTRACT, RECORDED,
If Wft on contract. Fee Simple owner's name
Recorders office where contract is recorded Record number Page
APROPERT�Y DESCRIPTION
PROPERTY,'OWNEU.fBY'CLAlMANTIN'OTHEFt�C(jUNTIESI�0-,,�'-,�4-.--- % ?-
County
Township
County
County
Tomnship
Signature of claimant
T township) toship)
I Tolm )
Signature of Auditor
earcel number
Legal description
Is the property in —question:
surrounding residential Improvements.
.4a§eal property
❑ Mobile Home (LC. 6-1.1-7)
If any portion of the residential structure or the land not exce4ding we Ill a
that' medlately surrounds that structure is used to produce Income, describe the use and portion
of the property utilized to produce income.
(2)
O.
a5-7
�.Q.,K!iS-ESS-6R USCON
PROPERTY,'OWNEU.fBY'CLAlMANTIN'OTHEFt�C(jUNTIESI�0-,,�'-,�4-.--- % ?-
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signature of claimant
We(number and street, city, state, ZIP code)
�.Q.,K!iS-ESS-6R USCON
TRUE TAX,�----
r R
X giE�iie6',V�LiAl-7r;bHOMESTEAD�.-�
Lesser of 1/2 Homestead
ic,,- '!�NCI WRESIDENTIAL
ig
&,% VALUE._ F.,
Yj
Signature of Auditor
Land not exceeding 1 (one) acre immediately
D signed
Vz�-O�j
surrounding residential Improvements.
(1)
Otherland
(2)
Total land (fine I plus line 2)
(3)
V-044
Residential Improvements or Annually
Dwelling
(4)
Assessed Mobile I Manufactured Home
Garage
(5)
C 4et improvements
(6)
P2
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct and
Signature of Assessor
Date signed
complete.
Vartlyng action - Signature of Auditor
Date signed
STANDARD;�DEDUC'nON'ALLOWANCE ,
20 _ Pay 20_
Lesser of 1/2 Homestead
S
Valuation or 535,000
1 0
Signature of Auditor
D signed
Vz�-O�j
STATE FORM 53569(RIB-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 106-I.1 2?-8.1
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 1t4 Via. " -
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 receive the benefit and to provide additional identifying
information necessary to allow county government to better monitor homestead filings. This information
will be kept confidential and can only be accessed by authorized county officials. The Department of Local
Government Finance will use this information to create tools that will help county officials eliminate
homestead fraud.
Li.::::"4‘ PROPERTYINFORMATION
Taanaver Name Property Address State Parcel Number Leal Description:
John A Wilkison 8416 E 900 S PT NE NE 28-3-9 10.257 AC
ELBERFELD IN 47613
Complete and return to: I11111IIuDQ111QIDu!IE1D1111I hiIIIl[11L91N1IIIItnIppjp
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2:TAXPAYER INFORMATION :, .
Owner 1 `` First Middle Waft_ Last
JOln✓n 9g- n-yo W LKr5ofv
Mailing Address(number and street,city,state and ZIP code) rme as property address
I�I )Lp E loos EIberc21c81 Zoo u7c013
Middle I Last
4 j lrl 2hw2 auV1� � l ` �15Q�
Mailing Address(number and street city,state and ZIP code) L 4 Same as property address
.
'-.:.. .t , I:-- . PART13:CERTIFICATION,;; -Y•d_29._ :.: rr .,f",:R. _ry G`#'.c "
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 1 Sig -tie
+_
•