Homestead_Wilkison (11)4 rten.. CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
= CREDIT /STANDARD DEDUCTION HCtD
t State Forth 5473 (R5110 -01)
z�u Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
;LS�'3}:.'1-s. °_ /•;€3'+.a(i'/ �sE r-.. n?; :CERTIFICATION -STA
I (We) L xJ Qr'V �C —
certify That on the 1st day of March, 20
1 (We) occupied as our principal place of residence the followi described real property for which a Homestead Property Tax (�edit13s hereb��Jz�ied:
❑ 1 (We) owned ❑ Are buying under contract //,�
�ave a beneficial interest in the entity hat is liable for the roe taxes on the roe ' " ' /
tY property rty property rty and that owns the property, or s bu " under a.rnn aU^
.. Bt�Ne�tu�rr�';a46c,;. '�u�'s7ir'- fives. t' �._ a_.' i?' �'-' �n.;[.-' �� <.% >_.CONTRACT'RECORDED.ec(,:. .r ....i.�'.'.1r�;'o.fii+�....
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
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"zASSESSORUSE ONLY
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P, ROP.ERT.1'.�DESCRIPTION,e��r—
County
/ Q /
r nJ
Tamship
Ta+:ing district (city, ( , township) �
Signature of claimant
'press (number and street, city state, ZIP code)
vHOVALUE
`✓NON •VALUENTIiA�Lz� *y,
P/aajL�ce�l^number
007
t�,�r
Legal description
Is the property in question:
1
surrounding residential improvements.
oo / v0
B Real property ❑ Mobile Homo (LC. 61.1 -7)
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.
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"zASSESSORUSE ONLY
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County Township
County
Township
hereby certify the above statements are true, correct and complete.
Signature of claimant
'press (number and street, city state, ZIP code)
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"zASSESSORUSE ONLY
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AT10%OFTN
vHOVALUE
`✓NON •VALUENTIiA�Lz� *y,
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land`;
Total land (line 1 plus line 2)
(3)
a }ny 1F Yy-?r
Dwelling
(4)
Residential improvements
Garage
�}"ti` ±
(6)
T-.W
J• _4,9,
Other improvements
(6)
;;:
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pits line 7)
(6)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
TAN DARD' DEDUCTION 'ALLOWANCE
t- a;! s.''_. v "`&v?,.t?�'-v'R,r�"- r`a „��`rsy
20 _ Pay 20 _
r r of 172 Homestead
Valuati or 6,000 S
Signature of Auditor Date
Y
STATE FORM!)KIR_fl-u• TRFASURLR FORM 79-1A
kr/ROVED DV[LATEROAROOF ACC(CST,. PRFSNBFD BY nit OFPARTMMT Of 1pal tIOVEA.4NR.T FTAVCE IC 41.1-52-1.1
Gibson County Auditor
'101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
•
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ner for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1314-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county otlicials.The Department of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART 1:PROPERTY INFORMATION
Taxpayer Name Property Address
_ Wilkison, Ricky W/Rachel G
R 2 Box 228
Iitberfeld IN 47613
8781
Ricky W Wilkison
R2 Box 254 A State Parcel Number Legal Description
ElberfeldIN 47613-8424
Illttllttrllll Ilttllllttlttlttlttlllllttlllltrrllllllttrl 26-20-27-300-000.094-001 001-00094-00 PT SW27s93.7521AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
wy r� �•\`h\ t'C\
�tg Address(n nber and stmcL city,state,and ZIP code) came as propene tddress -— -- -
�Q1��j E �C IS E asn. Ll1ln\3
Spouse First Middle Last
0-'4=1.1/44\ w\\)A SOr
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
S('1/41-s E. (11QQ S .'11/4-1lo\3
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 Signature ' Date