Homestead_Wilkison (13)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
i State Form 5473 (11215-92)
INSTRUCTIONS. See reverse side for filing instructions.
OR YEAR
1
MAR 0 9 2001
r i d n /1
CERTIFICATION STATEMENT
QQ GIBSON COUNTY AUDITOR
I (We) nL L certify that on the 1 st day of March, 19_
I (We) occupied as our principal place of residence the fallowing described real property for which a Homestead Property Tax Credit is hereby claimed:
❑ 1 (We) owned ❑ Are buying under contract
❑ Have 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.
CONTRACT RECORDED
It buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County
Township
Taxing district (city, town. township)
Parcel number
Legal description
- 3
- - D
It any poni n of the residential structure or the land not exceeding on (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of
the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
Signature of claimant
ereby certify the above statements are true, correct and complete.
Addr (number and street, city, state, ZIP code)
IP 47 7S
ASSESSOR USE ONLY
TRUETAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
-
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Otherland
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
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 Assesor
Date signed
complete.
Vedtying action - Signature of Auditor Date signed
® STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
S
Valuation or S2,000
Signature of Auditor
Date :9A — O
�a
MMAtr RfI!nee grzI'- . nnFAnjt FORM 0.V IS-IA APPROVED ff IMPORTANT?NOTICE TO HOMESTEAD PROPERTY OWNERS
a
-Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and martied couples are limited to one homestead aandani deduction.As the receipt of this deduction becomes •
more beneficial,there is more incentive than eser for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
FlEA 1344--2016 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receue the
benefit anti to provide additional identifvino information nensary to allow county government to better monitor homestead
filing.Ibis information will he kept confidential and ran only he accessed by authorized county officials.The Ikpanment of
Local Government Finance will one this information to create awls that will help county officials eliminate IRmncstcad fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Wilkison, Thomas E/Pamela S
R2 Box 320
Buckskin IN 47647 cv
8770 LA 1 13
CtI
Thomas E Wilkison
8473E 900 S State Parcel Number Legal Description
Buckskin IN 47647-9001
III I I I III I I I I III I I I III 26-20-27-100-000.633-001 001-00633-00 PT SW NW 27-3-9.50 AC
t o nt r nt n nt t o to nl a nr t /
0-19
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
1110 i /().
Or)
- -
ng Address(number and street.city,state,and ZIP code) — — -- — — .L] Saute as propem uddrcss- -- -- - - - . —
iy 73 [45+ 9oe So { l,, 3t,-L(csIcln Z4 1/74 y2 —26d/
spouse First Middle Last
-�G.VC\e- Ct 5 : I k:5 o y,
Mailing Address(Number and street,city,stale.and ZIP code) ❑ Same as properly es
y addrs
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