Homestead_WilsonCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
TION STATEMENT
FORM
HC10
IMMIMM
"A
/ that on the 1 st day of March , 19
`'(we).odVupieQa our principal place of residence the folio B ribed real property for which a Homestead
Property Tax Credit is hereby claimed: I (We) owned ❑ Are buoying under contract
❑ Have a beneficial interest in the entity that is liable for the property taxes on thFdbety -F1�t � wns the
property or is buying it under a contract-
CONTRACT �i� A �1 -�
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name t�rv1 aJ ' � S
Recorder's office where contract is recorded Record'IVumber Page
PROPERTY DESCRIPTIO
County Township. Taxing Di r ty, t wnship)/
Parcel Number Legal Description
CC/_0 - , 03 a,� .
If any portion of the residential structure or the land nol exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County I Township Count . Township
hereby certify the above statements are true. correct and n tore p
complete. f- W ^�^�
Address (Street. number. city. state and ZIP code)
t2.a goX I t fio2� Bte c z �f7 6 V 8
- ASSESSOR USE ONLY - TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements - Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
- -
(1)
1991 Pay 1992
Lesser of 1/2 Homestead
Valuation or $1,500
19 — Pay 19—
Lesser of 112 Homestead
Valuation or $1,500
(2)
Sign tur f Auditor
(3)
(4)-
- -
-
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
W 1989 Pay 1990
- 1L`esser of 1/2 Homestead.
Valuation or $2,500
1990 Pay 1991
Lesser of 112 Homestead
Valuation or $2,000
1991 Pay 1992
Lesser of 1/2 Homestead
Valuation or $1,500
19 — Pay 19—
Lesser of 112 Homestead
Valuation or $1,500
Sign tur f Auditor
D ,
�e Sir e�
V I- h
%LAME FORM.•'M tic P-4, TRFASIIM FORA r}IA
.ArFMTII.BY sIATF MVO OF Afro. M.Yen FUN ICBM BY nIEOEPARTIEYr(w1 A GOVERNMENT FINANCE M H.I-La.I
Gibson County Auditor
X101 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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to reecho the
benefit and to provide additional identifyinc infomurtion necessary to allow county gmemnrent to better monitor homestead
filings.This infnrmatinn will he lama mnlidcuial and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create txvls that will help county offciaLs eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Wilson, Jerry L/Connie S (,j 5 3 E '750 S
1422 Box 142
Fort Branch IN 4764
8716
Jerry L/Connie S Wilson
6153 E 750 S State Parcel Number Legal Description
Fort Branch IN 47648-8619
III I I I I I I I I I I I I I I I I I I I 26-20-19-200-000.226-001 001-00226-00 PT NW NE 19 3 9 2.03 AC
to tot rat n u tun Int tut u t n 010
)1C/
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
J �RR7 L. EE v✓= LSoN
�g Address(number and stmt,city,state,and ZIP code) -- - - --- - -1.y. toe as property address; -— -- - — ---
6/ 53t '1505 VotTR RJR&Qk N . Li-1to'FSS
Spouse First Middle Last
C oNN � � Sit WLLSON
Mailing Address(Number and street city,state,and ZIP code) 111...Stg;as property address
I 5 3 53 E i o s Fo ►21" j3 R r3 o c,ti- , z av - 1- i Lp l.4- `?
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