Homestead_Wicker AUCroR\I!AMIR sPI 1RLSULE0.ORM TS-IA
nPERrw'ED BY crslL BnVm of NYytSf._�'ry PUAArhm BY 111E DEPARTMENT OF LOCAL r{n'otoer FINANCE IC 4I.1-U4.I
Gibson County Auditor
101 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 dun mar for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxmen who receive the homestead standard deduction to verify that they am eligible to receuc the
benefit and to provide additional identifying information necessary to allow county govemment to better monitor homestead
filings.This information will be kept crmlldenual and can only he accessed by authorized county officials.The Depanntent of
Local Government Finance'will use this information to create touts that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Wicker, Darrell S/Jamie M
RI
Fort Branch IN 47638
3337
• Darrell S Wicker
R1 Box 482 State Parcel Number Legal Description
FORT BRANCH IN 47648-8154
26-22-04-300-000.743-024 004-00743-00 PT W 4-4-11 2 AC
11111111ttltllttr1.,Il.llllllll rtt111111111tlIlI,I111utl11,111 X 0-2
. . 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.
PART 2:TAXPAYER INFORMATION
Owner I First Middle q Last
L)AV�►i /� S& 4-
re Address(number and street,city,state,and ZIP code) '❑ Same as property address
yaso b) licek V•74-1/
Spouse First Middle Last
Mailing Address(Number and street,city,stale,and'LIP code) Same as property addtr_<s
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.
cr 1 ture Date
1
CLAIM FOR HOAAESTEAD PROPERTY TAX
CREDRISTANDARD DEDUCTIOId
smm ram san (ra i s-o�
Presa�Led hy Oe DapertrnaN af Lool GorameN Frenm
INSTRUCTIONS: See reverse side (or filing instructions.
. .� . � ... ...y�. . ., . . .,,:., r
FORM �
HC10
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I(We) ; I v// tlie 1 st day ot March, 20_
I(We) ocapied as aa pruidpal place of resider�ce the foAowirg d r�l poperty far whirh a Homes t is hefeby daimed:
i(we) owned ❑ IYe buyvg undaJ mntrad GIBSON COUN7Y qUD170R
Have a benefidal 'urterest in Me entily thffi is liade iw Ihe popeAy �xes m Me poperty and Nat owns the property or is buyvg urMer a contract
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s�aramdig residential improvertients. ��� �i ^� i ,.'r:o- a` 'Sk.�iz 1.�:'�'`��,�r4��i
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Resieeneal'vnprovernencsaranwa�y ��8 (<) `?'„-��.�...3?��t,".s':1...:F`"�Pr.��'�
Ass�d Modle / Mlara�red Fiort�e �S „yit� K t� ur°�,,n�;'.
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I t�ereby certity the above is true, ourect. and SiB�sa of Asxsw Date sigied
mrt�plet0.
Vei(yug edian - Si�hoe af Au�r Date sis�ad
. . -•�.SUWDARD
20_Pay20_
Lesser aF 12 Hortestead
Vahiation orS35.000
S