Homestead_Wilhite STATE FORM 53569(R313-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-22-3-I
IMPORTANT NOTICE'TO'HOMESTEAD-PROPERTY OWNERS
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
uses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
s andard 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.
• PARTI: PROPERTY INFORMATION
Tasoare-Name Property Address State Parcel Number Leal Description:
Charles A/Sandra K Wilhite 277 E 1025 S 26-19-31-100-001.088-024 PT S 31 3 10 .43 AC
HAUBSTADT IN 47639
Complete and return to: .I®II0DOIGlD11f111?llm171mlfj IthIilMI flRl�11 am
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 IJi 1�1WLL LL LL
PART 2:TAXPAYER INFORMATION . ' - -
Owner I First Middle Last
Cff/fk LEIS //tiT ,�y tii Lit t7
Mating Address(number and street.city,state and ZIP code) I l I ne as property address
X77 t (02< S / eAut6srfro f 1 I4) '/ "?
--. - / le ^ Last
c Dte4 • . K/+y (Ant r%r�
Mailing Address(hunter and street.city.state and ZIP code) t4 me as property address
' -
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.
Amer 1 Siggnatture Dale
G1
-,PART 4: ADDITIONAL
- — -
aii-
7,1
•
FORM HC 10 1979 . _
PresuiGeG By State Bwrd ot Ta. Commissioners
lo Be FileE in WDlicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 192�
SEE BACK FOR FILING INSTRUCTIONS
�(We)///�+D � (1�A�r�-Lo_6` _ ����� certify that on the tst day of
��larch, 19 I, (W ) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned '
O are buying under contract
❑ have a beneficial ip�erest in the taxpayer
Property Description
Taxing District (6+Eq; Taw ,rTownship):
Parcel Number
If buying on contract: Owners nam
/�� ✓ / � � ��
nty Township
� � � or legal description shown on tax statement:
Contract recorded in Recorders Office - Record No. Page
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
Any other coun[ies in which individual owns or is buying real property:
certify the above statement is true, correct and complete.
J�
eet AO4re55
County Township
Crty. 51/;e anE Zip CoCe
Individual eith is buying under a contract that provides he is to pay the property taxes
t e�id r has a beneficial inierest in the taxpayer. _
�F R SSESSOR'S USE ONLY -
� MAY 31 f97g
i
Land not exceeding t( e) acre a
surrounding residential improvemen�/p�T�
Other Land
Total Land
Residential Improvements
Other Improvements
Dwelling
Garage
Total
T"� Improvements - Line (6) plus (7) equals (8)
I�eby certjty�the above is true. correct. and complete.
Signamre ol
True Cash
Value
( i ) S�D O
(2) ��
(3) S`C� O
�a� � 733 0
(5) '_'
(6) � 73 3 O
c>> /so
(8) � 7 5�� O
- ACTION BY AUDITOR -
Assessed
Valuation
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Homesiead
Valuation
Approved:���'/ �,_.Q.��'�l Date: i� ��p 7 %