Homestead_Wilkerson _ _ • STATE FOISt 7IR:r 5,01 TREAN[EB FOAM 75-1A
APPR.:ED BY STATE BMRD OF AOCO,NR.:nw PIE9(t erD BY Tit DEPARTNCT(f IIXAE rrovzRNMEA'T FINANCE ICS1.1-_t.t•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 than ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009.requires mspayen who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identif ing information necessary to allow county government to better monitor homestead
filing.This information will be kept confidential and can only be accessed by authorized county officials.'The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Wilkerson, Carolyn J , SRCO6
Ilaubstadt IN 47639 L-
116 bb��
J/Carolyn J Wilkerson
914 E SR 68 State Parcel Number Lerfal Description
Haubstadt IN 47639
26-23-05-300-001.090-024 004-01090-00 PT E 5 4 10.426 AC
D-9
Spouse First Middle Last
611/%
Ciro/y �, J sow
Mailing Address(Numter and sweet,city,state.and ZIP code) rl.$ame as properly address
9/ 44 SnG8
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.
•
wnrn xc io is�s
Prescri6eE By S�ate Bwrtl ol Tax Commissioners
To Be FileG in Duplicate
CLAIM FOA HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�
ipal place of re den the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
(We) ❑ owned
❑ are buying under contract
❑ have a beneficial Atefest in the taxpayer
Property Description
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Taxing District (City;—�ewm Township):
Parcel Number
If buying Ofl contract: Owners name ��� sim0�e owne�l
Township
or legal description shown on tax statemerlt:9L
1
P%. � � 5 = � — i � . �,cii (�
Contract recorded in Recorders Office - Record
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
�%-�3-6s g3a�-QO%o9o-D�
Any other counties in which individual owns or is buying real property: County Township
�hereby certify the above statement is true, correct and complete.
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ury. ata�e am ci0 l:oEe
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a bene'ficial interest in the taxpayer.
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,�: ��:
- FOR ASSESSOR'S USE ONLY -
Lantl not exceeding '1 i(one);,acr,e �immediately
surrounding residential im'provements
Other Land ��� ��
Total Land �
Residential Improvements A�`��TOR
Other Improvements
Dwelling
Garage
Total
True Cash
Value _
( i ) .-S`O O
Assessed
Valuation
/70
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T Improvements - Line (6) plus (7) equals (8) (a) /_� (o / o
I�by cer the above is true. correct. and complete. �--
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Signawre ol Asxs � � - = ' �
� � ^ - ACTION BY AUDITOR -
Approved
3
Homestead
Valuation
/7a
-� =� �--�y
Daie
Date: � l �