Homestead_Willinger • STAVE FORM l,35•01/C/ TREASURD FORM 7-IA
•
.ArpRrn'Eo BY CI ATE BOAR II n AIYtt]TTR.5%n pRF-AAIaED BY 111E DEPARTNEROr LOCAL tOxERVXFKT FIN.WCE K 6-I.1--_RI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual>and married couplet arc limited to ore homestead standard deduction.As the receipt of this dedtction become_
more beneficial.there is more incentive than es Cr for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore.
• HEA 1341-2009 require taxpayer who receive the homestead standard deduction to verity that they are eligible to recent the
benefit and to prowidc additional identifying information necessary to allow county government to better monitor homestead
filing.'Htis 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.
PART 1:PROPERTY INFORMATION
Taxpayer Name Property Address
Willinger, Gary J
R3 Box 327 L
Haubstadt IN 47fii�i
10848
Gary J Willinger
11347 S 50 E State Parcel Number Leeal Description
Haubstadt IN 47639-8833
26-23-07-200-000.457-024
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D044-00457-00
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
suite, SosBP w , uuJo
le Address(number and street,city, and ZIP code) 0 Same as properly address
U347 3 S ° N�Rugc it y ] (�3C
Spouse First Middle Last
MAP../H1 MACNA p w1Ll.,1 c�R-
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
1134 1 S Sod NAuBsmtr H Gil (p3
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 Title
s p
•
a'�"'�
e� "°g CLAIM FOR HOMESTEAD PROPERTY TAX
a ;; CREDIT/STANDARD DEDUCTION
�a • .
. -
' State Form 5473 (R2 / 5�92) � -
�
INSTRUCTIONS: See reverse side for Iiling instiuctions.
,. ,. - � . . � - CERTIFICATION SL
` FORM
HC70
�
EAR
5
I(We) _ \,�f_k�x__�� �. - certify thai opnp pth,ye 1st day of March, 79_
' occup�ed as our p in ipal place of residence the follo g described real property for which a Homestead PropBtfyyax Cr�ii _�� by claimed:
I(We) owned Are buying under contraci . ,�y
❑ Have a beneticial interesi in the entity that is liable for the pmperty taxes on Ihe property and that owns the �ef�-ori5�3G�n��a,yoMraci.
CONTRACTHECORDED - '
If buying on coniract, Fee Simple owner's name � . ' .
Recorder's oHice where contract is recorded � Record number Page
County
�v `�
If dny portion Of t
of Ihe pwperty ul
PROPERTY
TownShip � . iasin tlis�nc� (crt t n, ! ns .�
S^ Legaltlewription
� 'r '
idential swcmre or Ne land not exceeding one (7) aue that immediatety surmuntls that struciure is used ro produce inmme, describe fhe use antl portion
m protluce inwme.
�U/ ' �VCJ �,C.Lf/. /d / — ✓oJ/
PROPERTY OWNED BY CI.AIMANTJN OTHER COUNTIES
p Counry
certify the above statemen[s are true, correct and complete. � I Signa� r o�
J�_
pumber and �reet ciry, state, ZIP code) , , „ F I ,
ASSESSOR USE ONLY
Land not exceeding 1(one) acre immediately
surrounding residential improvements.
Oiher�and
Total land (line 1 plus line Z�
Dwelling
Residential improvements
Garage
Other improvemenis
Total improvements (line 4 through lina �
Total value (line 3 p�s line 7�
1 hereby cenify ihe above is true, wrreci, and
complete.
79_Pay19_
Lesser of 1/2 Homestead
�laluation or 52.000
(�)
(Z)
(3)
(4)
(5)
(6)
(�)
(8)
TRUE TAX
VALUE
ofASSessor
ASSESSED I HOMESTEAD
VALUE VALUE
STANDARD DEDUCTION
3
Township
NON-RESIDENTIAL
VALUE
Date signetl
Date signed
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