Homestead_Wilson SIAM FORM ris IR_/YNI 1RFANErn road Ts-IA AITROEDBY MATE enARDOFArtt*i:TS.bM PFTgSIDLWBY TIE DEPARTMENT Of LOCAL 00VFILNSIFNI FINANCE tr it-r.s1 'a 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 etcr for homestead fraud.Homestead fraud causes higher tat bills for all:therefore. to HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to Ieccene the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead tiling,.This information will be kepi comidential and can only he accessed by authorized county officials.The Depanntem of Local Government Finance will use this information to create ours that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address _ Wilson, Anthony D/Jonette R3 Box 326 llaubstadt IN 47639 10853 Anthony D/Jonette Wilson 293 E Hirsch Woods Lane State Parcel Number Legal Description Haubstadt IN 47639-8831 26-23-07-200-000.935-024 HIRSCH LAKE ESTATES 3 D-9 I rlrrlltttltllit llrlr'rr'rrl tlrrl111111111ll ltd tt It lit It ltrl t t • PART 2: TAXPAYER INFORMATION Owner I First Middle ) Last De-4.--N IDAddress(number and street,city,state,and ZIP code) ® Same as pidperty address -- Spouse First ,/ Middle Last Dp/xi{.�t- /"1AeifF— 4 //f 50,,f Mailing Address(Number and street,city,state,and ZIP code) ©Same 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 unlawfidly,b9.orythccpay be liable for back taxes and substantial financial penalties. Owner I Si tur / ,/,,q Date • , - -,.= �,. .,,,� o-.� a CLAIM FOR HOMESTEAD PROPERTY TAX i��'� CREDIT/STANDARD DEDUCTION _ ,�,;�� State Porm 5a73 (R2 / 5-92) -v� �eu INSTRUCTIONS: See reverse side �or liling instructions. � I! � -•.� .. F RM �YEAR �t �C10 I �/ � I APR 5 1 g3 �J I(We) ( A/Y.,�Yl6'«{ ^' �,_ `i� �71J'ntlA.t �. W.tX�l4`� _certify ihat on ihe 7 st day of March, 19 �^-� �) occupied as our ncipal place Qyresid ne ce �fie follovring described real property for which a Homestead Property Tax Credit is hereby claimed: r� I(We} owned � Are buying under contract � �-lave a beneficial interest in the entity that is liable for ihe property taxes on ihe property and that owns ihe propeny or is buying under a contract. � .CONTRACTRECORDED � . � ' If buyirg on contract. Fee Simple owner's name Recorder's ottite where Contrac� i5 recorded Record number Page Caunty Parcel number If any ponion of of the propeny i e PROPERTY DESCRIP'T10N town, township) � Legal tl�s ription I , � ^ � � � n I I n IL / i �ll�.o.c.r�, i�+.C� *r �.idential svucwre or the land not exceeding one (7) aae that immediatety surrounds that strucNre is usetl m protluce income, describe the use and portion ro produce income. / �` PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES � - County TownShip Counry Township - �_ �eby certify the above statements are true, correct and complete. � namre f Gai. _ man� ��� �L .�/% . � • ��.c�c�_ ;�i1�rBn�J �ess (numberanOStreet, dty, sfate, Z(PCOde) /� � / .�� �o - �1 � ASSESSOR USE ONLV � TRUE TAX ASSESSED HOMESTEAD NON-RESIDEN'fIAL .VALUE VALUE VALUE VALUE � land not exceeding 1(one) acre immediately surrounding resideniial improvements. (�) � -� Oiherland (p) Total land Qine 7 plus line Z� (3) Dwelling (4) , Residential improvements . . Garage (g� . - Oiher improvemenis (6) Total improvements (line 4 th�ough line � (7) Total value Qine 3 pbs line 7) (g) ' I hereby certity Ihe above is true, correci, and Signature ot Assessor Date signed complete. " ing action - Sgnamre of Auditor Date signed STANDARD 19_Pay79_ Lesser of 1l2 Homestead Valuation or 52,000 � SignaNre of Auditor � 1 (� ,�n I Dare