Homestead_Wilzbacher (14) STAR FOft!M.021YMI IRFAAIRER 100.4:}IA
APPROVED BY smn BIMRD Or MY:IMI\TS.9w IRCSR®ID BY MC DEPARTMENT OF 1(XAL r.OVEILNSM r WINCE M4-I.I-^4.1
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 fmud causes higher tat bills for all:therefore.
• HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene 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 ran 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
Wilzbacher, Elizabeth Trust Life Est 9(g 90 S . c)SQ E
Ci---Ilaubstadt IN 47639
330
Elizabeth Wilzbacher
9690 S 250E State Parcel Number Legal Description
HAUBSTADT IN 47639-7817
26-19-34-100-001.108-024 004-01108-00 NW NW 34310 39.94 AC
Itlttl'ttEltllttt all tltlttlt atilt that ttllltt tilt It tl'tttl tl111
D-10
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
El/Zarb e h "96ett l L° i /z�a-ch e
•Ig Address(number and sneer,city,state,and' P code)- — [-Same as prapert)nddreaa-- - — — ----
.
Spouse
t--e,.- {4 First Middle Last
Mailing Address(Number and street.ciy,state,and"LIP code) ' ❑ Same as property address
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
see
I 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.
Owner I Signature ( Date
ill
,ge-/Re; A1-44vc- .Gk.; Ektiz -e-cf,.- >77ey 5 f/ ph mot to :tn. ,kc-e-rne .
FOflM HC 10 1979
Fesc�iocd By Sta�e BoarC ol ia. Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 192�
70 & FileO in Duplicate
- SEE BACK FOR FILING INSTRUCTIONS
�(We) �%���� ;������-z -� � �- certify that on the tst day of
�vtarch, 19 I, (We) occupied as our principal plac of residence the following described real properiy for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial iniere t in the taxpayer
�
Property Description in
Taxing District (�iEp; �ewm Township): 'i
Parcel Number
If buying on contract: Owners
o.�e.r
Do �f -o/%�'-aa
nty Township
or legal description shown on tax statement:
if/COf'�L.�/w�� .3� 3-� a 3,�ysl�,vo�
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 [he use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
(�/�' hereby certify the above statement is true, correct and complete.
`� � „ i . n i iI
D.
', R, Z
County
Township
� Y ��j 9` G/ir/7y
City. State ana Zip CWe
ividual either owns or is buying under a contract that provides he is to pay the properiy taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(o{�) a re,m�ne�i el�
surrounding residential �pro df1t�
Other �and �� �., 1= �979
Total Land //
Residential Improveme����j4`�Welling-
(%S
AUDITOR Garage
Total
Other Improvements
Tn' lmprovements - Line (6) plus (7) equals (8)
I�by�tify the above is true. correct. and complete.
SignaWre ol
App
True Cash
Value
(i) SO O
(2) ��'f�0
�s� 3 0
(4) �^ /�-D
- ACTION BY AUDtTOR -
Assessed
Valuation
t - �
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Homestead
Valuation
�-��-�y
Da:e
Date: —/�/ �