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Homestead_Wilzbacher (10) STATE FORM PT..IR:r 4n1 WRFASI:UER FORV:3-IA
APPROVED BY STATE MOO MTNa'.\T,.9`1 PPJYpjaED BY fir DEPARTMENT OF LOCAL C5NPL`irNT nO:sscE ICLI.1 -LI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tar bills for all:therefore.
HEA 1343-2009 requires tatpayers who receive the homestead standard deduction to verify that they are eligible to retenc the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.'fins information will he Legit c niMential and can only he accessed by authorized county officials.The Ikpannaen of
Local Goicnnnent Finance will use this information to create[OAS that will help county officials eliminate lxwnestcad fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Wilzbacher, Joyce
.r ER TOWER P015
HAUHSTADT IN 47639
7226
Joyce Wilzbacher
719 W Conwell Dr State Parcel Number Legal Description
HAUBSTADT IN 47639-8800
I i II III 11 I I I I I III 11
111711111-11-11 26-18-36-200-002.144-024—WATER_TOWER PLACE_13
t o tit t tin r r u u r n r ur
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
c101G2 Louise LOilzco ac har
ltg Address(number and street,city,state,and ZIP code) - 0 Same as property address
IR Iel eJ Conwell 'D :oc , l-/cabstaat, / � Y76,3c
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) ❑Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sow
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 properly. 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
•
rt� CIAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slale Form Sa73 (RB / 4-03)
Prescribed Dy the Department of Local Govemment Finance
INSTRUCTIONS: See reversc side /or liling insimcfions.
MQ� FORM YEAR
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I 11 I
II� II i! . !f . It
c� � l.� 4��..�_� O�.___ �tr �•i 2��4
I e i e , A SL� certiry ihat on the 1st day o March, 20
�
I(We) occupied as our cipal place of residence th Ilowi descrtbed real property for which a Homeslead�Property �Tac (Credit'is hereby,daimed:
� I(VJe) owned ❑ Are buying under contract �-«��-.!71�)����%
� L`-icsr�., r;. � .
i Have a benefitial interest in the entity Mat is liable (or ihe property taxes on the property and that owns the property or is buying under a contraG.
I( buyuig on conirad, Fee Simpie ownefs name
Recadels ofice whare wnVad is recorded
_�.,'ii`� �t��'�°-0�,-�fi'�`.. � ...a}�"�i-v's-�`a�
Caunty Tamslup
Parcel number
Legaldescriptian
IRecord number I Page
ION�i,,"`s',�.s"r.Pr..<,r.�r__�t%X''. �"�.�u��a-�
ricl (dry, town, rownship)
\%� ,a�s�
Is the D�O�Y �� Cuestion:
�_y - oa i y y-oc� ° i � ao�� ❑ MoMle Homo (1.C. 67.1-� .
If any portion ol the residentlal sWCWre w the Wnd not exceeding ona (1) ace Ihat immediatey wrtounds ihat stru re ia used b proEuce income. tlescrihe Me use and poWOn
of the proDerty utiaeG b produce inmme.
����.`��*���y,"d������-�STANDARU:DEDUCTION'ALLOWAlICE"��,�+�-'"��i���iyi„''x,��'-`i'�.._�.� ''F�„�;�;���-'�
20_Pay20_
Lesser ot 1l2 Homestead
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vauanon w E35.OW .
Signawre of Auditor " Date signed
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