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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 � HC10 � ��� T <- . � _ � 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 S vauanon w E35.OW . Signawre of Auditor " Date signed ��