Homestead_Wilzbacher (12) I^� TREASURER 1OLM TS-IA
APATUAODBAST rBOARDe •
AYPROrF.DaY STATE BOARD OF ACCOUNTS,2000 PREYRniFD BY T11EDEYAR111E\7 OF I11ULfA\'Ql\MEYT FLYAKF.If 61.1-Il4.1
Gibson County Auditor IMPORTANT NOTICE TO HONIESTEAI) PROPERTY OWNERS
101 N.Main Street Individuals and married couples am limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton,IN 47670 " mom beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for alb therefore,
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they ate eligible to receive the
FILED benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This 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 I: PROPERTY INFOILt1ATION .
APR 7 2011 Taxpayer Name Location Address
C. . :y Wlzbacher, Larry
AUDITOR / 11901 $50W
HAUBSTADT IN 47639
9801
Larry Wilzbacher ~I Ii01011I]01110II01 IIIi0II0I 01101iI011011001101llIII110010T(1171111101011101111111_,
11901S50W
Haubstadt IN 47639-8807
lI'IlllttlittltItIlltllliillllltiii iiiiliiliiil IIlltllllllIll State Parcel Number Legal Description
26-22-12-400-001.307-021/ PT SE 12 411 .575 AC 0-9
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
__\,_..E.__________—______ ..___________Pal 2_TAXP.AYER INFORMATION
Owner 1 First Middle Last _ -
Larry G. Lai/zJack �C
Mailing Address(number and street,city,state,and ZIP code) - 9 Same as property address o
( I 90 I Sam— go iieist -
'
Spouse First Middle Last
Mailing Address(Number 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)
r I L .
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 tore ,, D,;at,e,,.p
d.�T•�., CLAIM FOR HOMESTEAD PROPERTY TAX - _ FoRM veaR
��""- ; : CREDIT/STANDARD DEDUCTION �
: State Form 5473 (R2/1-90) �
�' '°�• � INSTRUCTIONS: See reverse side forfiling instructions. .
CERTIFICATION STATEMENT
MAY. O 1 199 ;
�(We) pl�(� �,��,�%'j' � certify that on the 1 s��fjvJ�rc�F�RU��
I(We) occupied as bdr principal ace of residence the, fqIlowing described real property for�h'�'Fi'omestead
Property Tax Credit is hereby claimed: Ll�" I(We) owned � Are buying under contract
�Have a beneficial interestin the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract. �,,, �i „�� �� „„
�
If buying on coniract
Recorder's office whE
Couniy �
�arcel Number
�u _rc, i z��_,
CONTRACT RECORDED
Owner's Name
contract is recorded
PROPERTY DESCRIPTION
Township Taxing Distric
Legal Description
��-So `�u 1a-4-
Number
If any portion of the residential structure or the land not exceeding one (7 ) acre that immediately surrounds that struc-
ture is used to produce income describe the us�e.and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
� ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
' VALUE
Land noi exceeding i(one) acre immediately
surrounding resideniial improvements (�)
Otherland (2)
Total land - line (7 ) plus line (2) (3)
Residentiai improvemenis - Dwelting (a) - - - - - � -
Garage (5)
Oiher impravements (6)
Total improvemenis - line (4) ihrough line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Aciion - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 7/2 Homestead
Valuation or $2,500
Signature of Audi[or
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 I 1997 Pay 1992
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or 52.000 Valuation or 51,500
19—Pay 19—
Lesser of 1/2 Homestead
Valuation or St,500
�e