Homestead_Wisnoski STATE FORM 5350(0.3/&1% TREAJLA}A/MINTS-IA
0 APPRO.TO BY STATE BOARD OF ACCOUNTS.2039 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOYFANME•eFINAN(E ICa-u.nSt
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
HEA t and to provide requires taxpayers who receive the homestead standard deduction to government then[they are eligible to receive 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 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 1:PROPERTY INFORMATION
SEP 13 2011
— Taxpayer Name Location Address
C.�.� Wisnoski, John R/Paige K
72863 S SUNSET DR
— GIBSON COUNTY AUDITOR
HAUBSTADT IN 47639
2961 -
John R/Paige K Wisnoski IIQI�I II.011lIll I III II�II�IIII�II II�IIIIILIII�II�I I II�II]II�ILII0101011 III
12863 S Sunset Dr
Haubstadt IN 47639-8671 '
I1III1I11I711III1I"IIIIIIIIIttI'IIIIIII'I"II"IIII1IIIIIIII " State Parcel Number Legal Description
26-22-14-300-001.707-024 COUNTRY VIEW EST 3 0-2
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.
. .. PART 2:TAXPAYER INFORMATION, . .
ch. s First Middle Last
CTIC)NIA k' v \ :?1C1+ae.0 lr11SNIGSK1
Mailing Address(number and street.city,state,and ZIP code) Same as property address
12803 Sovcc-I-1 S✓lase l pa-tvice
Spouse First Middle Last
i�AiGr✓ I IL,GnWEDy V):SnIOS K (
— Mailin Address(N u m b e r znd">ucLt,city,siatc,and ZIP Code) - _ - . - •^ -. gSame as poverty 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
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Osmer��` Date o///
�
�,. R,,,
aE °�, CLAIM FOR HOMESTEAD PROPERTY TAX
i��l� CREDIT/STANDARD DEDUCTION
�;;� State Form 5473 (R2 / 5-92)
,.,.
INSTRUCTIONS: See reverse side �or liling insfructions.
� � YEAR
R
y�
"'J'� 2G 1995
eve) _`� � �'��7Q �� �4 l�.�,/�_ certity� that on the ist day of March. 19_
.�/)occupi as our principal place of residence the foliawing described�real property for which a Homesiead Property Taz Credit is hereby daimed:
L,V I(We) owned ❑ Are buying under comract _ _
❑ Have a beneficiai interest in the entiry that is liable br ihe property tazes on the property and that owns the property or is buying under a coniract.
� CONTRACT RECORDED - � �
It huying on contract, Fee Simple ownefs name - � �
Recorders oflice where contrad is recorded Record number Page
number
�� ���'
ionion ot the resitl
1mpEfIY utiGied to
Legal description
stmcmre or the land not e•ceeding
xe incame.
�J iflt�
PROPERTY DESCRIPTION
^ T�ing diSt�iCi (city, town. fownShiP)
arse Ihat immetliatety surrountls that structure is used to produce income, descnbe Ihe use antl portion
.�
�
PROPERTY OWNED BY CWMANT IN OTHER COUNTIES
Counry Township Counry Township
eby cenify ihe above statemenis are tme, correct and complete. � nacure of Gaimam ,
Q. ����
Address (number antl street. ciry. stafe, ZlP code)
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE. VALUE VALUE
Land not exceeding 7(one) acre immediately
surrounding resideniial improvements. (�)
Oiheriand (p)
Total land (line 7 plus line Z� (3)
Dwelling (4)
Residential improvements .
Garage (5)
Other improvements (6)
Total improvements (line 4 through lina � (7)
Total value (line 3 p4s line � (g)
I hereby Certify the above is lrue. correCt. and Signature ol Assessor Dare signetl
wmplete.
�ryirg action - Signamre of Auditor Date signed
19_Pay19_
Lesser of 1/2 Homestead
Valuation or 52,000
STANDARD DEDUCTION
3
0
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