Homestead_Wyatt SIMME FORM!ay ,tct,, , TREU:Er1I FORM 711A
.Vrfn'to BY STATE BMMOrMTT4nTS_Soo PVYRIBmBY mr ormant trot LOCAL OOURNMEBT FD:n&CE M VI r r4.1
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 ner for homestead fraud Ilomestead fraud causes higher tax bills for all:therefore.
0 HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recei a the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filin..This information will he kept confidential and can only be accessed by authorized county officials.The D epannenl of
Local Government Finance will use this information to create touts that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name P„ E. •_
Wyatt, David G
No Location Description
3173
David G Wyatt
R2 Box 199 D State Parcel Number Legal Description
HAUBSTADT IN 47639-8036
(1111111 Iltl tll ll
Ii Iu tIIiiiIilll iiu Ili II Iiiliult IIiii 26-19-32-101-000.822-024 004-00822-00 MACK CURTIS 51
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 .
Owner I First /1� Middle 19.--)y#3.-( Last
�AUtc� (7orc/oA/
1101 g Address(number old street,city,state,and ZIP code) ame as property address
50 3 E. El s tAdowtte- del. /4,Asi-Rdfa .-rid. '74 39
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Scone 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)
__.. . — -- ..
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
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slete Fpm 5/73 (R6I4IX{)
PresaiEeE by tlro Deperomin d Lofxl GovammeM Finante
INSTRUCTIONS: See rererao aldo 16rf9np 'aWburbono.
�1
FORM YEAR
HC10
�(�'�e) v U � U certiry that c�l� t� �y ��0rch. 20_
I(We) occupied as our principal place of residence the foll n described reai property for which a Homestead Property T�c Credit is hereby daimed:
❑ I(We) owned ❑ Ne buying under conlract ��,
Have a benefidal interest in fhe entity Nat is liable for the pmperty taxes on the property and ihal owns lhe �������Q ���6�UaG.
r�
If buying on coniraq. Fee Simplu owners name
conVaq is recorded
�ypo���� s�w I��ne�xteedingo (7)aCfe�hat
ot Ne property utilizeE to produce inmme.
, ���
3 eaUict (rJry, rown.
�
/ e vmoertY
wrtounds that a
)
�� _,,;�-s
Record number
Page
propeM1y ❑ Mobila Homo (I.C. 6f./-�
used b pmduce income, desviba Na use antl portion
���''�"����'-'��i����"���5�'TRUETAX'�w ASSESSEDVALUE'��HOMESTEAD NON SIDENTIAL ���
��;������A ��SSD,��R_�S�ONLY � �� ��VALUE��' �'�':4T.�100°�.OFTiY� �.� VALUEK� �� ��b,;VALUE"�y`'.y'�°,��
�� � ��
Land not exceeding 1(one) aae immediatety ;�f� �- .,,�.'��y �:��� ,-�i%�
surrounding residential improvements. (� � � ��;%''°,.'i;%y,K��K��,,t�3. ;:;
Other land (y) P: -�`'��'„��-'�.."�,nR� `�:�� �
� s;�?�;s..._.�'�-'�ss*�.�.:i �
Total land (line 1 plus line 2) (3)
-r `F�iY+bi � a��^a� ._i
Dwelling (4) '¢„ �r �'e`� �" �, K�
'Residentlal improvements or MnuaOy �`� '���iK4i �-���
:� »"'y.� �-�' m�
..-
A� AbhBe / Manufac9ired Hmro Garege (5� ?�'�� ...�'� „�G���;.
'� `s:.'_b'-�c•:.r'k.. ..£'
�{�t
Other improvemenis (6) �-�t����'��`.y"��
T`�y�v+��f.l'.i'
TUaI improvements (line 4 through line 6) (�)
Ttlal value (line 3 phs line � �g)
I hereby certi(y ihe above is We, coned, and Signature ofnssessor Date signed
complele. �
Veri(ying aGion - Signatura ofluiditnr Date signeE
20_Pay20_
Lesser of 1/2 Home/stS
ValUe➢on or S35.H0(
$
,�°/p-b6