Homestead_Poling (3) 2V L IORM9YU0.4\-fiat TR:ACpppq HAM IS-1A
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Gibson County Auditor i . .IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS,
101 N. Main Street Individuals and married couples are limited to one homesead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial.(here is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bill:for ell:therefore,
e T IILA 1344.2009 requires texpavers who receive the homestead standard deduction to verify that they are eligible to receive the
Dbenefit am] to prm'ide additional identifying infumanon necessary to allow county government to beer nxulnor homestead
filings.This information will be kept confidential and can only be accessed by authorized county official\.The Deparlinert of
Local Government Finance will use this information to chute tools Mai will help county officials eliminate homestead baud.
' PART 1:PROPERTY INFORMATION. '
MAY 3 2012 Taxpayer Name Location Address
— C v Poling, Donald R/Debra G
909 S JEFFERSON AVE
GIBSON COUNTY AUDITOR PRINCETON IN 47670
2968 •
Donald R/Debra G Poling I I I I DI I II DIII DI I 1 1 1 1 1 1 1:1 1 1 DII1I I IIID II-111-1111 MT Ill ill 1]-IID II]I DII ID III
909 S Jefferson Avenue
Princeton IN 47670-2709
Illlttttllii ii Illil'II'Illllilli1ttllllllltt1ttllll1lltltllllt State Parcel Number Legal Description
26-12-07-400-001.006-028 KUNKEL ADD 29
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.
A.V'A • I '4 • Iy. ' . . __ __ _
Or
I First __ __ Middle ' _ _ _ _ last—�
Dogs E i-D Ay pot/ ti 6-
Mailing Address(nlnnber and street,city.stare,and ZIP code) EJ Same as property address
Spouse First Middle Last
De El e/P4 GAIL ,��P/
es g, OL( NG-
Mailing Address(Number and street,city,state and ZIP code) I t/I Saone as property 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. rs
Owner I Snature Date
fONid NG tU lil9
PrewinM By SIa1e 0w�0 0l laa Commissione�s
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�— ,/
' SEE BACK FOR FILING INSTRUCTIONS �q � ���b—DO
�
M�n, 19�L. I, (We) occupied as our principal place of resideni
which a Homestead Property Tax Credit is hereby being claimed:
I, (We)� owned
❑ are buying under contract .
❑ have a beneficial interest in_the taxpayer �
Property Description in �a-�'�� C�unt�
Taxing District (City, Town, Township):
— certify lhat on the tst day of
following described real property for
Township
Parcel Number or legal description shown on tax statement:
�+. N.�� 'l� C�e-�- a�� - �
If buying on contract Owners name ��ee s�mv�e ow��n .
Contract recorded in Recorders Office - Record No. s Page ����
If any portion of the residential structure or the land, not exceeding one (1) acre that irnmediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any olher counties in which individual owns or is buying real property:
certify the above statement is true, correct and complete.
�iD S .l� '
Sueet Aadrev
County
� �
Township
,,� �, . 4/76 70
Giiy. Siaic ana Zlo Coae
' Individual either owns or is buying under a contract that provides he is ro pay the properry taxes
on the residence, or has a beneficial interest in the taxpayer.
��`(� �� - FOR ASSESSOR'S USE ONLY -
«„ 1Ul
«t.4Y 1 S 19$�
Land not exceeding 1(one) acre immediately
surroun�g yr� e�identiat�;imp�avements
Other Land AUDIiOR ��
Total Land
Residential Improvements Dwelling
Garage
Totai
(�)
(2)
(3)
l41
(5)
�s�
True Cash Assessed Homestead
Value Valuation Valualion
Other Improvemenis ��>
Tot{�provements - Line (6) plus (7) equals (8) (8)
I hereoy certify the above is true. correct. and complete.
SignaWee ol Assessor
- ACTION BY AUDITOR -
Annrnvati' �""""�-�� ` A""—
,As
����
Date: _ s /i5 /"/ —