HomeMy WebLinkAboutHomestead_Poehlein 'TAIL FORA!aw+ll r/YMI IRV:SULFA FORM fStA
▪ R FIMPORTANTrNOTICETOHOMESTEADrPROPERTY OWNERS "
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction become_
more beneficial there is more incentive than ner for homestead fraud.Ilontestead fraud causes higher tax bills for all:therefore.
HEA 13442009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying Infurm:awn necessary to allow county government to better monitor homestead
filing.ibis information will he kepi confidential and ean only he accessed by authorved roomy officials.The Ikpanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Poehlein, Chester P/Aline D Life Est
&S
R2 Box 25-a
Oakland City IN 47660
5536 1(�
Chester P Poehlein U \
1856 S 1150E State Parcel Number Legal Description
OAKLAND CITY IN 47660-7622
� 26-14-19-103-000.786-006 003 -00786-00 PTN NW 19-2-8.6887 AC
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
C'1 6,7-8-R Ph 4 L. Po ER 1. g/x/
-- .
tg Address(number and srrcet,city,state,and ZIP code) Same as property(address
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/35'b S lArdE R14 tip Y7 do
Spouse First Middle Last
Doi? IS
Mailing Address(Number and street,city,stale,and ZIP code) 2 Sane as property address
/gs s //Sag 94M.A,)D CP J J,t/. 576 6 a
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 ignature Date
FORM HC 10 1979 To Be Filed in Dudlloate
Prmnlied By Stale Board or Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 Z
SEE BACK FOR FILING INSTRUCTIONS
(We) O 11" u-C rte-?- )J7 �- Y- �U"ertify that on the 1st day of
rch, 19-- I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned D03_oo-1
❑ are buying under contract
❑ have a beneficial ir.Verest in the taxpayer
Property Description in v
Taxing District. (City, Town, Township):
Parcel Number
If buying on contract: Owners name Itee simple ownerlpo
my Township
or legal description shown on tax statement:
2% �7UJAl a -�GP87
/
03 -4!50- 7 &1 eV
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property: County Township
certify the bove statement is true, correct and complete.
�%i >/% s. 19 7 5 '—�Z)
Address
and
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Signature of Assessor
Assessed Homestead
Valuation Val
ii
0—.-- !�; WN
Dare
Approved: 4T d � Date: - �-
True Cash
Value
Land not exceeding 1 (one) acre immte�)
surrounding residential improvements 11�
7 7
Other Land
(2)
Total Land
JUN 5 Mg
(3)
` 0
Residential Improvements
(4)
44-610.
Xel
a
(5)
- O-
r
Total AUDITOR
(6) ��6LD
Other Improvements
_
(7)
Toral Improvements - Line (6) plus
(7) equals (8)
(8)
I1q;by certify the /(qove is true,
corgct, and complete.
Signature of Assessor
Assessed Homestead
Valuation Val
ii
0—.-- !�; WN
Dare
Approved: 4T d � Date: - �-