HomeMy WebLinkAboutHomestead_Adler ' STATE FORM`tMs IR'!HMI WARMER PORN(73-IA
• APPROVED BY'STATE ammanexenou\Tl.`•' PTznlnn BY ntr DEPARTYR`IT(FL(MALGOVERNMENT FINANCE M 6-1.11`4I
Gibson County Auditor
11 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
PRINCETON IN 47670 Individuals and married couples are limited to or homestead standard deduction.As the receipt of this deduction becomes
more beneficial•there is more incentive than eser for homestead fraud.Homestead fraud causes higher qx bills for all:therefore.
lir HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to receve the
/Th benefit and to provide additional identifying inturnanun necessary to allow county government to better monitor homestead
filings.'I lie information will be kept confidential and can only he accessed by authorized county officials.The Depanntent of
Local Government Finance will use this information to create tools that will help county offiiafs eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Pri 1• Tres
_ Adler, Norwood A
R3Box 131
Oakland City IN 47660
1678
orwood A Adler
6779 S 950E State Parcel Number Legal Description
OAKLAND CITY IN 47660-7730
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. PART 2: TAXPAYER INFORMATION
Owns 1 / First Middle
D1919 � /p CP----
2 Address(num5cr and street,city,state,and ZIP code) - — - �'Sume as property uddrd— ' - -
6,779s 9coe OAK/ 0-/4,/ _.N i-).7
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Sax
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.
net 1 Signature Date
lip
ti
CLAIl9.FOR.HOPAESTEAD PAOPERTY TAX CRE�IT FOR YEAR 19g.�
. . � i
SEE BACK FOR FILING INSTRUCTIONS
. i n'..,-. � . � _ . _
c�
�'" v°) i i� i�y<<( i � r n c� !-! I� J 1 Li�J! �— cerlify thal on Ihe 151 day of
� 79�, I, (We) occupied as our principal place o! residence the following described real property tor
n a Homestead Property Tax Credit •is hereby being claimed:
I. (4V�) �Wovined�� ab��-�5 a �c,.C?�/•��%�� i�� ' �� /�� .
❑ are buying under contract p_� ��
❑ have a beneficial interest in the taxpayer ' �.
Property Descripiion in County
Taxing Districi (City, Tov:n, .To�vnship}: I
ownship
?arcel Number I I or legal descripiion show.n orrT�Teme�i
�-��.��a ��i� �s-3-9
li DU flfi9 O(1 coniracL Owners name �1°a J�+d� oW�u1 '
Coniract recorded in Recorders Otlice - Record No. Aage
l� 2ny por�ion of ihe resicd� al��or the land, not exceeding one (t) acre thal immediately surrounds thal
struuure is used to��� scribe the use and portion of the property ulilized to produce income
Any oiher counties in v�Mc`Yi individual owns or is buying real properly:
������� %iL �S
�ereby certi{y the�abov��S���7hRent ,S true, correct and complete.
County To�vnship
/� � / //
r `/ • �
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Individual eiiher o�•ms or is buying under a contract that provides he is lo pay ihe property taxes
on !he residence, or has a benelicial inlerest in Ihe laxpayer.
- FOR ASSESSOR'S USE ONLY -
_znd not 2xceeding t(one) acre immediately
�urroundin9 �esidential improvemenis
)ih2r Land
(otal Land
�esideniial improvzments Dwelling
Garage
iotal
3C
(2)
(3)
(�)
(5)
(G)
True Cash
Va1ue
Oth-- �provemen�s ���
To�provemenis - li��e (6) pius {7) equals {8) (8)
I hereUy� cerify the above is true. correci, and complele.
Sgmiwe ol nzsuso� '
_ _ __ , _ - HCTION 8Y _AUDITOR -
Assessed
Valuation
o.,�.
� . �
Homeslead
vaivatron