HomeMy WebLinkAboutHomestead_Ziliak (8) • STATE rOt I5Mta IR•/Yrvl TITASUtI1 Po0.V SIA
• AP?R(n'EO BY ST(OE MN10or A(rn1LNTS.'•4 rtrxAIBm BY no nrMARTVF.YT(f LOCAL tIn20.WrlT FINANCE IC 4-L1-724
• Gibson County Auditor
101 N Main u IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 InJividuaLs and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.(homestead fraud causes higher tai bills for all:therefore.
• HEA 1343-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying: information necessary to allow county government to better monitor homestead
filings.This infolmuion will he kepi confidential and can only be accessed by authorized county officials.The Depannent of
I.ocal Goverrunent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Ziliak, Richard A/Janice M \CI
113S4th AVE 6)
Ilaubstadt IN 47639
8286
Richard A Ziliak
113 S 4th Ave PO Box 530 State Parcel Number Legal Description
HAUBSTADT IN 47639-0530
26-19-31-304-000.510-009 013-00510-00 E PARK ADD 441/442
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
isdit
g Address(number and street.city,state,and ZIP code) --- (Same as property address
•
Spouse First Middle Last
Mailing Address(Number and street.city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 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.
Owner I Signe Date
•
-y VDIANA SALES DISCLOSURE FORl1 SOF ID 26- 2009 - 1000191 1Yv1 Page 2
_ -: -._t. :'; �
F. •.-:.. -,-L _•
�-. t.. M� � #i<r`*�?13 .sue -4 e
I1RAY M. DRULEY LAW OFFICE OF RAY M. DRULEY
ATTORNEY NO. 4759 -26
Pieparer t f(he Sala Diselovire Farm
Title
505 N. CHURCH ST., POBOX 146
LAW OFFICE OF RAY M. DRULEY
Addr�s (Number and Sireetl
F,: SELL•ER(S)lGRA \TOR(S) 5,.
_ - _ - r ^` _ _
JANICE M. ZILIAK
Seller -Name es appeam on com evance dnenmem
.Seller —Name as appemo omwvan, a document
113 S. 4TH AVENUE
Address (Number and Street)
.iddresc /,Nunrbe•- rnd S /ntll
HAUBSTADT, IN 47639
Ch, State. and ZIP Cale
Ciat Stale, nd ZiP Cade
(
Telephune:Nnnrher E-mail
Telephone Number E -mail
nder penalties of perjury. 1 hereby certify that this Sales Disclosure. to the best of my knowledge and belief. is true. correct and
nmpl((ettc as required by late, and is prepared in accordance Nvith IC
6- 1.1 -5.5. "Real Property Sales Disclosure Act ".
Si¢ra�tler llllll////// /1l'✓
n
Signame g! Seller
Janice M. Ziliak 05/26/2009
Printed:Vame tfSeller Sign Date 0I.V/D107Y))
Printed Name of Seller Sign Date(llHZDD:'Y)l77
I.- RD)TR(S)[GR.a\ TEE( S )'- APPI,IC4TI0\ [OR DEDGC•TIONS AND .CREDITS - 'IDENTIG]`:4LI: ITF.DIS THAT APPLY. `I
RICHARD A ZILIAK
Tr er -Name a�apl ars on, an, nn.0 a d«'vu,ent
Kuvm'- AStu;e m.rlyv,, on tunrerom a doiw..enl
]5 S- RACE ST.
. 4ddress CVnmber and Sarep
Address pyun• Ix, nd .Street)
HAUBSTADT, IN 47639
E -mail
T lephone Atantar E-mail
II HE S.V,ES DISCLOSURE POR.11MAY HE DSED IO'kel'LI Ft/ K CER IALN VEDLR I IV \S H1K IHIS PKlll'E R I Y. MEN I IP YALL OF - I - HOSE'I HA I- I
F I. \Viii this property be the buyer's primary residence? Provide
complete address of prinlary residence, including county:
113 S 4TH AVENUE
Adeb'ess /.Number and.StreeU
HAUBSTADT, IN 47639 Gibson
City, State, and7lP Cade Ca:uar
r 3. Does the buyer have a homestead to be vacated for this
residence? If yes. provide complete address of residence vacating.
including county:
.4ddrau lNumber u;d St, eel)
Cint State, and ZIP Code Cmmn
F, 3. Homestead
r 4. Solar Energy Heating(Cooling System
F- 5. \Vind Power Device
r 6. Hydroelectric Power Device
i— 7. Geothermal Energy Heating/Cooling Device
F- S. Is this properly a residential rental propeny?
CA10
here UY certify that Inls Dales DISCInSUre. t0 ine DCST Or m \' Kn Oty1COge ana Verret. Is true.
and is nl:a:aePedlu accord an ee with IC 6- I.I -55, "Real Property Sales Disclosure Act ".
Richard A. Ziliak 05/26/2009
Printed Name of Haver Sign Dale (AMf,DD1) ffYI