HomeMy WebLinkAboutHomestead_Pohl (10) STATE FORM 53569(1/3 18.10) • TREASURER FORM TSIA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMEXT OF LOCAL GOVERNMENT FINANCE IC 8-1.1322.1
" • Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
HEA 1344-2009 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 information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
MAY 4 2011, Taxpayer Name Location Address
C.'J.N =C. Greg A
108625150W
GIBBON COUNTY AUDITOR , I-IAUBSTADT IN 47639
9775
II Hililm mull HMVI11111111WII_IIDIIIIIIDI[ luIv1 41 ,
Greg A Pohl
10862 S 150 W
Haubstadt IN 47639-8755 ,
'II'IIllllliliilllll'il'lilll'illlli11lll1lllrlltliil3itlitrlllll State Parcel Number Legal Description
26-22-12-100-001.423-024/ PT NW 12 411 1.00 AC
_ - J
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.
-_T "v___— ___.-____.______L,-____ PARE.:;TAXPAYER I\FOR}NL►1'ION-_ -- - "" _ _,_
. First Middle .. Last
Gres - A - Pahl
Mailing Address(number and street.city,state,and ZIP code) ® Same as property address
10 &62 S 1501,/ Havbstadt IN 47621
Spouse First Middle Last
�
- -- . _ cc c _. — - Poi ► — --
Mailing Address(Number and street,city,state,and ZIP code) - ® Same as property address
l.O&C s Isow Ha0bstaAt' =N 97b29
.
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 1 Signature Date
��° CLAIM FOR HOMESTEAD PROPERTY TAX
- . '� CREDIT/STANDARD DEDUCTION
siaie Fam sa�a (aa r �-m�
•� �• � Prescnhed by Ihe DepaMreN of Lacal Govemmant Finance
INSTRUCTIONS: See ieverse side lor filing instructrons.
FORM YEAR
HC10
�'I�ED
I(VJe) certiry that on lhe 1st day of March, 20_
I(We) oocupied as our prindpal a e of residence Ihe (ollowing described real property fw which a Homestead PropertyT �6e<d� it ishecsbv daimed:
O'/ U ti is a
'I (VJe) owned ❑ Are buying under mntract
Have a be�efidal interest in the enti Mat is liable for the ro taxes on the GI�,SON COUNTY AUDITOR
ty p perty property and that owns Me prope, �y or is buNng under a contrad.
If Mrying on conVaa, Fee Simpe ownefa rmme
Recwders of4ce where
Tamsldp
�
Tming district (city, fo:m,
Is Ihe property in 9�slion:
If a�ry poNOn of lhe residential slrucWre or Ihe IanE noi exceeding one (t ) acre Ihat immediately wrtounds �hat
of ihe properry utilizad In p�oduce inmme.
Recwdnumber IPaga
❑ Mobile Home (IC 6-1.
is used W pfoduce inwme. descnbe Uie use aM pohion
�. � � � .� � �
��'. •
land not ezceeding � (oire) aae immediatety � � . . ;t
surroundirg residential improvements. � . _ -
Other land �2� . .
Tdal land (line 1 plus 1'me 2) -�g�
Dwellirg (q) ,..� -
Residentiai imprwements a Mnually - -
Assessed Mobile / Manufach�red Home
Gara9e (5) : o � -'z ,
Other improvements (6) . -
T�tal improvements (line 4 through line 6) �7�
Tdal value (line 3 p!`s line � �g�
I i�ereby cerfify �he above is We, cwreU, and Signature ofPSSessor Date signed (monfh, day, yea�
complete.
Vaifying action - SignaWre of Puditor Date signed (mwifh, tlay, yea�
20 _ pay 20 _ q5.ppp for 2007 pay 2008 42.000 for 2070 pay 2011
Lesser of 1l2 qq.ppp for 2008 pay 2009 47.000 for 2017 pay 2012
Homestead Valuation
w� 43,000 for 2009 pay 2010 40,000 payable after 2012