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Homestead_Pohl (9) SINE FORM 531t.tIC I Np11 1Rr st t a FORM 73-IA
APPRr4'ED 8Y HALE MIRD CIF MYYR iS 9a PREXN➢mnY lilt DEPARTMENT OF LOCAL nova:ornr FINANCE M M.1-214.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couples are limited to one homestead standard deduction.As the receipt of this deduction beconres
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-3004 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 goverment to better monitor homestead
filings.This information will be kept confidential and ran only he accessed by authorized county officials.The Depanntent of
Local Government Finance will use this information to create muls that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
-Pohl, Randall R/Laura L
1112-15200 W
Ilaubstadt IN 47639
9503
Randall R/Laura L Pohl
11124 S 200 W State Parcel Number Legal Description
Haubstadt IN 47639-8748
�r�n��ul�r��uu�Il�r�n�n�rinlll�nl�n�nl�r�rinl�u�r� 26-22-11-200-000.790-024 004-00790-00N NW NE 11-4-11 1.00 AC
•
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
r-Ra Cia-t 1 i ��ttil
-- •tg Address(number and street,city,state,and ZIP code) — — --- -� Same as property eddies, ---- — -- -- — —
L 1?O S of3O � ) }kautbsiad-X 11J 1-1/4-7(Pci
_
Spouse First Middle Last
L ea LCtAri r�
Mailing Address(Number and street,city,state,and ZIP code) ® Same as property address
twig S I aio s'6ydc IL) 47c4,3'9
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.
Owma I S� 06) ( Date
"'--`-�'"'-`--""
S
,.,.,,�. - _
E"°c CLAIM FOR HOMESTEAD PROPERTY TAX
s���; CREDITISTANDARD DEDUCTION
..�, ,,;• State Form 5473 (R2 / 5-92)
�ii.
INSTRUCTIONS: See �everse side tor liling instructions.
��� F RM
FEB 2 21993
YEAR
3
1�We�\ l\111Y1N'll)CY V l.� (1�Q11f�,Q�� •\�ly-YUC � c���t(dj(Ft��7stdayofMarch.79�
I(We) occupied as our principal place ot residence ihe tollowing described real property forwhich a Homestead Property Tax Credii is hereby daimed:
� I(We) owned ❑ Are buying under contraci
�Have a beneficial inierest in ihe entity that is liable for the property taxes on the property and that owns the /property or is buying under a contract.
. � CONTRACT RECORDED - ' �
It buyirg on contracL Fee Simple owner's name � � � .
Recorder's oflice where crontrect is recortled Record number Page
, . � . , . ' ' - .
PROPEflTY DESCflIP'T10N
County
town,
Parcel number Legal tle n bon �^ ��
C�0'�- Oo"1 � b = � `�(� `Cl� `� 1 f - `{ - l � . (o �
If any portion ot Ne resitlential stmaure or ihe land not exceeding one (t) acre that immetliatety surtountls t ai structure is used m produce income. describe the use and portion
of the property ublized to produce income.
.. i _ . _ , _ . _ _ ,/) _ � / _
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
p -_ Counry �-
I hereby certify the above statemenis are ime, correci and complete.
siate,
claimant
ASSESSOR USE ONLY ,� TRUETAX� ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE.� VALUE - VALUE�
Land noi exceedinq 7(one) acre immediately .
surrounding residential impmvements. (�) �
Oiherland (p� �
Total land Qine 7 plus line Z� (3) .
Dwelling (4) .
Resideniial improvements
Garage (g) -
Oiher improvemenis (6)
Total improvemenis (line 4 through line � (7)
Total value (line 3 pLs line � (g)
1 hereby certify Ihe above i5 true, corrett. and Signature of Assessor Date signetl
camplete.
Veritying aaion - Signature ot Auditor � Date signed