HomeMy WebLinkAboutHomestead_Pohl (12) alATE FORM!)!MiI!/SWI LRFASUID TOM:}IA
" '. APPROVED BYR'TE aONOOr Artll TS.9v WARMED BY mr Dr?AMfl STOELOALCAS'LYMEST ED:A'CElc 6-1.1-r-II
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 becomes ,)
mere beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes hither In bills for all:therefore.
• HEA I344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the th
benefit and to pnsvide additional identifying information necessary to allow count'government to better monitor homestead
filings.this information will he kept confidential and can only he accessed by authorized county officials.The Depannxnt of
Local Government Finance sill the this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION ,I
Taxpayer Name Property Address I , /
Pohl, Richard E/Lisha /(A///
Do WI
llaubsladt IN 47639 �
3449 changeDd b eoonfy -tor re sS
Richard E Pohl 9/I9 7/ E R &,O
1971 E SR 68 State Parcel Number Legal Description
HAUBSTADT IN 47639
26-23-09-100-001.738-024 004-01738-00 PT NW 9 4 10.61 AC
D-9
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.
PART 2: TAXPAYER INFORMATION
Owner IJ First Middle Last
/'�IC� Ctrp o h
ng Address(number and street.city,state,and ZIP code) M lime as property address
/ 97/ r 5-i fee fa bs-/Qii fir/ 4 7 1 ,3
Spouse' First Middle Last
� �,/ sh � .0 . �d /
Mailing Address(Number and street,city,stale,and'LIP code a as property address
/9 7/ 4) bg7 g u-�-� -a d q �� t°/
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is eliuible 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 Sign Clue , Date tc
I SA II'
Ijj i..nr////y//'� Z ,iMnaiPa or
41 I
,� �*•*F, YEAR
i .,, CLAIM FOR HOMESTEAD PROPERTY TAX FORM �.,
:
` CREDIT/STANDARD DEDUCTION HCto b�'
��� � Sute Foim 5473 (R2 / 5-92)
�� _ �
rei ' .
INSTRUCTIONS. See reverse side /or (iling instructions. - �
CERTI CA O ST EMENT ��
i� We) Qeraq7 th�t � t���t day of March, 19_
I(We) occupied as our principal place of residence the follovring described real property for which a Ho st��� Tau Credit is hereby claimed:
❑ I(We) owned ❑ Are buying under contract .
❑ Have a beneficial interest in the eniiry that is liable tor the property taxes on the property and th v�a ��r v J:. ,UY� R r a coni2cL �
UU
� CONTRACTRECORDED
II buying on contract, Fee Simple owners name
Femrders oflice where conVact is recordea Recortl number Page
PROPERTY DESCRIPTION
Coun - Township Taxing tlisiriM (u fown o hip)
I�umber Legal description
U � -o� CJ - � /0 . �/�
II arry portion of che residenual structure or the land rrot exceeding one (1) acre that immetliat y surtounds ihat swcture is used to produce income, describe the use and portion of
the property utilized to protluce incame.
- 3 -O - d0 - -D�
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Tovmship County Township I
of imant
�ereby certiry the above statements are true, correct and complete.
A 55 umber and� s�fre/el], a sfate, ZIP cotle /- �i-� '
l.�% [ � � L_Sl..SL� �(i �`� a//
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediately �� �
surroundin9 residentiai improvements.
Otherland (2)
Total land (line 7 plus line 2) (3) .
Dwelling (4)
Residential improvements
Garage (5)
Oiher improvements (6)
Total improvements (line 4 through line 6) (7) �
Total value (line 3 plus line 7) (8)
I hereby certify the above is true, wvect, and Signamre of Assesor Date signed
complete.
Veriying action - Signature of Auditor Date signed
STANDARD DEDUCTION ALLOWANCE
� 19_ Pay 19 _
Lesser of 1/2 Homestead c� •
� Valuation or $2,000
Si na re oi Audt r Dat �qn� O�'-
U . �3 ���