HomeMy WebLinkAboutHomestead_Pohl (15) SINE FORM,3tt R:IaW1 nU/SUIER FOAMf-tA
Vtlm'EW tY SINE MSRDOE M fl*,\'lt.4w PIEARmmnY tsr oEPAREM[.Yror LOCALOOVERNMt)T FTASCE K' I.I-ra.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple, are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to creche the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will he kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tts,ls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Pohl, Robert F/Norma L Trust 1/2int
Stev I V
R 113ox 366
Haubstadt IN 47639 1.
1636 V
Robert F Pohl
10766 S 200 W State Parcel Number Legal Description
HAUBSTADT IN 47639-8750
26-22-02-100-000.785-024 004-00785-00 PT E&PT W 2 4 11 4.83 AC
t o nr a Fur r r u u t nr r r a tut nr n r n - _ x
0-2
_ _ _ ._. _
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
No;tn L P A i
apg Address(number and street,city,state,and ZIP code) - ReSame us property Salem, -— —
Spouse First Middle Last
Mailing Address(Number and street city,stale,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digit:)— - Driver's License/State ID Nmnber (last 5 digits)— Other(please stnzify in Pan 4 below)-- - -- _ - —
see
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 //
•
•
WRM HC 10 19i9 � io Be Filttl �nDyplicate
Preuri0e0 By Sta�e BoarE o� ia. Commissiane�s n6 PQ �
. CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 192� �� 9
SEE BACK FOR FILING INSTRUCTIONS �y�(�
/J� � ���jI- D�
��(We)����i ��� certify that o�he 1st day of
�larch, 19-2�, I, ( e) occupied as our principal place of residence the following described real property for
which a Homestead Property'Tax Credit is hereby being claimed:.
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial in�erest in the taxpayer
Property Description i
Taxing District (Git-y--Tewr,r Township):
do�-o�7�S-oa
�G- �a -oa i� -a�o• j��- �a �
County Township
Parcel Number I I I I � I or legal description shown on tax statement: •� _
O '
. E % � -5�-/� . s�• S3u-e�tia..
If buying on contract: Owners name �'� s`"'o1e �•�e•r ��' 3 g
Contract recorded in Recorders Ofiice - Record N� Page
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
�hereby certify the above statement is true, correct and complete.
/1 n e - —
A441e55
County Township
��
Ci:y. Sta;e and Zio CoCe
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ON�Y -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land �
Residential Improvem� � � �Dwelling
� 1979 Garage
JUL 1:. Tota�
Other Improvemen�s
T�' ��Improvements
I�eby certi�(�"tt�
Signa:ure o1 nsxssor
_ tJ'!e.( .p��yS"��.1��-��
above true. correQ{t�p�Rcomplete.
i ni —
True Cash
Value
��� � a�
(2)/b �'(o O
(3)//z(oO
(a) ��LBio
cs) / o 0
�s> � 5� 9 i o
��� �SZ �a
(8) .�'9t��
3 � 9 l� o
Assessed Homesiead
, Valuation Valuation
v�—�Z3-7i
- - - - - -- - - - - �:� - - - - - -
- ACTION BY AUDITOR -
oate: _�- // - 7 9