HomeMy WebLinkAboutHomestead_Sollman (11) SUrE FORM'lre.OU/1w, PIASUmmA FOR.V 73-IA
ArTROVED BY STATE BOARD OF.AFTtRsTS.ru.v rRE•%NBFD BY PIC DEPARTMENT OF LOCAL ro%tL'MFTT FINANCE IC 6-1.1424.1
101 Main
N Main N County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101
PRINCETON IN 47670 Individuals and Inaaied couples are limited to one homestead standard deduction,As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1334-2IXW requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing--This information will he Ley confidential and can only be accessed by authnri,ed 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
Taxpayer Name Property Address
Sollman, Eljean C Trust
Rr 2 Box 183
Ilaubstadt IN 47639
331 — — _ — - - —
Eljean C Sollman
2034 E 1025 S State Parcel Number Lezal Description
HAUBSTADT IN 47639-8022
26-19-33-300-000.942-024 004-00942-00 PT N SW 33 3 10 27.5075
Illitillirliiiiiiilltilltilli1111 t I r I u I r I u I I uI nI it It II
AC D-9
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
g Address(number and itr et,city,state••cord ZIP lode) - — - Same ui property address-- -- -—
2Q31F� /ojz 5 .5 4Z/a. �� : 1439
Spouse First Middle /J List
•
Mailing Address(Number and street,city,stale,aD ZIP cork) /�-5'ame as property address
�s. �� 1.&39
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 Signature - Date
•
a�E�,'F O
i o
I.� `;c
'e'?� _...='�
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R2 / 5-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM
HC10
YEAR
%
- • CERTIFICATIO T MENT � �
I(We) .(..: certiry that on�'t�d�of A�1.�
I(We) occupied as our principal place of residence t following descnbed real propeAy tor which a Homestead Property Cr it 1�h�r9byLl
❑ I(We) owned ❑ Are btrying under contract ��R (� � '
❑ Have a beneficial interest in the entity that is liable for the property tanes on the property and that owns the property or is bl'ryirig dnder a�CO�trac[.
CONTRACTRECORDED � �i
If buying on convact, Fee SimO�e ownefs name �:i ;,— ,..+ ['`1�C�T`C :�!!OITOn
Recordefs office where conVaa is recorded Recortl number Page
PROPERTY DESCRIPTION
Counry Township Tacing diSMct (city, fown, township) -
Parcel nu ber Legal desc p; � A� ,/'�
-{�j 3 - / % �=�
If any poNon of ihe residential siructure or the land not e:ceedin9 one (7 ) acre that immediatety sunounds ihat swc[ure is used to produce incort�e, tlescn6e the use and ponion ol
the properry uGiizetl to D�uce income.
c��-/9-�33 -3a�-000. 9�-��s�
� � PROPERTY OWNED BY CLAIMANT IN'OTHER COUNTRIES �
Counry TownShip , Counry Township
i o claimanl
ereby certify the above statemenis are true, correct and complete.
Atltlress (number aM sfreef, ciry, state, ZIP code) �
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDEM'IAL
VALUE VAIUE VALUE VALUE
Land not ezceeding 1(one) acre immediately ��) '
surrounding residential improvemenis.
Oiherland � (2)
Total land (line 1 plus line 2) (3) _
Dwelling (4)
Residentia� improvements
Garege (5)
Oiher improvements (6)
Tofal improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify ihe above is Irue, corrett, and Sig�ture of Assesor Date signed
wmplete.
Veritying action - Signature of Auditor Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesserof 1/2 Homestead S
Valuation or 52,000
Signature oi Autlitor . \ Date sign� �b
W :�