Homestead_Stolz Pt Alt lnanu551 'ElI-en TREASURER FORM TS-IA
ArrMxEDBI'STATEnrn(wftr,'.sTS Nu. PLi ,wm BY THE oEMRnec(,rto At GOVERNMENT FINANCE ICSLIr-tI
Gibson County Auditor
101 N Main u 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
more beneficial,there is more incentive than escr for homestead fraud.Ilomestead fraud causes higher Ias bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receve the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing,.This information will be kept confidential and can only he accessed by authorized county nlFciuk The Department of
local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Stolz, Ronnie J /Barbara G \�
RI Box 281 b.
Ilaubstadt IN 47639
9
Ronnie J/Barbara G Stol
12245 S 50 W State Parcel Number Legal Description
Haubstadt IN 47639-8720
III I 26-22-13-200-001.004-024 004-01004-00 PT SE NE 13 4 11 .65 AC
u 111111111111111111111111111111
f u tat r Int t r II
PART 2: TAXPAYER INFORMATION
Owner I � First Middle lz Last
ON ✓tre
ig Address(number and suety.city,state,and ZIP code) a Same as prop address
property addre
/ -- - --- —
Spouse First Middle Last
RB
A LA
N STOL
Mailing
Address(Number and street.city,state,and ZIP code) tame as property address
/ a �S .� 50 W /N 2/76 3 9
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
unlaufitlly she may be liable for back taxes and substantial financial penalties.
Owner I S gnature Date
CLAIPA FOR HOAAESTEAD PROPERTY TAX
CRED17/STANDARD DEDUCTION
sme r� si�a (R� i s-a�
Pra�betl by tlie Depatrrient af Lo�l Gouameld Frwim
INSTRUCTIONS: See reverse side /or filing instnxtions.
_. , . • .. . . �can
FORM Y�
HC70
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��we) owned ❑ ae buy�q �nda contraa GIBSON COUNTY A
Have a benefidal mterest in Me entily that is liade kx the property tanes m ihe popaty and tlqt owns Uie propeAy or is buying under a cantract
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Si(�ahae of AudOOr Date si�ed