HomeMy WebLinkAboutHomestead_Ziliak STATE FORM 5350(TO/41% .T E<SLRFa fOLM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.710i FRESL9,mt],BY TO OEPARME\i OF IOCALCASTRSMENT FINANCE IC 41.1.11 4.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street - Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
\ BEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
T benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
F I L E L mfilings.This information will be kept confidential and can only be accessed by authorized county officials.The Depamnem of
Local,Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
- MAY 12 2011 Taxpayer Name Location Address
_ C _ - Ziliak, Danny/ Barbara
p 5311E 1150 S
GIBSON COUNTY AUDITOR 11AUBSTADT IN 47639
11403 -
Danny/BarbaraZiliak , I II I M I-1111111111MM II glI011111U1H lUIIMilli IID@Ill1111lfu 11111
• 5311E1150S
Haubstadt IN 47639-7912
1'11111L11111rIIFlltlrr 1111111'11"11111111111°111111'111111'11 State Parcel Number Legal Description
• 2623-12-402-001.12 -024/ NE SE 124105.18 AC D-10
_
.
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.
I t - - _.__ - . _PART TA\PA1. R 1\}0RM 1710\ —•
Owner 1 - First - Middle Last
DcxY;ry P . S. \--,et{c
Mailing Address(number and street,city,crate,and ZIP code) 1r Same as property address
5311 6- 11S05 H-60A�, tt; 91(.31
Spouse -First Middle Last
�ai bct�h t . . . -- . 1 , 4l�
1 .
•
Mailing Address(Number and street,city,state,and ZIP code) x [Same as property address
5'2) (I E ∎ 150 S -t 5 Mat `1 ?(o 3 I ,
.
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. e
Owne I Signature Date
•
R HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION n(R�
State Form 5473 (R2/1-90) �,�
FORM YEAR
Hc,o j y
'�� INSTRUCTIONS: See reverse side lor 61ing �nstruc6ons.
CERTIFICATION STATEMENT 4a /� D//°26- Dd
k(We) r i on the 1 st day of March , 19
��
I(We) occupied as our principai place of residence t,�he, fo�il wing described real property for which a Homestead
Property Tax Credit is hereby claimed: L�J'I (We) owned ❑ Are buying under contract
�Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the I
property or is buying it under a contract.
If buying on contracl.
contract is recorded
Township
CONTRACT RECORDED
ime _
PROPERTY DESCRIPTION
Record Number : � Page
0
% -� — �
If any portion of the residential tructure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the roperty utilized to produce income.
�Q.� �a�a. �� -�3 /.�_ `/D�Z -00�/0�0 - 6o�S�
��.� ��.l�B�PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
ASSESSOR USE �ONLY . � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
" ` ' � - VALUE
Land not exceeding 1(one) acre immediately
surrounding resideniial improvements (� )
Oiherland (2)
Total land - line (1) plus line (2) (3)
Residentiaf improvements� Dwelling � (4) - - ' � - - -
Garage (5) .
Other improvements (6)
Total improvemenis - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 7 990 Pay 1997 1991 Pay 7 992 19 — Pay 19 —
Lesser of 7/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homestead
Valuation or $2,500 Valuation or $2,000 Valuation or 51.500 Valuation or �1,500
Signature
-- -- � .� � �--� - — — _
, -, uate o/iyneu
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