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Homestead_Ziliak (12) • fiat£FORM,!]MgL'(!.I TMFASUtIA FOP-NI}-IA .APPROVED BY STATE BOARD Or Amid LCIS_IRV PIIIXA FD BY TM-DEPMh¢YHO LOCAL t VEtNMOQ FINANCE IC 6-1.1-2,-1.1 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 more beneficial,there is more incentive than eter for homestead fraud Homestead fraud causes higher tat bills for all:therefore. • HEA 1344-2000 requires axpaven who receive the homestead standard deduction to verify dui they are eligible to ascent the benefit and to provide additional identifying information necessary to allow county gutemment to better monitor homestead tiling. This information will he kepi confidential and cm only he accessed by authnnaed county officials.The Depanntent of Local Government Finance will use this information to create ads that will h:lp county officials eliminate homestead thud. PART 1: PROPERTY INFORMATION - Taxpayer Name Property Address Ziliak,Jeffrey/Laura A RI Box 116 Ilaubstadt IN 47639 9594 Jeffrey/Laura A Ziliak 1750 W 1300 S State Parcel Number Legal Description Haubstadt IN 47639-8664 IJu1lutlt11nu11JtInInln11nt11ntlttltltlJl �� 26-22-14-400-000.4964 004-00496-00 PT S SE 14 4 11 1.50 AC PART 2: TAXPAYER INFORMATION Owner I First Middle Last SefF _ I (alc� - IIIAddress(number and street,city,state,end ZIP code) - - --- .'Same cis property address - - -- - '- 1-15a v,3 130co-3 3-&Lbskacdt TN Lk -140 39 Spouse First Middle Last La kra Ann 111ale- Mailint,Address(Number and street,city,safe,and ZIP code) Er Same as property address 1750 vi 13oz)5 LiaubsLad F 471,39 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- u• Cr I Si.. tun Date • PROPERTY TAX CREDIT/STANDARD DEDUCTION � � State Form 5473 (R2/1-90) INSTRUCTIONS: See reverse side lor (ili �n ru tion .�m `� O � CERTIFICATION STATEMENT � YEAR ,c., �� (� � H��. !(We) �1_.l_Y,lUTA.0 ��r.� certify that on the tst day of March , 19 �� We) o upi as o principal place oi residence t,�he, f�ollowing described real property for which a Homestead Property Tax Credit is hereby claimed: L�yl (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 property or is buying it under a contract. _ , � on contract, contract Parcel Number Legal �mU�Mya(�-C�c� Record Number PROPERTY DESCRIPTION Taxing District (City, town, township) S � If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc- ture is used to produce income describe the use and porjian of the properiy utilized to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES I hereby certity the above statemenis are true, correct and Address (Street, number, city, state County I Township Signature /� � �t'7�`3% ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON•HESIDENTIAL VALUE Land not exceeding 7(one) acre immediately surrounding residential improvements (�) Otherland (2) Total land - line (7 ) plus line (2) (3) Residential improvements Dwe�ling (4) Garage (5) Oiher improvemenis (6) 7otal impmvemenis - 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 "' r correct, and complete Verifying Action - SignaWre of Auditor Date _Signed -- � 7989 Pay 1990 Lesser of 1/2 Homestead Valuation or $2,500 Signature o( STANDARD DEDUCTION ALLOWANCE 1990 Pay 1991 1991 Pay 1992 Lesser of 1/2 Homestead Lesser oi 1/2 Homestead Valuation or $2,000 Valuation or $1,500 19—Pay 19_ Lesser o( 1/2 Homestead Valuation or $1,500 Date Signed