HomeMy WebLinkAboutHomestead_Ziliak (10) stATE F MINI MN ,R`/4711 nPF-1SUIEAm0.V SIA
.APPROVED BY STATE M 5W)OF MM.JNit,21)4 PRF[WhU)aV ME DEPMIMENMWLO):AL rsWERNMFATrreAscE IC�I.I-r-.r
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS o
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction beconsea
more beneficial,there is more incentive than eler for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1:44--1009 requires taxpayers oho receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifvins information necessary to allow county government to better monitor homestead
filings This information will he kepi confidential and can only be accessed by embodied county officials.The Ikpanment of
Local Government Finance will o.e this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Ziliak, Jonathan/Laurie Sloop �G7o/ et) /3005
CR1 .Box 119
_ Ilaubstadt IN 47639
3369
Jonathan Ziliak
2072 W 1300 S State Parcel Number Legal Description
HAUBSTADT IN 47639-8665
26-22-14-300-000.468-024 004-00468-00 PT S SW 14 4 11 .97 AC
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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.
PART 2:TAXPAYER INFORMATION
Owner I� First Middle Last
Jon har Doll ss /a K
�g Address(number and street,city,state,and ZIP code) Same as property address
2-\L Boo S 7g 4iubsfaoL1 J-4/ X17( 3g
l( -
Spo First Middle Last �l{
Zaa ( ; �. 1 aikl Shoo, -21lia l< .
Mailing Address(Number and street,city',state,and ZIP code) I�'Same Is property address
p0-7a 13ao S 11auhsIaci/- 1II) I, 7b 3 9
`
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 hack taxes and substantial financial penalties.
Owner I ignanve Late
-
�`5T�"°- CLAIM FOR HOMESTEAD PROPERTY TAX
` �� CREDIT/STANDARD DEDUCTION
�:� � State Fortn Sa73 (R2 / 5-92) -
;�e ,
i
INSTRUCTIONS: See reverse side /or liling instructions.
CERTIFICATION STATEMENT
� (We) �-
. I(We) ied as our principal place of r dence the following described real properry for which a F
�❑ I(We) owned ❑ Are buying under conirect
�I, ❑ Have a beneficial interest in the entiry that is Iiabie for Ne property taxes on the property and thai
CONTRACTRECORDED
rFr��
is recordetl
FORM
- HC10
PROPERTY DESCRIPTION
Counry Township Ta�dng tlistrici (dry, town, township)
Parcel number Legal tion
-C.1'�`Y �.0 - - /
If any portion of ihe residen6al struclure or the iantl not exceeding one (1) acre lhat immetl tety sunountls that structure is usetl ta protluce
the praperty uWized to proGuce income.
� /�c3�0—�d"1�. �`G�-
OWNED BY CLAIMANT IN OTHER COUNTRIES
certify the above statemenis are true, correct and complete.
' ASSESSOR USE ONLY
Land not exceeding 1(one) acre immediately
surrounding residential improvemenis.
Otherland
Total land (line 7 plus line 2)
Dwellin9
Residential improvements
Garage
Oiher improvemenis
Total improvemenis (line 4 Mrough line 6)
Total value (line 3 plus line 7J
I hereby certify the above is true, cortect, and
complete.
Veritying acuon - Signamre of Autlitor �
19_ Pay 19 _
Lesser of 1/2 Homestead
Valuation or S2,000
TRUE TAX
VALUE
(�)
�Z)
(3)
(4)
(5)
(6)
(�)
(8)
ASSESSED I HOMESTEAD
VALUE VALUE
STANDARD DEDUCTION ALLOWANCE
S
of March, 19_
hereby claimed:
use
NON-RESIDENTIAL
VALUE
Data signetl