Homestead_Ziliak (13) t1ATE FORM flY IRU fare TREASURER FORM ASIA
ArrRrwEO nY MATE&Msn Of wrote:rc.2nr' PRIAA1n19bv mE DEPARTe.rcF LOCAL rxwtLNMrnr FINANCE IC 6-I.Er-rI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ester for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 1344--7(X19 requires aspavers who receive the homestead standard deduction to verily that they are eligible to incise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authorised runny officials.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
Ziliak, Joseph W/Karen M
Ilauhstadt IN 47639
9492
Joseph W/Karen M Ziliak
2988 W 1200 S State Parcel Number Legal Description
Haubstadt IN 47639-8740
�t�tt��ttt�r��tttt��t�t�tr�tt�t�rtt�t�tt���ttr�tr�t�tt�tt��tt� 26-22-10-300--0 001.657-024 004-01657-OO PT SE 104111.14 AC
PART 2:TAXPAYER INFORMATION
•
Owner I First Middle Last
.erns z'//`
eag.Address(num and street,city,state,and ZIP code) _-,_,- /— -- - - -❑ Same to pmpcnv oddrtss --- --
9C2 Lc) !"loos /4. a 6 d-� pd z/i6 37
Spouse Last
// First Middle L
Mailing Address(Number and street,city,sate,and ZIP code) ❑ Same as property address
9-9gc (L ' I)cOS ff - d/ 76 37
.
PART 3:CERTIFICATION
Each -
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
•
•
' V /
a� ^"3 q CLAIM FOR HOMESTEAD PROPERTY TAX
i��'� CREDIT/STANDARD DEDUCTION
„ ��,�;�� Stare Form 5<73 (R2 / 5-92)
ie�7
INSTRUCTIONS: See reve�se side /or filing instruction5.
`��t _.
�,y �
y�,
`��:_� '� `,1/
`��T 181993
.M v
I�We) _ __ . 1� 1. certify that on the 1 r h, 19�
) occu i as our principaPplace of residence the followin escribed real property for which a Homestead Property Taz Credii is hereby daimed:
L, I(We) owned ❑ Are buying under contraci , .
❑ Have a beneficial inieresi in the entity thai is liable for the property taxes on the property and ihat owns the property or is buying under a contract.
- - CONTRACT��RECORDED ,
If buying on contracl. Fee Simple owner'S name - - �
Recortlefs oNice where contract is recorded Record number Page
Caunry
Parcel number
�_C
If any portion ot
of t�e pmperty �
mwn,
. I�egaiaebcripuon/ `� ^� I'I� /��
v \7 � T
strucmre or the land not exceedirg one (7) acre that immetliatety surrounds ihat siruaure is used to protluce income, deuribe ihe use and portion
ice income.
— /D -. -3C� — D 6�
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land noi exceeding 1(one) acre immediately
surrounding resideniial improvemenis. (�)
Otherland (p)
Total land (line 7 plus line Z� (3)
Dwelling (4)
Residential improvements .
Garage (5) ,
Other improvements (6)
Tota� improvements Qine 4 through line � (7)
Total value (line 3 p6s line � (g)
I hereby certify the above is true, correct, and Signamre otASSessor IDate signetl
complete.
`�^��fyirg aCiion - SynaWre ot Autlimr Date signed
- �_
DEDUCTION ALLOWANCE
19_Pay19_
Lesser of 7/2 Homeslead
Valuation or 52.000
SignaWreo�Autlitor ' / �, (�
��� '_ ' 1 LMn.a I� -
V t�_.
S