Homestead_Ziliak (8) Sl.AIE Mini!'X.tie/!+nl ritrLstitta roam 31A
.ArrWxED DY RAIL Ort.410 nF.4MIINIc,20IN PRFYxInmD BY nit DFPARMCIH*IDCAl Camt4N[AT FINANCE a 6-1.1 4:-,I
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 es et-for homestead haul Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2109 requires taxpayers who receive the homestead standard deduction to eerifv that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county go:emrrent to better monitor homestead
filing.This information will he kept conlldential and ran only be accessed by authorized county officials.The Depaoment of
Local Government Finance will use this information to create nets that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Stanley/Kimberly S
— r•Q) y RI Box 115 C
�U /` Haubstadt IN 47639
9596 �3� 5 /� .
Stanley/Kim.-t S Ziliak � ,/
:.x 115C �� / State Parcel Number Leeal Description
'aubstart ` •• 639-8663
' - - - —26-22-14-400-001:125024 -004-0112<DD N.8E--14 4-11-1-AC-- -
III rill Il rl ill lllullrlrll ell.IF FII811II11,FIIu,FIIIIFIFFIIIFFI D-2
•
,I PART 2: TAXPAYER INFORMATION
Owner I First - - Middle ) y_- _ - Last—
r ////
• Ig.Address(number and street,city,state,and ZIP code) ``// Sartre as property addicti
) . 7 3 61 .c -/ S c' 1 Hat)16 dt 2 V
Spouse -7 First Middle Last
Km Z ,/'q," Sqe__ ` 'Z,/kg'
Mailing Address(Number and street.city,state.and ZIP code) D arse as property address
/ , `73 / S - /so - w -�9i/6 - 0,(ku _1'�l./ t17G3c/ • .
(
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 fo back t es and substantial financial penalties. '/
Owner I Si at Date
•
��•TM; CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
/_;:�'` _ w= CREDIT/STANDARD DEDUCTION Hcio C�U
����' State Form 5473 (R2/1-90)
'°�• INSTRUCTIONS: See reverse side for filing instructions. �0���� ^ L_OO
p� J
� _ CERTIFICATION STATEMENT — ;
I(We) ��y�-�—Cl�� �.�iU certify that on the 1 st day of March , 19 `7 �
��(We) occupied as our princ�i�pal �face oi residence the following described real property for which a Homestead
roperty Tax Credit is hereby claimed: � I(We) owned ❑ Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the property a_nd�th�t �
property or is buying it under a contract ����
If buying on contract. Fee Simp�e
Recorder's office where contract
CONTRACT RECORDED
Name
PROPERTY DESCRIPTION
_. � � Taxing District (City, town, township)
�,�{c�el lyur��_b ,` I �eg�/uescnpuon A' �� I,/_�— � I 1 Q� •
JU't U 11 CJ iv '-t
If any portion oi the residential siructure 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 property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land noi exceeding 1(one) acre immediately
surrounding resfdential improvements (� i
Other land (2)
Total land - line (t ) plus tine (2) (3)
Residential improvemenis Dwelling (4)
Garage (5)
Oiher improvements (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (6)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
`,esser of 1/2 Homestead
� Valuation or $2,500
Signature of Auditor �
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1997 Pay 1992 79_Pay 19—
Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or $1,500 Valuation or $1,500
Date S
5 -/