Homestead_Nurrenbern 4 STATE FOR N!!.W IR_r!AMI EREASM_R FORM iSIA
APPROVED BY%All BOARD OF AMPMS.!vM PRGYWa4D BY flit DEPAkneTOF LOCAL GOVERNMENT FIN ANC E ICH.1 22-1.1
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 eser for homestead fraud homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction m scrify that they an eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be Lept confidential and can only bc accessed by authorized county officials.The Ikpanntent of
Local Government Finance will use this infor nation to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Nurrenbern, Edwin J/Joan L
5226 It 350 S
Francisco IN 47649
1642
Edwin J/Joan L Nurrenbem
5226 E 350 S State Parcel Number Legal Description
Francisco IN 47649-9104
rtt tt����tttt�tt�rr�r�t��tt�rr�r� 26-12-25-400-001.458-004 002-01458-00 PT W SE 252105.71 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
edw; J0Se1,h nlw;-Val ben)
og Address(number and street.city,state,and ZIP code) El Same as property address
52atoE 3stos FraneAsco , /N 5769'2
Spouse First Middle Last
.Joan o.-ene, A/tt rrcn'berrn
Mailing Address(Number and street.thy,state.and ZIP code) , f 1.Same as property address
saa ,e 3C0 s irranCIS CO /,v/ (7/76' 15
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.
Owner I Signatur s/t Date
•
Si iE a
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 5-92)
1fi
INSTRUCTIONS: See reverse side for filing instructions.
FORM
HC10
YEAR
CERTIFICA ON STATEMENT r - ' • ' t .' f ! f )
' — /
I (We) / Cam/ " --C7e certify at on the I!sst -day of March, 19_
I (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax C011 is hereby claimed:
❑ 1 (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.under a contract.
CONTRACT RECORDED
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County
Townsh(
Taxing disc' 'ry, tow r%vm;hip)
rcel number /yl �/ _
al description
v re i(: eland not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of
the y produce into /me.
/ Vv
nloO
7"
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
-reby certify the above statements are true, correct and complete.
S" nature of imam
Address (number and street, city, state, ZIP code)
3o9
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Hom stead
Valuation c , 00
S
Signatur ipr
Date signed _ -