Homestead_Penner 4
V
• STATE FORM'Jw Ile I%5rv) TPGLWRFA FORM 75-IA
AMMO',ED BY TLULBIARDtw r 1.:%TS._ryix P.rs,Jaw BY THE D[PARTn¢.Yr OF LOCAL GO ERNNMtwr FINANCE ICHJ_JU
Gibson County Auditor
11 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
PRINCETON IN 47670 Individual 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 tax bills for all:therefore.
HEA 1333-22000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing. litis information will he kept confidential and can only he accessed by authori,ed county officials The Depanment of
Local Government Finance will tae this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Penner, Tommie D/Paula S
204 N 8th
Princeton IN 47670
1589
Tommie D/Paula S Penner
204 N 8th State Parcel Number Leal Description
Princeton IN 47670-1112
Itlnllulltlln'utllf IIIU IIntIInll ll'u ulu llnlll 26-11-12-203-001.889-028 019-01889-00 BMA 57
' PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
• I Cni al Xe-, all-t) . 51 -)1) 1) -Ctr-
--- hfailmg Address(timber miii-Stfic-Ccior state,and ZIP eude)' - - '--- — - --In-Sane as property oddrs——-----— -- --- --
Spouse First Middle Last
± QQQSed
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as properly address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sus
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjuy,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 pignature Date
•
ti.
.�f ��� CLAIM FOR HOMESTEAD PROPERTY TAX
d c w o
:�'�" , ; CREDIT/STANDARD DEDUCTION
� � StaCe Form 5473 (R2/1-90) � "
�' '°�• �� INSTRUCTIONS: See reverse side (or filing inst�uctions.
STATEMENT -
- �� �'� -
FORM 'QR.
HC10
I(W�,��!�� i��/Y�'Ll.l�_c����Jti.M��certify that on the 1 st day of Marcfi , 19 �
��(We) occupied as our principal place of residence the followin ed real property for which a Homestead
P�operty 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 pro that owns the
property or is buying it under a contract. ��� �i �
If buying on coniract.
Recorder's
coniract is recorc
Township
CONTRACT RECORDED
PROPERTY DESCRIPTION
Legal Description
J I I-i l l� h O l'VI / I F�J //( r/; `-' �J /
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds thai struc-
ture is used to produce income describe the use and portion of ihe property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
ceriify the above statements are irue, correct and
Address
ASSESSOR USE ONLY
siate
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL �'�
VALUE
Land not exceeding 7(one) acre immediately - �
surrounding residential improvemenis (�)
Otherland (2)
Total land - line (7 ) plus line (2) (3)
- Residential improvements Dwelling (4) � - • �• -
Garage (5)
Other improvemenis (6)
Total improvements - 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
co;rect, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 7990
=r of 1/2 Homestead
iluation or $2.500
of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 7 992 19 — Pay 19 —
�esser of 7/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or �2.000 Valualion or 51.500 Valuation or $1,500
Date Signed