Homestead_Rehnquist StArE RKKM,!MIR_r I MEASURER WEN 1-3-IA
APPR •W BY(r.VIE Bn\0.DOI ACMUNTR.i,n PRuXNbm BY 7111"DEPARTMENT l4L(MAL CMRRYMrM YNA'CEx41.I-r4.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couple,are limited to one homestead standard deduction.As the receipt of this deduction becomes
_ more beneficial.there is more incentive than ever for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to reeenc the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.111k infomutinn will he kept mnt:denlial and can only he accessed by authorized county ofici',ds.The Department of
Local Government Finance will use this infomation to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Rehnquist, George R/Bonnie 020/ / Atente Or
X45 W Sl'RUC[OR—
Princeton IN 47670
2355 -
George R /Bonnie Rehnquist
PO Box 1265 State Parcel Number Legal Description
Princeton IN 47670-0965
�r�ur��rtr�r��tr�rrl���rt tl lttf�t�ttt��ttt�t�tr��tt t�r�rt�r�r� 26-12-06-401-001.540-028 019-01540-00 PTN SE 6 2 10 336931 AC
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PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
( EcSt @E R . REHr-JQ LA Sr-
.g Address(number andstratt,city:stale;,hd ZIPcede)- – — - ___ — _ canensprepertyeddre s__
Pc
p0_teciX -2_6 S-‘
l e emr. a 1►.! `-{'7 4070
Spouse First Middle Last
So N.► to S. RE u l s ,—
Mailing Address(Number and street city,state,and'LIP code) ® Same as properly address
Ft5&X 12_loS tPf2iNIC.Ei6NA l "N! +74:77,-.
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
unlaufidly,he or she may be liable for back taxes and substantial financial penalties.
Own< ignature Date
•
( R�}p
a�'^' °, CLAIM FOR HOMESTEAD PROPERTY TAX � FoRM YEAR
i?�iE CREDITISTANDARD DEDUCTION -
�,�' S�ate Porm Sa73 (R2 / 5-92)
yu �
INSTRUCTIONS: See reverse side 7oi /iling instructions. �
" , ` � � CERTIFICATION STATEMENT = -
��Ne) _ . _ _ � _a-�„� � certify t d�March. 7
) occupied as ou principal place of residence the tollowing desc � ed real propeny for which a Homesiead Property Ta�{���'I�y claimed:
r I(We� owned ❑ Are buying under coniraci ,
❑ Have a beneficial interest in the entity that is liable for the pmperty tazes on ihe property and thai owns ihe property or is buying under a contmct.
� . �CONTRACTRECORDED � - �� -
( It buying on ContraCL�Fee Simple owner'S name _ � � - ,
Recortler's oHice where contract is recorded Record number Page
PROPERTY DESC ION
Counry � To hip ` Ta+� g distr" (ciry, lam. rownship)
Parcel number Lega ription �
- 5 o S �-�-1 3 S� �
tl any ponion ot the residential strucwre or the land not exceedinq one (7 � acre that immetlia:ety sunountls that SWCiure is used to produce income, descnbe Ihe use antl portion
oi Ne property utilizetl to produce inwme. ,
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvements. (�) � '
Oiherland (p)
Total land (line 1 plus line 2� (3)
Dwellin9 (4)
Residential improvements
Garage (S)
Other impmvements (6)
Total improvements (line 4 through lina � (7) I
Total value (line 3 p�s line � (g)
I hereby certify ihe above is irue, correct, and Signawre of Assessor Dare signed
complete.
� ing aaion - Signature of Audimr I Date signetl
�
19_Pay79_
lesser of 7/2 Homesiead
Valuation or 52.000 S
ofAUditor (� . `/^� (Dates�aq- �
m.,.� � � 1.i.��ei.u% 9
, _ _ �