Homestead_Reneer (6) • • 575TE FORM 53!...1721.5-.94) MEASURER MANI MA
VFWWEO BY StAtE wI&RD OF■lB,tra.!nw FRr3NBm BY me DFPARrxeernF LOCAL GOVERNMENT F:nse1 r I.Ir-RI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples. are limited to one homestead tandan]deduction.As the receipt of this deduction becomes
I Y E D more beneficial,there is more incentive than ever for homestead fraud.Homestead
ctio fraud causes higher lac bills for all:therefore.
HEA 1344-2004 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to tecene 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 he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create karts that will help county officials eliminate homestead fraud.
APR 1 3 2010 PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
— 1,C Reneer, Harold W Sr/Sherry K
—GIBBON CO NTY AUDITOR 1001 S Jefferson
Princeton IN 47670 -
3601
Harold W/Sherry K Reneer Sr.
1001 S Jefferson State Parcel Number Leal Description
Princeton IN 47670-2711
ltirt11tt11t11tt1att111 11ttt1tt111ttt1111 11111111
26-12-17-101-002.321-028 019-02321-00 KUNKEL ADD 41
N
Spouse First Middle ,- f m Last
She( /</5 y -e Al-e-e v
Mailing Address(Number and street,city,state.and ZIP code) 21 Same as propene address-
./Oa/ S �eF e.,-tom .51 p iNCETo),-, y76 70
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.
•
FO�h1 NC 70 1979
Piesui0e4 By S�ate Boartl of Tae Cammissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT FOR YEAR 19-2�
To Be Fil¢9 in Duo���a�e
�
SEE BACK FOR FILING INSTRUCTIONS Q rL�' - D a 3 a I- o 0
�`(We) certify that on the 1st day of
�vlarch, 19�_. I, (We) occupied as our princi al place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying_under contract
' ❑ have a beneficial inter�e/st i�n the taxpayer
Property Description in .�-�d,h-� Coun� ��a— Township
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name �'� 5inip1e °"ne'�
or legal description shown on tax statement:
�-6. ti/ i,�?'�5� <o�c-� '�a) � 7-� /d ,��s A.
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
�hereby certify the above statement is true, correct and complete.
�
6-�y-79
Sveet Atltlress
County Township
�• y��7o
Giry. Sia:e ana Zio �e
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential impP�rovements
Other Land F� � � � �
6
Total Land
True Cash
Value
( � ) ��L—
(2) —
(3) �3/ o
Residential Improvements _1Uy 4 5 I�1� Dwelling �4�
Garage
� , !oi_al
-Olher Improvements � AUDITOR
Tr•-� Improvemenis - Line (6) plus (7) equals (8)
I�aby certify the above is true. correct. and complele.
� . .i.
(5)
(6)
(�)
(8)
$ignaIDre ol As e�Or � '
' - ACTION BY AUDITOR -
� a��.�.�
Assessed
Valuation
'� y�o
�
��
��
Homestead
Valuation
G -��- �y
Daie
Date: —(CJ ' �`s / /