HomeMy WebLinkAboutHomestead_Reneer (7) S1ATE FORM 11N oft:I F-'I TPIASUREA FUP.4:9-1A
.AFPROVED DV STMT.MkPDFN MYTiO,T.V.11IN PLrAAjam BY Till DEPMTW.YT OF LMTL(.OVER.W.EhT FINANCE MH.I-r-ll
Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
• PRINCETON IN 47670 Individuals and married couples are limited to one homestead sunder(' deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
ill HEA 1:44-7W9 requires taspavers who receive the homestead standard deduction to verify that they are eligible to reeene 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 amhnri/M county'officials.The Dv-panntent of
,�( Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
�� /j \� PART 1: PROPERTY INFORMATION
L- Taxpayer Name Property Address
—
• %68 P Reneer, Stanley J
a V `'0�� Princeton`etonIN 47670
3126 �a0@
GO.
Stanley J Reneer
205 E Monroe State Parcel Number Leeal Description
PRINCETON IN 47670-2409
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N
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
S fiAN /f: c, ti e a 2
• - toAddress(TCntbcr and;teCP ity;=:e,and ZIP code)__ __-- —_ _- _ c,,.,e as pmpe- .eddrtc— _--- -— -. —_ _ __ _ _-
•- ao 5 E /I!o/v &e sue ,
•
Spouse First Middle Last
r
Mailioc Address(Nu r and street,city.State,and ZIP code) El Same as pmpem address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
5=
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 elieible 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 Signature Date Telephone 1/
Spouse Signature Dale Telephone r l
PART 4: ADDITIONAL INFORMATION
0
��n ! CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
-� = CREDIT/STANDARD DEDUCTION HCio � 6 3
` •� � StateForm5473(RS/1PO7)
Presuibed by lhe Department o( local Govemmen� Finance
INSTRUCTIONS: See reverse side !o� filing instructions.
��'aiS.'. �.�=..-�:��'s.".�.'ss_¢ ��tiefrb'v-`t. ��� :;�CERTIFICATION�STATEMENT�=:,�3a-�'�.r'� a� ,s � . �� _! �»?� �'iv .'s'-¢-c':
��e) • � certity Ihal on t(���t day�pf �j�, 20_
I(VJe) occupied as our princip residence the following described real property (or which a Homestead Property�l� redit�tS F�eI� daimed:
❑� I(VJe) owned ❑ Are buying under contract
I�9ave a benefidal interest in ihe entity that is liable for the property taxes on Ihe property and that owns the pji��r1Y�-�-�9.
I( buying on conVact, Fee Simple owneh name
conVact is recorEed
Caunty
P In r
I�
If any portirn of Ne resid
of the property utilaed W
7axnship
Le9aldescnp�pq �
swdure w the land not acceeding one (1)
Ke income.
�hat
Record number � Page
diSUic� (dty, Iown. fownSAiP)
I Is Ue property in quesUon:
❑ Real Dmperty ❑ Mobile Homo U.C. 6/J-� -
surrounds Ihat swcture is used b produce income, destriba Ne use and pwtbn
��:�. `.%�,-s�..r� "c.;' 4s; .. s � -st�t: - - � - 5..
��-��i 3§ASSESSOR�USEONLY�'> '"� �- � yRUETAX�� �SSESSEDVALUE �HOMESTEAD"� � NON;RESI�ENTIAL�"��
s `;�,Rx,'��,���_,��g�y3�m-z.j,.J'�„-�� � ;�VALUEY � ;AT.�100%OF'TN� �q�VALUE� ���i3'�i VALUE � •"
�. �tf�L . ..�:ai:���
Land nol exceeding 1(one) acre immediatey p:,�{ "� 7,,.�i -''�"'� ��.�+^x+. �',�j.c"�,,,
surrounding residential improvements. (�) �x-�b`F. y'���'V'�`�`�``^' � �,
�� .i: .�^�`._'. .�+� 'R,�:- � -_�
Other land Z
=�:.�' ��
( ) " xa
� PP.. i et�S� ,� �
Tdal land (line 7 plus line 2) �3)
Dwelling (4) �s��+�'�'� br` �����_
Residen6al improvemenLS ''�'`�'Y''����-"� � � ���
t}x'-�
c-
Garage (5) :� ('�`.�, �.e��, r`a�#����,ci � ��r
� _
a'h?.:���'.`•- '�'Tn .
Other improvements (6) �• �r *(''.,-�''
"�'°" };�.i
� , p .� ',. t � �.T '-� � i '" i v S � ` 3 `. � '
Tdal improvements (line 4 through line 6) (�)
Tdal value (line 3 phs line � (g)
I hereby GeAlfy the abOVe is We, corted, and Signature ofAssessor Date signed
complete.
Vetilying actbn - Sg�ture oflwditor Date signed