Homestead_Renner •
MATE FARM!mow!R_/tut) nr asLa FORM 7S-IA
.APPROVED BY STATE Batt DOE ATYYu'.:Tc.SC. PFEXAIBm BY TIM DEPARTEIT(w LOtS1l GOVERNMtTT FNASCE MVI.t-Lit
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homeracad standard 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 ail;therefore.
® HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verity that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings."Inc information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Goverment Finance will use this information to cream tout that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Renner, Roy A
702 N Race
Princeton IN 47670
1148
Roy A Renner
702 N Race State Parcel Number Legal Description
Princeton IN 47670-1632
26-12-07-201-002.111-028 019-02111-00 STEELES SUB DIV 3/4
to II toIt II nI or III II t II nn II nr I r III not Itlitisli
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Ro`I ALLcn/ Penner
t e Address(number mud saves,city.state,and ZIP code) __ _ --__. -. -.vl-Sonae ass ptopcnyaddaea.,— - — -- -. — --
7 0 z Al Pace S4 Pri 7-1•
Spouse First Middle Last
De IN 3p Ren &.e Penner
Mailing Address(Number and street,city,state,and ZIP code) RI Same as property address
� oz t4 5+ P r i n c e+on 1' KJ
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 Signature Date
•
R CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
3 CREDIT/STANDARD DEDUCTION HCto
State Form 5473 (R6 / L-03)
PreStribed by l�e Department o( Local Govemmenl Finance
INSTRUCTIONS: See �evcrse side /o� filinq insfmclions.
� M�e) ✓� certify that on the ysMd of March, 20
I(We) occupied as our principa� pla oi residen lhe following described real property for which a Homestead Property_ "T� �7edit, hereby daimed:
❑ 1(We) owned ❑ Are buying under contract ����
� Have a benefidal interest in the en6ty that is liable for the property taxes on we property and fh��e p � or is ng under a wnVact.
�� � ' ����
If buy'vig on conUad, Fee Simple owners name
whera conVad is remrded
County ,
Parcel nu ber
It any portion of Ih y/
of the proDeM WI¢e0 W
County
TavnshiG / L/ � / K J
le I descriplion
- oo ,�4.n „��,.�1 �
sWCWra w the Wnd nat exceetling one (1) aue that
ice income.
To.vnship
I hereby certify the above stalements are We, wrrect and complete.
(number and sfiee(, city; sta(e, ZIP code)
Page
T�cing tlisin �v town, mwnsh�
!G !-H re
/(� Is Ne propertpy i�n questian: �
/ Y�' Real proPeM1Y ❑ Moolle Mwno (l.c. 61. f-n
iately wnounds that swGUre is used lo produce income, describe the use antl portion
Counly
Gaunant
TwvnShip
�—vti -�'? �'F `� � 'i��,�'��ss��' ;��`
""' � �'ASSESSORUSEONLYf ,��yrr +, ��yTRUETAX�iw ASSESSED�VALUE �F10MESTEADr �NON;yRES��ENTIAL��
���.�.iy� . . �'yc•._-�':.�i?..� .��'�:ta„f�,� �.�VACUE�.w �' : ATx100/o'OF:TTV,. « �'-`=F�VALUE-��',.� ���F'''�.i�a VALU�,� �1"�h�
l.and not exceeding 1(one) aue immediatey ; 7,� �. ,�i'a�'3-,��`.:��' �}�"`�'-"
surroundingresidentialimprovements. (�� ^�n`�'",,�r�ty"`��=.� rz���
Other land ���`.���`�'d'� '
�:s,a:
(Z) �:�?^' �?`z_
fy.-�Y�'. �L
. __h-yA,.��:-s_�=25'_
Total Iand (line 7 plus line 2) (3�
`+ r'r . "tS- liri %lisli b ���
Dwelling �4� ��,���Y�?�_ ������
:a��Y, u
Residentiel improvements w MnuaOy , �.�r �;
0.ssessed Abblle / ManutatAned Home Garage (5� -,���+���`��p`�
��.�s'"' '- + � •:.. is�<_.v'
-.�� .�"• �'l
Other improvements (6) �,�s�� �
:� �'� 3a
Tdal improvements (line 4 fhrough line 6) (7�
Tcta� vatue (line 3 phs line n (g�
I hereby certify the above is We, corred, and Siqnae,re oinsseswr Da�e signed
complete.
Verifying action - Sigfature of Autlitor Date signed