Homestead_Arendell (3) ! SINE FORM!Mt.Ot'/Sant TREi5Ufla FORM SIA
.Anun'EO BY C1 5R nom°OF•CCOUNTa vv PIL41U m BY 711E DEPARfl Wf OF LOCAL CONTRNMt%I LB:n\CE IC 4-1.1-224.1
Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
mole beneficial,there is more incentive than eser for homestead fraud.homestead fraud causes higher In bills for all:therefore.
III HEA 1343-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receve the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.this infomulon will he kepi confidential and can only be accessed by authorized courtly officials.The lkpanment of
Local Govemmcnt Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Arendell, Thomas E/Dara Lynn
R3 t3ox 70
Oakland City IN 47660 C
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4909
Thomas E/Dara Lynn Arendell
R3 Box 70 State Parcel Number Legal Description
Oakland City IN 47660-7644
�t� � 26-13-35-400-000.554-006 003-00554-00 PT SW SE 35-2-9.35 AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Tlf.orn 44 r ARLN DELL
•Lg Address(number and street,city,state,end ZIP code) - -- __ 0 Same us property address -- - • - -
/oi57 L- '1505 b4/iL /ND 6rel 1.n/ / 7o'o6
Spouse First Middle Last
DR/4A- 49 NN FRENOELL
Mailing Address(Number and street,city,state,and ZIP code) El Same as property address
/d/S 7 f 4/50 S O4)AL9-/0A dy fin/ x/76 6
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 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 Odle
PART 4:ADDITIONAL INFORMATION
•
,d
}A, CLAIM FOR HOMESTEAD PROPERTY TAX O EAR
a� •" , FORM
CREDIT /STANDARD DEDUCTION Hc10
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions-
CERTIFICATION STATEMENT-
certify that on the 1st day of March , 19
(We) occupied as our principal place of residence thece the (described real property for which a Homestead
Property 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 property and that owns the
property or is buying it under a contract. V 7 Tr "Tr%
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name APR G 6 199e
Recorder's office where contract is recorded ecord�Numb� age
A i ... 'TOR
rnvrCn i r vca%.nir i rv11
County Township Taxing Distri i (Oi own tow i )
Parcel umber Legal Description
no - - 35- - S
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
S ao- o,5�X4
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
hereby certify the above statements are true. correct and
A -qd reei. Ab city. t and [I W ,,-s R� -n A r; /Ti/ //✓ C171,1-1,!
r
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
Lesser of 1/2 Homestead
Valuation or $1,500
19 —Pay 19 —
Lesser of 112 Homestead
Valuation or $1,500
(2)
Signature o u itor
(3)
D to Sire
_a _ .,2--
(4)
- - - -
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
Lesser of 112 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 112 Homestead
Valuation or $2.000
1991 Pay 1992
Lesser of 1/2 Homestead
Valuation or $1,500
19 —Pay 19 —
Lesser of 112 Homestead
Valuation or $1,500
Signature o u itor
D to Sire
_a _ .,2--
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