HomeMy WebLinkAboutHomestead_Tenbarge (4) s1ArE FOAM!)w.1R_r WO O MEASLIER FOAM 73-IA
APPROVED BY MATE BMW Of MYYW%TS.Inn NUMBED BY THE DrPARltn.YY OF LOCAL GOVErZCIXt MANS:M413-ra.t
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 ".dividuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
I I L E D 'more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tat hills for all:therefore.
HEA 1344--2009 requires taapavers who receise 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
filing.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
L010 Local Government Finance will u*e this information to create tools that will help county officials eliminate homestead Fraud.
APR 1 4 PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ � Tenbarge, Mary Jane
'GIBSOCOUNTY AUDITOR
Haubstadt IN 47639
2100
Mary Jane Tenbarge
419 S West State Parcel Number Legal Description
Haubstadt IN 47639-8155
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Ma( Tone_ 1, bar e
_ ,ig Address(number end street, ity,state,and ZIP code)
31 e + o� �uuloS+a-1- Zll 4.71 7 — -
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sure
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 Signatue,'yr"/�p���JZ/yC Date
PART 4:ADDITIONAL INFORMATION
•
FORM HL 10 1979
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19-7—J—?
SEE BACK FOR FILING INSTRUCTIONS
(Wet o/
parch, 19'7y— I, ( e) occupiedas our principal place
which a Homestead Property x Credit is hereby beir
I, (We) 13 owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description
Taxing District (94y -, T-ewFi; Township):
Parcel Number
If buying on contract: Owners
claimed:
To Be Filed in Duplicate
�e ' certify that on the 1st day of
the following described real property for
' Lt,
i
A=
I I v I or legal description shown on tax statement:
Contract recorded in Recorders Office - Record
e
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: County Township
hereby certify the above statement is true, correct and complete.
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 -
True Cash
Value
Land not exceeding 1 (one) acre immediately
surrounding residential iFin e
Other Land -W ! � p. T) (2)
Total Land (3) / / Y O O
Residential Improvements JUN 15 1979 (q) 9f� 0
Dwelling
/( —j�,r Garage (5) 9S-0
r�•�, / j- DI � Total (6) // 3 70
(/ AUDITOR
Other Improvements (7) // % 3 0
Tof�l Improvements - Line (6) plus (7) equals (8) (8) 3 3 0 0
I oby c y the above is true. correct, and complete.
Signature OI Ass s
ACTION BY AUDITOR -
Approved
Assessed
Valuation
Homestead
Valuation
/
Daze _
Date: