HomeMy WebLinkAboutHomestead_Tenbarge (5) •
-. • . ,• STATE I(MM 53!tent'twit TREASURER tORN 75-1A
AERJw'F0 BY STATE VIVIDM ArtTtl'S.'ow PRISCRIBED BY fir DE/ARM/ENT crucAL WSTLNNIITT fn:.1A"CE MI-I.I-ELI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive don or;fur homestead fmW.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpaseo who receive the homestead standard deduction to verify tlut they are eligible to neeke 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 I accessed by anti's-wind county official..The Department of
Local Government Finance will use this information to create awls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Tenbarge, Michael F
Si
_ _ _ - - - Ilaubsmdt IN 47639
10804
Michael F Tenbarge
416 S West St State Parcel Number Legal Description
Haubstadt IN 47639-8155
I tInIIurIr IIu nIIrItInhnlnnllrltln itinnIItIIrnIr IrI 26-23-06-103-000.317-009 013-00317-00 PT W 6-4-10-50 AC
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
714 ; C ACQ L L F, 1 en( ac e
g Address(number and street,city,state,and ZlPcode) _- _ _---- — _ - - -r Saris property nddress._ ----_- - _ - -_
`f / 6 s o A-c11-A t e,6 d- _St iii u_4 51Q cel--f_2-h,j d, Y7`3 fl
. -
Spouse First Middle Last
r -
Mailing Address(Number and street,city.state,and ZIP code) El Same as prupeny address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Scut
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 Date
0
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
:.�., State Form 5473 (R2 / 5 -92)
$i
INSTRUCTIONS: See reverse side for filing instructions.
FORM �YE
AR
HC10 /
F - s E 1 -)
re) V certify that on1 the 1 st day of March, 19LI
(We) occupied as our principal place of residence the following described real pr rty for which a Homestead Prop§gy�s hd{,e4y imed:
❑ l(We)owned ❑ Are buying under contract AUDITOR
❑ 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 under a contract.
CONTRACT RECORDED
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION -
County
Township
Township
Taxing district (city, town, township)
Pl number
arce
- C)o3t7 -m
Legal description
6 S % - - 0 5
It 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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
_reby certify the above statements are true, correct and complete.
Signature of imant /
I
Atltlress (number and street, city. state. ZIP code)
I"
ASSESSOR USE ONLY
TRUE TAX I
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL -
VALUE
Land not exceeding t (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(2)
Total land (line I plus line 2))
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 jobs line 7)
(g)
1 hereby certify the above is true, correct, and
I.QLmplete.
Signature of Assessor
Date signed
yirg action - Signature of Auditor
Date signed
—_
STANDARD DEDUCTION ALLOWANCE
19 _Pay 19_
Lesser of 1/2 Homestead —
$
Valuation or $2,000
Signature of Auditor