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Homestead_Tenbarge (6) S TATE In0.M!!!m IRn - ft TREASURER PORN 3IA • r IMPORTANT NOTICETO HOMESTEAD DEPARTMENT D PROPERTY OWNFJiS t r Gibson County Auditor 101 N Main PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction boronies more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tat bills for all:therefore. • HEA 134-4-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the benefit and to provide additional identifying information oceessary to allow county gosmmatt to better monitor homestead filings.This infnrnatinn will he kept confidential and can only be accessed by authorized county officials.The Department of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY LNFORMATION Taxpayer Name Property Address Tenbarge, Ronald L/Jamesine M 1001 Sarah Court Ilaubstadt IN 47639-8165 7279 Ronald L/Jamesine M Tenbarge 1001 Sarah Court State Parcel Number Legal Description Haubstadt IN 47639-8165 liliill,iilill,iiillililiili tliiiillilliiililill 111111 11 26-18-36-401-000.633-009 Y. 013-00633-00 WEST HGTS 4TH ADD • - PART 2:TAXPAYER INFORMATION Owner I RONALD First Middle Last /� ONA�D L l ENf3ARGE •ng Address(number told strut.city,state,and ZIP code) - - - - L 'Same as propcm oddi¢i / 00/ SARAH -Cr ,, 1A0esrADr =LN q7439 Spouse First Middle Last IIfriES/AlE /4 TEN8/1-REE Mailing Address(Number and street,city,state.and ZIP code) 9 RSemie as property address 1001 SARAH- T)) 14AUBSTADT IN 1176,361 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. Owneigravure Date 1 En • CLAIM FOR HOMESTEAD PROPERTY-TAX dam,. 4, FORM CREDIT /STANDARD DEDUCTION Hc10 State Form 5473 (R2/1 -90) INSTRUCTIONS: See,reverse side for filing instructions. CERTIFICATION STATEMENT (W G!'t`" tifyitiat on the 1st day of March , 19 I (We) occupied as our principal ace of residence the fo g 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 ��'anc s the property or is buying it under a contract. .Il��dd..��NN99::dd.. CONTRACT RECORDED APR 17 1991 If buying on contract. Fee Simple Owner's Name (1) Recorder's office where contract is recorded Record A"TO Ifabe ■ •a If any portion of the residential structure or the land not exceeding cfhe (1 Pcre that imrhediately surrounds That struc- ture is used to produce income describe the use and portion of the property utilized to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES I hereby certify the above statements are true, correct and , city, state and ZIP ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements Otherland 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 19 —Pay 19 — Lesser of 112 Homestead (2) Lesser of 112 Homestead Lesser of 1/2 Homestead Valuation or $2,500 (3) Valuation or $1,500 Valuation or $1,500 (4) - Sign 6r. e of Auditor f D t Si e- (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 1990 Pay 1991 1991 Pay 1992 19 —Pay 19 — Lesser of 112 Homestead Lesser of 1/2 Homestead Lesser of 112 Homestead Lesser of 1/2 Homestead Valuation or $2,500 Valuation or $2.000 Valuation or $1,500 Valuation or $1,500 Sign 6r. e of Auditor f D t Si e- V I JI