Homestead_Tenbarge (7) MAIL FORM'!!.IR'/Hn•I MASnaER FORM TS-1A
ArIRrwEO BY MATE nommen nrty*NTS_`on PLIYNOLW BYntL DFPARTMEYa Or LOtAL CAV?RNsEOlrI:ANCE M 11-I.t-r-&I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
• PRINC NJ 47670 Individuals and there couples are limited to me homestead fraud. Jemead fr fraud the higher r of i bills is deduction r bereore.
T � more beneficial,there is more incrntne than nee for homestead fmuJ Ilome>�eaJ fraud suss higher tag bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to remise the
benefit and to provide additional identifying inforlmnon necessary to allow county government to better monitor homestead
fling'.This mlbmutmn will he kept cant:Jential and can only he accessed by authorised count• •t .'- nm ent of
Local Government Finance will use this information to create tools that will help co• o- iats eliminate homcAC "and.
JUN 1 4 .eU IU PART I: PROPERTY INFORMATION
Taxpaver Name Property Address
Tenbarge, Thomas G/Wanda L 1 /0 7 5. Vint
GIBSON Ca( /COUNTY AUDITOR Ole ___4L—C+ r`tf
Ilaubstadt IN 47639-8159
8224
Thomas G/Wanda L Tenbarge
P O BOX 313 State Parcel Number Legal Description
Haubstadt IN 47639-0313
II I 'I nII I I n II I' II a II nu'I II 'I I 26-19-31-303-000.411-009 013-00411-00 ORIGINAL PLAN 217 PT/218
r u tut u t i ur n t ut
PART 2:TAXPAYER INFORMATION
Owner I First - Middle Last
��i�n/rS f+-.,� ..... —_ a- Teal 134-12y w .
7 ymg Address(number end street,city.state,and . P code) _ _ — —i 1-SBme iris pmpern addrev--_ _U—_ - __ _ —
/ (� / / --e)rk 3 ' 3 LJ '.
Spouse First Middle ------ Lay
/,t/2.4vd0---f 2 e e /ew1&- Jy
Mailing Address(Number and street,city,state,and'LIP code) 3 Same as property address
P O•a'iit 3/ 3 st 7;,_!--.)/ 'r7/ 3?
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
cv 8�'1
PART 4:ADDITIONAL INFORMATION
•
2 CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (861403)
Prescribed by the Department of Locat Government Finance
INSTRUCTIONS: See reverse side for filinq instructions.
FORM YEAR
_ HCjD 11
.11.E
I (We) \'�l OU.40iiilrW_�% i iial - J.�%i.UQ%l. at an tlie�lst day o'�arch, 20
I (We) occupied as our principal place of residence the following described real property for which a Hor ead P p i y, at C_red_itis hereby claimed:
❑ I (We) owned ❑ Are buying under contract J t;'3$Ory G
aHave 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.
u ..-
fz.;, •. �S4• lei+`.' �'. ��`: �, 4�} �tCONTRACT= REC_ O _RDED�' °{�+ut�x?N;„�Y.'.�i�'�y,
If buying on contract, Fee Simple owner's name
Recorder's o16oe where contract is recorded Record number Page
;PROPER7Y UESCRIPT1bN? z':`,'u
County
Tavnslup
County Tmnship
Testing district (city, town, to�wianship)
Parcel number
Legall de " don
Is the propery in estion:
Real property ❑ Mobile Homo (I.C. 6-1.1 -7)
If any portion of the residential structure or the land not exceeding one (
of the property utilized to produce income.
acre that immediately surrounds that structure is used to produce income, describe the use and portion
'' z"-'PROP,ERTY; OWNED: BY; CLAIMANTINOTHERCOUNTIES
,�t�- �,`.f,' ^' �i- ``'�,•x,�?"_:t
County Twnship
County Tmnship
I hereby certify the above statements are We, correct and complete.
ignature ol claimant
dress (number and street, city, state, ZIP code)
r '` =' �� �
ASSESSOR, USE ONLY •
.,;?"'rc31 "�,t. -
'TRUE TTAX
ALUE"u�'��.-
ASSESSEDYALUE
=AT.i700 %'OF,
HOMESTEAD
eiVALUE[ . M:..n_..�,;
{ tZi NONNIRESIDENtiA
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
',"'s`
Other land
(2)._3=
Total land (line 1 plus line 2)
(3)
Residential improvements to ed Hoy
Assessed Mobile / MantrfaWured Homo
Dwelling
Garage
(4)A
ry MWES
_ �
`H •.., ` yr" g, .cg. �*
Other improvements
(6)
via
1
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is We, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
,o/.n.'a'?'' `v STANDARD DEDUCTIONALLOWANCE, -Ak-.y
" &
qW 2 ay 20{L
Lesser of 112 Homestead
Valuator or 535.000
Signature of Auditor Date signed