Homestead_Jensen '• xl\1E FORM!Mt.ir'f',PI TRFA9:VA FUN s)A
ArrROVED BY(ruE YNRDOIMM1RL\T,.20,, fir Rmmor TIM DFPARTNEYT OF LOCAL CO'aRNMrAr FI:A\CF R'6-1.1-1:4.1
Ibson County Auditor
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
more beneficial,there is more incentive than e'er for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
••
HEA 134-4-3IX9 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to Inner monitor homestead
filings.This information will he eery confidential and can only he accessed by authorized county officials.The Depattntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
—. Jensen, Brian H/Angela P
RI Box 174 Aa QC
Oakland City IN 47660
8561
Brian H/Angela P Jensen
do Gertrude B Stephens
9497E 550 S State Parcel Number Legal Description
Oakland City IN 47660-8573
�t�tt��ttt�t��t ��t�t�t t�t tt��t t�r� 26-20-10-20X0-001.024-001 per-01024-00 N NE 10-3-915 AC
tt llrtlltrr lrt ittltltltttitt
. PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
,Q1- i' a✓r itermzi eVI Sen
�ng Address(number and street,city.state,and ZIP code) - Same as pmpeny oddrey - "- - — -
92/99E55os �a/f/on71 G/ .S/V A 7co (Po
Spouse 4 First Middle Last
dieI Pea ( 1 €�s e-r)
Mailing
�.Afddd�eddrrssssy/(Number and street,city.state,and ZIP code) ❑ Same as property address
•
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is taste 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 hack taxes and substantial financial penalties. •
Owner Signature Date
PART 4:ADDITIONAL INFORMATION
d�•f p,t CLAI EAD PROPERTY TAX_ 10:1
YEAR
�- CREDIT /STANDARD DEDUCTION
:rte:' -7
State Form 5473 (R2/1 -90)
° INSTRUCTIONS: See reverse side for filing instructions. /
CERTIFICATION STATEIAEAITit ✓_
I- (We) tify that on the 1 st day of March , 19 9 0
I rWe) occupied as our principal place of residence the following described real property for which a Homestead
operty Tax Credit is hereby claimed: e) 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 ,
CONTRACT RECORDED'
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number... Page
PROPERTY DESCRIPTION
County - , Township n � axm Dis rict (City, town,-township)
Parcel Number Legal Description
131 oa £. -3 -9 15C oo A L
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.
;7 - - D- GU =00
PROPERTY OWNED BY CLAIMANT'IN OTHER COUNTIES
County I Township County
y aereby certify the above statements are true, correct and Sign re
cdmplete.
Address (Street. number. city, state and ZIP code) MAY 91990
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAAWto. L
AU LUE
Land not exceeding t (one) acre immediately
surrounding residential improvements
• Otherland
Total land - line (i) 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 S1,500
.___�
(2)
Signature of Auditor
Q,„11 I .
(3)
(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 S1,500
.___�
Signature of Auditor
Q,„11 I .
Date Si ned
5 -�_ 90
u