Homestead_SensmeierCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Finn 5473 (8715 -05)
Prescrilood by the Department of Local Cuveffvrmd Fnwnm
FORM
YEAR
INSTRUCTIONS: See reverse side for filing insinuations.
-..C1E1t7WlCAJWN STATEMENT:. I? '.,
I (We)_ W OJIM40. 20 —
I (We) occupied as our principal place of the following described real property for which a Homestead Property Tax Credit is hereby claimed:
.0 1 em) owed El Am baying ender contract S E P 1 0 2007
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the propq_q or is buying " uncler a contract.
If bLrj*V on mhtracl, Fee Sirn;Ae ownees nanis
d5ce where contract m recorded I Pecord number I Page
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Gotinty,
Township
Tamnship
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Team district (c1y1X1`o*7
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Parcel rKarnber
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Legal description
the propedy in question:
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Land not exceeding I (one) acre inirnediately
1
7
1 ❑ Rod Wperly
WWI. Fl.. (LC. 6- 1.1 -7)
ff any portion of the residential sbLcWm or the land not
exceeding one (1) ecre that ffnniscliately surrounds Dial sbix;bxe is used to produce ihmma, describe the use and portion
of the prop" Wifized to prod" irsxvne.
4o 3 -00001-00
Other land
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a. 0 —c 1-4 ob -Do 0. q3 X -0 0
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County
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Gotinty,
Township
I hereby certify the above statements are Irm, correct and corrqplete-
AT 100%GFTrV,';
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AssEssm VALUE
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-MOMESTEAD�
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`VALUE`�,
AT 100%GFTrV,';
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Valuation or $35,000
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Land not exceeding I (one) acre inirnediately
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surround' residential irnprovernents.
Other land
(2)
Total land (fine I phn fire 2)
(3)
Dwelling
(4)
Residential irnproveiaents; orAnntsally
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Assessed Mobile I h4antrfachirled Horne
Garag e
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41
(5)
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Other improvements
(6)
Tdal impruvernents (roe 4 through fine 6)
(7)
TctEd value (line 3 phe fins 7)
(8)
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I hereby certify the above is true, correct, and
cm plate.
SWmWm of Assessor
Data signed
Verifying action - SUrtattive of Auclitor
Date signed
I Jl' STA N DAR D DE I Mi CTI ON ALLONfANCE 'W t::
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qW 20 Pay 20
Lesser of 112 Homestead
Valuation or $35,000
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------- ------------------- ------------ �t -- ----- -- --------------------------- - - I
SLAT[I ORM!!w IR_f on TAL•StitDR NAM YIA
• RNUA'EO BY ST V[!YARD OF∎Or•.NTS.9v rn IBEDDYn1E DEPARTMENT OF LOCAIr4H Et'tMrNr ru:A]CEue 6-1.I-r4.I
Gibson County Auditor
' 101 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 dun eta for homestead fraud.Homestead fraud causes higher lax bills for all:therefore.
• HEA 1544--20(10 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifyint infomulron necessary to allow county government to better monitor homestead
filings.This information will be kepi eonlidential and can only be accessed by authorized county officials.The Depanntenl of
Local Government Finance will use this information to create tools thai will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Sensmeier, Tommy N
R 3 Box 93
Oakland City IN 47660
8387
Tommy N Sensmeier
4781 S 1100E State Parcel Number Legal Description
OAKLAND CITY IN 47660-7675
Irinllu tlt�lntilu lln rlu rlr llnlntltltlrinln ttllt tllti 26-20-01-100-000.932-001 001-00932-00 PT NW 1$913.38 AC
D-8 C-1
Y/
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Tg Address(number and street,city,state,and ZIP code) a'/ �c/ � - ��� Same>u property oddness — —
-
475 /S 1180? OAkb A a1 f o
Spouse First Middle Last
,'/O A/r
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
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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 Si attire Date