HomeMy WebLinkAboutHomestead_Nurrenbern •
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APPROVED BY 5141EBDtRDeF•VY,%TS_`on EIEYR®m BY inf DEPARTMENT(fLocAL COVER.V4.A'1 m:AYCE IC 6-1.1-21,1.1
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 than e'er for homestead fraud.Homestead fraud causes higher tan bills for all:therefore.
• HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necesary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create tools that will h:Ip county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Nurrenbern, Jeffrey A
Poplar St
. N 47648
569
Jeffrey A Nurrenbern
605 S Willard State Parcel Number Legal Description
Fort Branch IN 47648-1663
IrIr rIIu rIrIIurIlIllnlnuII rII urII uuII rIIIIuIrIrI_Iu rI 26-19-19-101-000.082-02.6/ 011-00082-00 CLAR-ENCE TERRACE B 21
PART 2:TAXPAI'ER INFORMATION
Owner I First Middle Last
_ Je. rcy Ales--\\ MkrrcAtefr\
g Address(number and street.city,state,aandZIP codcj"��- n - 'Q-Same us property address-- ----- - - •— — -- - -
p
Spouse First Middle // Last
L 2
AuA- A"?...\ /Voir e7AbenA)
Mailing Address(Number and street,city,slate.and ZIP code) El 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.
Own I '1 ature Date
( )
PART 4:ADDITIONAL INFORMATION .
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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION -
State Form 5473 (R2 / S92) � -
INSTRUCTIONS: See reverse side (or filing inst/uctions.
FORM YEAR
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. - CERTIfICATION ST TEMENT . "" v �
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�We) certify thato0 tlie 1st day of March,�19_
.�.�-. �le �J�. �.�.�!G L'
I(We) occu ed o p n ipal plac o residence the follovring described real property for which a Homestea P cipertyTa�eGedit is nereby claimed: �
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❑ I(We) owned ❑ Are buying under contract
❑ Have a beneficial interest in the enfiry that is liable for the property taxes on the propeAy and that owns the property or is buying under a coniract.
CONTRACT RECORDED
If buying on coniraa, Fee Simple owners name
Recordefs oftice where contract is recorded Recortl number Page
PROPERTY DESCRIPTION
Counry Township - Taxing tli5lrict (ciry, town, Iownship)
Parcei number Legal descripti
� — — �
It any poNOn of the resitlential structure or the lantl not exce tling one (1) acre [hat immetli tety surrountls that strucwre is used ro produce income, describe Ne use antl portion of
ihe pro rry utilizetl ro produce income.
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� PROPERTV OWNED BV CLAIMANT IN OTHER COUNTRIES
Counry Township _ COUny TownShip
Sig �ur laimant
�ere y certity the above statements are true, cortect and complete.
A ess (number and street, pty, stafe, ZIP oode)
GoS c✓: r Ff zArc.CS,� �I�YP
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not ezceeding 1(one) acre immediately (��
surtounding residential improvements.
Otherland (2) �
Total land (line 7 plus line 2) (3)
Dwelling (4) �
Residential improvements
� Garage (5)
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby Certify lhe above is true, coneCt, and Signature of Assesor Date signed
complete.
Veritying action - Signature al Auditor . Date signed
- STANDARD DEDUCTION ALIOWANCE
� 19_ Pay 19 _
Lesserof 7/2 Homestead �
Valuation or $2,000
Signature of Audiiw Date�5t�ned
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