Homestead_Romerhausen C • IIAEEFORsI )"tArn-irn IPFVSUREA PORVZtA
Ar/WIVE°BY MAil&MRUIW.MIRPTS]•n PREwsiam BY lilt.DEPARMCIT OF UC UCAWELNMFTT FINANCE w t.t-!2.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 than eser for homestead fraud.Homestead fraud causes higher las bills for all:therefore.
•- HEA 1547-2000 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to meehe the
benefit and to provide additional identifying infomgnon necessary to allow county govemment to better monitor homestead
tiling.This information will be kept eonlidenlial and can only he 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 INFORMATION
Taxpayer Name Property Address
Romerhausen, Greg A
506 N West _--'-
"_
- --Fort Braneh.IN 47648
6792 - - — —" -- - - -
Greg A Romerhausen
506 N West State Parcel Number Legal Description
Fort Branch IN 47648-1046
II III III I IIII I III II II I II 26-18-13-402-000.668-026 CHRISTISON ADD 4/6PT PT SW
t n ut t ton a un uu n t u nn nt a SE 13-3-11 .04 AC
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
! r
Ai lets Gvrars ha v se,n
�tc Address n ber mad street,city,state,and ZIP code) - - ---- -- "-- Same as property undress - _- --" -
SO (a ki &lite S-I- F+ &rc,ncJ z v '-O ?D
Spouse First A Middle Last
not <f AA r ZmPY-STaO
Mailing Address(Number and street,city,stale.and"LIP code) LZ Same as property address
Sb6 N IAJ€St 9 l )rolnc , 47l04$
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 o she may be liable for back taxes and substantial financial penalties.
Owner I Signs`'/ Date
•
CLAIf�i FOR Ha�'`cSTEAD PROPr�RTY Tllli C�IT FOP, Y�1R 19�0
SEE BACK FOR FILING INSiRUCTIONS
A�� ���,� oertify that on the lst day o
as our princioal olace oi residence th=_ fol].v,aing descTibed real
�roperty Tax �eclit is hPSeby bAing claiired:
I, (S9'-) [vJ'o�ma3 D // '�D�p �l'D�
� are buyinq un3er oontract
� have a ben=ficial interest in the ta�maYer --7 (�� �
Proc�rty Ikscription. in �1'. Ck16'M C�ounty "T�- ���c.r�. Twrnshi
Tar.i.ng District (City, Ta.�n, Zbwnship) :
D�rc�l i�u-n�•,s I � or legal d=s¢iption shocVn on tax statsrP�t:
�h n. nf w�%c0 � !—
Pr. S�.J'��c St �Y �3.p_��..oY
I= bv.�ino om m�tract: Owners �e (fe_ sirt�le own�)
- - Con�sa� re�ord�i in P��rd=r's Of=ice - F��card f3�. Pzge
I= any mr,ion of the r�sidential stn:cture or `he land, not e.�e�ii-ng or.= (1) a�e that
�,� "a�ely surro�s `:nat structure is used to produce incane, describe t]�_ use ani oa�-tien o_
u» proo�sty utilized to produce inco7re
Pny os�r c�Lmties in k�ich indi��idual owns or is bv�ing rA.zl oroo�sty:
the a�ove statemnt is true, wrrect ani cor�lete.
Cotmtv Ztr�.rshio
ty, Srate atY3 ZiA Ca'_�
*Incivid�l eith_r a.ns or is buying �er a wntract that pro�'ids he is '-�.o nay th_
p�a�sty tz.�ces on :h_ resid�nce, or has a b°�°zicial interest in th_ ta>:cx�yer.
:��� S''
� ' '11 �(on_)
Larrl no: ex���ng �
sisiourriin resicenti�I' �
o'-�r I.and�s � �
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To`,al Land � �-{' ,�OQ
P�sidential
- FOR ASSESS(?R�S USE Ot•;LY -
True Cash
Va1ue
i�reciiately
ients fl) �
(2) i�_
Dc,=lling
Garaae
��
C`,s�r I�rovenazts
� '. Iir�rovernnts - Lins (6) plus (7) ec?uals (8)
(3)
(4)
(5)
c6� 17 ao
c��
(S)
T-rereaY• c_rtiil' the a�ovw is tru=, corr=_ct, ard o�u�lete.
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� Si�atur° o� Pss�scr
- ACTtOt; ?Y AUDITnR -
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Date:
P,;,�,�ov w:: .l
Pssess� fiar'==��.
Valua�ion Valua'tie;
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