Homestead_Sensmeier (5) llARt00.N!Me.Ile”4.1 TPl'-AItrR HON tS-tA
ArrMn EDnY!rklL nMRocw Ann0.e'rl`Iou c mmavnIr DEYAR1oNrr{LOCAL rovrRNMINTru&seE MLI.I-2:4I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
•. HEA 1344-2009 requires L upayens who receive the homestead standard deduction to verily that they are eligible to recebe the
benefit and to provide :uklitional identifying information necessary to allow county government to better monitor homestead
filing.This information will he kepi confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance aill we this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Properh•Address
Sensmeier, Robert E/Sylvia
107 W Park
Fort Branch IN 47648
6796
Robert E/Sylvia Sensmeier
107 W Park State Parcel Number Leea1 Description
Fort Branch IN 47648-1012
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
/l0b.p „ t iti, -ens- 5�Pnsvn -ei
p er
iling Address(number and street,city,state,and ZIP code) — - — —Same as property address -- - -- -- - —— - -
Spouse ,o First Middle Last
'N1LV %A Lev ,,5-,-e.) _5 e nS in -4 /4r
Mailing Address(Number and street,city,state,and ZIP code) [flame as property address
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 Siena c Date
• '
FOflM HC 70 1979
PrexrihM By Sute Baard ot iaz Commiuioners
To & FiIM in UuD���e
CLAIM fOR HOMESTEAD PROPERTY TAX CREUIT FOA YEAR 19 �y
SEE BACK FOR FILING INSTRUCTIONS Dl/� DD��O d�
��We) �'�/ �^-� �• ���� certify that on the 1st day of
arch, 19�. I, (We) occupied as our principal place of residen � the following described real property for
which a Homestead Property Tax Credii is hereby being claimed:
I, (We) ❑ owned
� are buying under contract
❑ have a beneficial interest in the taxpayer
Property Desc�iption
Taxing District (6iiy-Town, T-evrnstrFpT: �
Parcel Number
If buying on contract: Owners name �'� "`"we °"ie'�
�� Township
or legal description shown on.tax statement:
�• SE �i� i3- 3- // , a�/%
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income,"describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
hereby certify the above statement is true, correct and complete.
;�i l � ,J' �. D • � . ., .
AOOrexs
County Township
Ciry. Sute
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
True Cash
Value
Land not exceeding 1(one) acre me iatel;
surrountling residential improvem�ts � � �� (�) 7� o
Other Land �� (2) —
Total Land L'U�d 4 j9]9 (3) ��o
Residential Improvements wellin �4) �gO
✓1 � r� � (5) /� �9�
A�J8ITOR �6� �
Other Improvements
To} ' Improvements - Line (6) plus (7) equals (8)
I�by certify the above is true. correct. and compiete.
(�l ^
Assessed
Valuation
az �
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i�= • �
- H1.1 IVN tSY HUUI i VH -
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Homestead
Valuation
a ��
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S�.�o 7 i I
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Date
Date: - (o - �� / /