Homestead_Tenbarge , - - .. SIMI MANN 55y-ter:+-1+1 UFASURFA FORM 73-IA
Art/OWED BY 57AI£Bt5BDOFArn R:NTH by PRFYAIBFD BY MT OF PARTP.VT OF LOCAL rovanMrA7 FINANCE MVI.I"JI
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 ever for homestead fraud.I loon estead fraud causes higher tax bills for all:therefore.
• HEA 1314-2009 requires taxpayers who receive the homestead standard deduction to Yerity that they are eligible to Fecene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi confidential and can only be accessed by authorized roomy officials.The IXpanmenl of
Local Goverment Finance will use this information to create cools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Tenbarge, Terry B
102 E John
. Fort Branch IN 47648
6801 _ _ _-__.-.. - -
Terry B Tenbarge
102 E John State Parcel Number Legal Description
Fort Branch IN 47648-1139
26-18-13-402-000.779-02v/011-00779-00 DOUGLAS ADD 1PT/2PT
ei II 11 1 II Cie I 11 II 11 I 1111 II I11 II 11 II 1 I 1 I 11 II I I I I t I t I t I
PART 2: TAXPAYER INFORMATION
Owl irst Middle Last
ng Address(number and street,city.state,and ZIP code) _ - .-— j.Seme as property oddness -- - - -- --
/a E . l oHH 3T
Spouse First Middle Last
I A--
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)
see
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 Signature df Date
•
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t is hereir�' t�_inq claun�i:
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� have a�.n°�icial int�.s,{est in the ta�meYer
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