Homestead_Rexing ALVtFORM',real!:/!--,MI 'MEASURER TORN i9-IA
nr RtnED BY MATE&nan f
PLEaltIBED BY TIE DEPARTMENT Or LOCAL G vrrW.rtcr FINANCE IC 6-1.1.124.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sundae('deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
• HEA 1344--2069 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identityine information necessary to allow county government to better monitor homestead
flings.This information will he cep confidential and can only be accessed by authorized county officials.The Deponent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Rexing, Alvin A/Donna J 2.5c1 S•te O (/Ux
Haubstadt IN 47639 (�
11141 �i
Alvin A/ Donna J Rexing
12557 S 40 W State Parcel Number - Legal Description
Haubstadt IN 47639-8715
IIIE,IIIrrIJIrrIJItItItILILLIdItdIdJ1111LL11111.111 26-23-18-300-000.807-024 004-00807-00 PT SW 18410 1.12 AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
A i v r n 4 . �( 1-Y19
.tg Address(number and street,city,state,and ZIP code) _ 9 Same as property address - -
12 S W vv b s �d r3 � , .N • Li..7 )
Spouse First Middle Last
Donn rT 1ex )Y19
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
i2–SS7 S. /o N, 07635
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 Signaturf Date
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warn xc io is�
PrescriDM By State Boara ol Ta� Cammis5ioners
CLAIM FOR HOMESTEAD PflOPEflTY TAX CREDIT FOA YEAR 19_z`�
To & FIeG in Duplicate
SEE BACK FOR FILING INSTRUCTIONS �,[ D��o7 D!�
. a� /
�(We) �i � �- �- � �-m-�- - certify that on the 1st day of
�� arch, 19��'�,��e) occupied as our principal place of r idence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I (We ❑ arenbuying under contract �`� �0�3 -�d-y�00-6��• ��� ��Y
❑ have a beneficial interest in the taxpayer
Property Description in �c-O�—Q�-N- County Township
Taxing District (Cit��ewra; Township):
Parcel Number or legal description shown on tax statement:
p�. su�y ��-v-�o /./a��
If buying on contract: Owners
Contract recorded in Recorders Office - Record
If any portion oi 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:
certify the above statement is true, correct and complete.
�
County Township
anE Zip CoGe
' 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.
�� OR ASSESSOR'S USE ONLY - �
True Cash Assessed Homestead
MiQY � Value Valuation Valuation
Land not exceeding 1(on� immedi�e�yjg�9
surrounding residential impro4em s
Other Land �
Total Land AUO�rO
Residential Improvements R
Dwejling
Gara[
ge
Total
Other Improvements
To•�' Improvements - Line (6) plus (7) equals (8)
I�by certity the above is true. correct. and complete.
A55¢SSOr
(1) _� oo i 90
(2) (a.�, 0 � O
(3) �i=�o D
(4) /y � �o
(5)
(6) �/ 7 7 O
(7) lL�o
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Date: /!�� ° �-, .��