Homestead_Tenbarge •
MATE 1fKe1:9w lrr Yr'I MEASURER RAIN -iA
.ArrRlwEn BY STATE WARD OFATIRiNRS.!uw FRF.WAInm BY THE BFPARnnB'.YT Of LOCALCAVr.RNMTM FINANCE le ati-u-.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 ewer for homestead fraud.Homestead fraud causes higher IAN bills for all:therefore.
HEA 1344-2019 requires taxpayers who receive the homestead standard deduction to Verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
hint.This information will he kepi confidential and can only he accessed by authorized comity 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
Tenbarge, Donald E/ Elaine M
291 1:1025 S
Ilaubstadt IN 47639
8317
Donald E/Elaine M Tenbarge
291 E 1025 S State Parcel Number Legal Description
Haubstadt IN 47639-8042
�I�1t��ttt�t�Itltrlllllllllatllllttttlttlat�a�la�
11111111 26-19-31-400-001.026-024 004-01026-00 PT SW SE 31310 .43 AC
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PART 2:TAXPAYER INFORMATION
Owner 1 - First Middle Last
bona We_ Tenfa/tic
40ig Address(number and street,city,state,and ZIP code) la Same as property address -
09 ( /oaS S //Oa 6SiadA 7/U 417639
Spouse First Middle / Last
F/ama /�ar5aref /U2ba� a
Mailine.Address(Number and street,ciy,state,and ZIP code) ' / Same as property address
029/ E /o.2-S As--la / e7/7/o 39
- -- - - -- -- - -- -- -- - - - -
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 Dante
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FORM HC 10 1979
fiescriUeC By State BwrE ol ia. Commissioners
7a Be FileG in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 1922
SEE BACK FOR FILING INSTRUCTIONS
�(We) G��`�-�1-P� ���• �'�' �'��- �� certify that on the tst day of
�sarch, 19� �, I, (W occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) O owned
❑ are buying under contract
❑ have a beneficial iRterest in the taxpayer
Property Description in =��f�-a-�
Taxing District (6iiy,-Tswm-Township):
Parcel Number
If buying on contract: Owners
QeP simple owneQ
DD� a/d�L -Da
Township
or legal description shown on tax statement:
S
-3-i0 , Y.7a,e.c�.
-'`r.GCb-�/. Do?� -
Contract recorded in Recorders Office - Record No. Page
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.
n _ _
County Township
City. State and Zi0 Coae
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 -
Land not exceeding 1(one) acre immediately
surrounding residenti�mgroygmepjg„ �
.
Other Land L L
Total Land
Residential Improvements�UN 14 19�9 Dwelling
� / /L/�`' �}-- Garage
� � Q�pti Total
AUDITOR
Other Improvements
T.� '-' Improvements - Line (6) plus (7) equals (8)
��aby ceytii.y� the above is true. correct. and complete.
Signamre oi
True Cash
Va!ue
(�) s`-oo
c2� —
(3) 6`b D
�a� � .S 3 0
(s) ---'
(6) � 5�s-3 O
(�) �—
�g���S3o
Assessed
Valuation
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Homestead
Valuation
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Da:e
- ACTION BY AUDITOR -
Date: �!L y� �
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