Homestead_Tenbarge (14) 1
STATE FORM!.1!.11C r SAP/ TAEASUITA FORV rS4A
.AITRIw EP By Wilt AMPD14'NVV EST&2nr PRESCTUBED BY TIE DEPARTMENT'OF LOCAL 00,.7)C4D3 MANGE M 6-st-r4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead siandani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ner for homestead fraud.Iomestead fraud causes higher taw bills for all:therefore.
• HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive a the
benefit and to provide additional identifying infomution necessary to allow county government to better monitor homestead
tiling--This infomulion will be Iqv confidnnial and can only he accessed by authorized county officials.The Department of
Local Government Finance will u.c this infomwtion to create tools that will help coon'officials eliminate home Lead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Tenbarge, Fred A/Jonelle M
R I Box 83
Hauhstadt IN 47639
9444 Q P
Fred A/Jonelle M Tenbarge
3022 W SR 68 State Parcel Number Legal Description
Haubstadt IN 47639
26-22-03-100-001.027-024 004-01027-00 PT E W 3 411 .88 AC
X
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
i �Address /1 64jr99/
is
—
rg Adds(number and street city,state,and ZIP code)-- -
36t2 w ..s Q d 9 yn ukcz o/r . 17i- 'X'9
/ -
Spoue First Middle Last
ONeII NbQ -r9-`c■
Mailing Address(Number and street city,stale.and ZIP code) ❑ Sane as property add
2baL. VJ ck (r8' /Labs/aril-
.
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 thisproperty-Each.undersiened also.understands that,by claimingadditional homestead deductions __--
unlawfully,he or she may be liable for back taxes-afid.substantial financial penalties.
Owner I Signature Dale
•
CLAIM FOR HOMESTEAD PROPERTY TAX veaR
a�a'°. _ FORM _
:;� � ; CREDIT/STANDARD DEDUCTION Hcio °�C�O
:� State Form 5473 (R2/1-90) ' •
•�' ,°" � INSTRUCTIONS: See reve�se side (or filing instructions.
CERTIFICATION STATEMENT �� / ' �D�D �� �
I(We) _ Q• �' ���' certify that on the 1 st day of Marcfi , 19 �C �
�(We) occupied as our prin ipal place of residence t,�he, fo�llowing described real property for which a Homestead
Property Tax Credit is hereby claimed: J„��I (We) owned 0.Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT.RECOHDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded _
PROPERTY DESCR
Record Number � Page
. . � a v.w.. r a+v�w.orr . .
Parcel N mber Legal De n ��� _
Oo�-olo�� �. � - W 3- -//
If any portion of the residential structure or the land not exceeding one (7 ).acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
' �/ _ �,? _is 3 - /l.�- o�/ o�?% o� �
• PROPERTY OWNED BY CLAIMANT IN OTHER COl
:ounty Township County
�— �
hereby certify ihe above statements aYe irue; correct and " Signature,j, �
number, city, state and ZIP code)
ASSESSOR USE ONLV TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
1990
NON-RESIDENTIAL
VALUE
Land not exceeding 7(one) acre immediately
surrounding residential improvemenis (�)
Other land (2) �
Total land - line (1) plus line (2) (3)
Residential improvements Dwelling (4)
Garage (5)
Other improvemenis (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature o( Auditor Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 1990 Pay 1997 1991 Pay 1992 19—Pay 19—
Lesser o( 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser ot t/2 Homestead
Valuation or $2.500 Valuation or $2,000 Valuation or $1.500 Valuation or $1,500
Signature o( Auditor� 1 �
l /VV�^2
v..�
I