HomeMy WebLinkAboutHomestead_Tenbarge (9) slaTE ROM 5i r, .a's'O r>FASfLA FORM:l-IA
.APPROVED BYSTm BOARD OFYYTn.is.Yrr, PR/SOURED DY rnr DEPARTMENT OF LOCAttswttNMEA'r FPA\CEIe 6-I.■-r-.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.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.Homestead fraud causes higher tat bills for all:therefore.
0 HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to reeehe the
benefit and to provide additional identifying information necessary to allow county government to bener monitor homestead
filings.This information will he kepi conldential and can only be accessed by authorized county officials.The Depanment 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 G
_ Tenbarge, James A/Connie L
H3 13ox 562 /f 1 4 r
Ilauhstadt IN 47639 HU. ( „, VV
10907 !_ _a Yu
James A/Connie L Tenbarge Q
.fIC DomA 166-4 11P4 4 S 1.d et £ State Parcel Number Legal Description
Haubstadt IN 47639-8006 c 7,
IIIIIIIIIIIIIItltlllllllll'11IlII1rtllllllllrtill111'Irtllt'tl 26-23-09-300-001.682-024 9-01682-00 PT SE SW 94102.00 AC.
— -
Spouse First Middle Last
eoIN n l_ 1,- Tenbar5e. se
Mailing Address(Number and street,city,stale,and ZIP code) l Sane as property address
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.
7 r
A ""i
„ , CLAIM FOR HOMESTEAD PROPERTY TAX FORM Y AR
- � CREDIT/STANDARD DEDUCTION HCto 6 6�
'� j State Form 5473 (RS / 10-07)
���� Prescribed by Ne De ariment of Lacal G t F�
p ovemmen inance
INSTRUCTIONS: See reverse side for filing instructions.
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❑ Are buying under coniract / ///�
�iave a benefidal interest in the entlty that is liable for fhe property tazes on the property and that ovms the pro or is bu}tiag un� Katt�
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rs:.. .r��=l��nl'�_?�a°_'�"'•.��-f`-'_C.a.e.l �.,:.:t'. `.1�"`,�'S-:CONTRACT'RECOROEO:ai:_ti,. _.,F���.e...�t3.��'t�- .__ ";z::;' -r..�..'::"- .
I( buying om m�uad. Fae Simple owners nama
Reeoidefs olfice where contrect is remrded
County To.vnship
Par I n�nber "'"' ' Legal de:
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If any potlion of 11ie residentlal sWCture w the land not
01 the property utilized tn prafuce income.
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Record number � Page
7aing disUict (city, town, fownship)
Is ihe D�operty in qu on:
eal Droperty ❑ Mobile Homo p.C. 67J4)
i, ippe iately surrounds that swcture is used to produce income, desuibe Ue use and portion
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�"�='�`�u.:?�;:'+b"H77a��-�-'��'=���PROP.EFiTY�OVYNEU���BY�CL41M,4NTIN',OTFIER'COUNTIES+i�. �..:�'�-Mr��.�':...?`_:Sd.. `-�'=.'.�f3•�'-�'
County Toxnship County Tavnship
I hereby certi(y the above statements are true, wrrect and complete. �'9^
'9r (num� and sVeet, city, sfate, ZIP cade)
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x���'��AS ESSORUSE N Y`'z�-x`T���� ���TRUETAX� r� ASSESSEDVALUE HOMESTEAD# f��,�NON VEnSLIUENTIAL����*
'-c:� `r.c�.�#s:iitE ._.xi�,#?�.� .��-�'" m,d�°�'i�' ���VALUE�-�7�r_'.�AT.100%OF.,,.rn.. aC.-".i; VALUE,,,,"`w�. �x .oJ.,�. ,.a-x;.; �z.�•..-
Land nol exceeding 1 (one) acre immediately ?,� �+,�' $?'�= � �`�e ' -�'S.�'�!'
surroundingresidentialimprovemenLs. ��) v'�v ��g�p;���'r_,��i. %
�"{'`°�$: s�:°-t�a�;
Other land ;�-���
(Z) J`�'��: �` f ���
Tolal land (line 1 plus line 2) �3)
�'�'� ?� �L �: €`"a,y*Zs,f r°:.
Dwelling (4) =�'��'�µ,4JE�h ���s�``:. -r� 'i'.
Residential improvemenLs
Gara e Y�#�7� -',r�'"-�,`r+ � kr�.
9 (5) � r,1�`5��+`��,. � '�"y �,�,':
. h �'%'S i ��vw S's`'�E �.i�;
't-e.;r.�S� ';"z'.Y
Other improvements (6) �'-�'�,; � �. �t v�`�� `�-=
..=f;.�'�'
TUaI improvements (line 4 through line 6) (7�
Rtal value (line 3 phs line � (g)
I hereby ceRify ihe above is W e, correGl, and Signamre of Pssessor Date signed
complele.
Veri(ying action - Signature oflwtlimr Date sgnetl
�o-�� `��: - `'�z��� �i;>5`.''r.. ,7a��'�x:STANDARD'.DEDUCTION'ALLOWANCE. .n,,,.��:' k'�``=•-c $ �'ii;?.i3s ��'�-'� '�•�- i^•;
��-,�.�- �:.T��� � �'� .v sf � � � _... ���- s,u-_ -
20_Pay20_
Lesserof 1/2 Homestead
Valuation or 56.000 5
Signatura of Auddw Date signed �