Homestead_Tenbarge (10) [TALE FORM!!W Ill/f+nl TTLA51318 FORM Z. IA
Ann )by tr\IF BM1O Ir.vTYR.\Ta.N. FtLICRIBm BY nil OFPARTMENTIF LOCAL rove .VMMT FI:A4'L MV1.1-224.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual 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.Homestead fraud causes higher tat bills for all:therefore.
.— HEA 13-44-2009 requires taxpayers who receise the homestead standard deduction to verily that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings-This intbrnauon will be kept confidential and can only be accessed by authorized county officials.The Depanmem of
Local Government Finance will use this information to create Owls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Tenbarge, John C
R2 Box 151
__ - - _ _ - . . -Ilaubstadt IN 47639 _ __
10977
John C Tenbarge
R 2 State Parcel Number Legal Description
Haubstadt IN 47639
26-23-15-100-001.506-024 PT N SW&PT NW 15 4 10 17.27
X D9
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
30411 C ;/7 II4/— f --<
.Ig Address(number and street,city,state,and ZIP code) — - I II Same as property oddness
01508 E /0/ •.-e„ 1e 19e_l, ,E10 4ctoJ/ 2"h J 5V '7 35.
Spouse First Middle Last
No F) r
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)
SW:
• 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 Signatur Date
N �T'�
, e CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
� � Slate Form Sd73 (RS / 10-07)
°i� Prescribed by Ihe Department of Local Govemment Finance
INSTRUCTIONS: See reverse side /oi �ling insfructions.
I (We)
I(We) occup d as our principal place of residence the following descnbed re roperty for which a F
�I (VJe) o d ❑ Ne buying under contract
�Have a b fidal interest in the entity that is liable for ihe property taxes on the property and that
If buyug on conuad. Fee Simple owners name
Rew�de/s otfice where wnVact is remrded
County
Toxnship
L7r -1 - v � �„/L! \� 1 �
If any portim of ihe (esitlentlal SWdure w NB lantl not e:ce
of the properry utilheA to produce income.
FORM � YEAR
Hc�o 0 3,
v 77 �1 �
certify that on lhe 1s�t/day of March, 20_
�.�tead Property jmc C:r�dit is h�fEby�aimed:
tlislrict (c�; rown, fownship)
a contraU.
Rewrd number � Page
Is Ihe pmperty in queslion:
�_ ,� 1, ,J� �eal propeRy ❑ Mobile Homo (I.C. 61J-7)
one (t) acre that immediatey surrountls lhat swGUre is usetl to produce income, desaibe the use antl portbn
I �-a13 /�=/a�-QO/. �d�-O�S� I
��� ;"T'���-%`� �`� � � TRUET�AXfx � qSSESSED VALUE �HOMESTEAD � -"$rNON'�,vRESIDENTIAL �{t"'��.
v'�e��z-.. � : � vA5SES50R�USE ONLY-�'Yh��.� � yq�UE�S''z "AT 100°h'OFTfV� `� �VALUE�'� �}�'�'��`��VALUE��A,' �
r. .�s:"±r'�a.:ip" .S!.`3Y'rt�.`�.�.�sS.�. �� �xi.-. .�r_'�?,�'.. .u-...-.�..�-� �.,.�C:
Land not exceeding 1(one) acre immediatety =°�'� F��d��'j�,,,�r ��T�'t'�a
suvounding residential improvements. (�� �,; ""'` �, "°""
�?����` � 'Y�'1
n �`_�- .$."�WS ~ .
Other land (z� =?`�";� �.--i,,,.,�j
,.: <�.,. ..
Total land (line 1 plus line 2) (g�
Dwelling (4) ���M�ra'�'•a� �s����
Residen6al improvements ��'���`��` �`''L'��'��"��
Garage 5 `�' '3Y' `��s
( ) �.�`"`-isr�"���ar�''r•c� � �x��s'.
:.�".'i' .. �``;
Other improvements ( ) �" :" �'
6 � :�i�:>37�'i"'s�:�S s
kial improvements (line 4 through line 6) �7�
TUaI value Qine 3 plis line � (g)
I hereby certify the above is We, corred, and Signawre o(Asseswr Da1e signed
complete.
Vaif�ring actbn - Signature oflwdiWr Date signetl
, .0 C.: r. .�x ""x":2z, c�i�fic• .. .. . i : c�i
,.��.;. �'u..�i,.r_�t s �''�:s;,,,,ac��;,�'-,�:.ST/WDARD:DEDUCTIONALLOWANCEti`�„',��`i._a�t�*`.""'°�ny,'"',-x,`��.«;R`��,�;'�� �.'��a`�s�'�'�?'=
� 20_Pay20_
Lesser of 1/2 Homestead
ValuaUOn or $6,000
S
Sig tur oflwddw 1 ` Date sgned
W