Homestead_Bradfield MATE fn101!!S+;FL/!-n1 TRFASillra'mR473-1A
MIMwEo By STATE BASRD,.AC.NTS w PFFYRIBED BY THE DEPAame4T OF LOCAL OCATRoersr MB:ANCE M.-I.i--_a.l
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 become,
more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 1344-7009 requires taxpayers who teethe the homestead standard deduction to verify 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 information will he kepi confidential 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
Bradfield, Matthew J 9
2 1 1 Roosevelt Drive
•
Princeton IN 47670
1211
Matthew J Bradfield
211 Roosevelt Dr State Parcel Number Legal Description
PRINCETON IN 47670-3229
lrlrlll Orlrllttltttlll lltrrlrltrltlltl Ilrrrlllrtltl X 26-12-08-203-000.728-028 019-00728-00 DIKE ENLG SEC B 35
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
• PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Mats—hevJ m-es SUGI-Fret
tong Address(number and street,city,state,and ZIP code) Same as property address
_
Spo I First Middle Last
ea-iter A-n n ��3r ;-end
Mailing Address(Number and street,city,state,and ZIP code) l ta{game as progeny 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 fo back taxes and substantial financial penalties.
• I -,a e / Date
I •
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
�,.» � s�m F«m sa�a (rts i taot)
Presoibed by Ne Departmerrt of Local Govamment Finance
INSTRUCTIONS: See reverse side (or (ling inshuctions.
FORM
HC10
YEAR
.""1 ii�.
( (�f MAY�2
I(We) �_ � certi(y ihat on the 1st day of arch,
I(We) occuped as our principal place of resi nce Ihe following esaibed real property for which a Homestead Property/ ac Credit is hereby'7"
❑ I(We) owned ❑ Ne buying under contract /y��i`�';
' Have a benefidal interest in ihe entity that is liable for the properry taxes on the property and that owns the property or ��D�niig ntler a c
If buying on conVact, Fee Sunpie awners nama
Recordefs ofice where
Counry
H any
otthe
Counry
Tamship
a M018nd no� axteedirg one
Tavnship
I hereby certiry the above statements are We, correct and mmplete.
city, atate,
Record number � Page
Tating Aistrict (city, towrr, township)
` /\ � I Is Ne P�P�Y in question:
f`/ {•,,�/ ❑ Reai v�overtv ❑ nwaie Homo (�.c. ar. �-� .
�het immedialey wnounds ihat sWCture is used b produce Ncome, describe the use antl portbn
County