Homestead_Brenton slAm I-ORM 535e.1R=r'-Yl tREASnRE6021 sm
APPM tt5BY STATE RINRDOr A/RR,75.9n PtFS'IBED BY nlC DEPARTWYT OF LORAL COVERAMfla MANCE MH.1-_t.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 becomes
more beneficial.there is more incentive than e'er for homestead fraud llomestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying inform:ton nemsan•to allow county government to better monitor homestead
filings.This information will be kept confidential and can only h•accessed by authorized county 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
_ Brenton, Larry E/Dianna Sue
R4 Boo 308
Princeton IN 47670
1671
Larry E Brenton
101 S Broadview Circle Dr State Parcel Number Leal Description
PRINCETON IN 47670-9413
II Illll11111111111111Ilntltlntln 1111111111111 1111 1111 X2611-12-301-000.235-028 019-00235-00 BROADVIEW 2/3
PART 2:TAXPAYER.INFORN1ATION
•
Owner I First Middle Last
LptR y EsMb,id -ER FA d
Aud�as(nt6nber end street city;state,and ZiP eodc) —_ --. Same m propene oddtas-- --- .__ _ —
tot 5.-g'oAdvIEtelCI1A LE >IVE y `r iAVElO,u/ 1.v 40470
Spouse First Middle Last
%),h m SccE 7RIF LAJ
Mailing Address(Number and street,city,state,,aTand ZIP code)❑ � f�l Same as property address
Jo/S• togdvl Floe;Ref JRIU� /nl/.7Sfwu 1A0 t1767D r�
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 Si.. Date
FOfthl HC IU 1979
Prescri�e0 By Sta�e Boa�a ol ia+ Commissfoners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 191�
SEE BACK FOR FILING INSTRUCTIONS
To 0e Filed in Duplicate
�
0/9- ooa3S•oo
�(We) �"""" �`' -`b' °��� �- ��-°-' /y"�"-certify that on the 1st day of
arch, 19�, I, (We) occupied as our principal place of.residence the following described real properiy for
which a Homestead Property Tax Credit is hereby being claimed: �
I, (We) � owned
❑ are buying under contract
❑ have a beneticial inter� in the
Property Description in �`d'W'�"�"�
Taxing District (City, Town, Township):
Parcet Number
If buying Ofl contract Owners name ��� stmvie ow�e.1
�� Township
� � �
or legal description shown on tax statement:
�4 �°�2 ��
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:
1�hereby certify the above statement is true, correct and complete.
_� :�. � � ,/I � D _ /J —� ,, : � , .
Counry
State
Township
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 ihe taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(o a e im ediatel
surrounding residential i ov�ent� � �
Other Land ��
Total Land �;�!� Z 0 �979
Residential Improvemenls Dwelling
/!�,/.tk'-.�.CQ�i� e
� �
AU01'[pa otal
Other Improvements
�7� Improvements - Line (6) plus p) equals (8)
by certity the above is true. cor�ct. and c
Signamre o� nssesme
Approve
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Date: — _(,O!�E /