Homestead_Bridgland STILE 1 nSM!l.'M,R'f Hr1 TREASURER FORM 13-IA
APPROVED nY STATE NNRD 14 Y OUT,."am PRIMED BY Mt DrrARmer(F LOCAL(-impoMucr EKASCE n'VI.I-U'1.I
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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA l 344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying infumnnion necevary to allow county government to better monitor homestead
filings.This information will be kept confidential and ran only be accessed by authorized county officials The Ikpanmcnl of
Local Government Finance will use this information to create ttds that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
_ Bridgland, Robert W/
t( 409 S Race
Princeton IN 47670
2980
Robert W/ Bridgland
409 S Race State Parcel Number Legal Description
Princeton IN 47670-2507
rr t�rrt���ttt�t�tttt��t� x 26-12-07-401-000.239-028 019-00239-00 PT SE 7-2-10 .17 AC
I tIt rIIt ttItIItrItrtIIIttttt1t1t 1r1t11
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
ROBE R W 1 w..1 A X13 R l 1p C- 1--A A)10
i — - Some as property address
0 9 S . ry c S-C. R c N cX ,k1 n1 • 416 �c
— --
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 nature
FOflM HC 10 1979
RescribeO By State Board ol Taa Cammissioner5
To & FileE in DuD�ica�e
CLAIM FOR HOMESTEAD PAOPEATY TAX CREDIT FOR YEAH 19� ,/
SEE BACK FOR FILING INSTRUCTIONS �rq— OQ^.i3Q`00
�(We) �� �� �' '` � ^� � certify that on the 1st day of
arch, 19�, I, (We) occupied as our principal place f residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial inte�est in the taxpayer
Property Description
Taxing District (City, Town, Township):
Parcei Number
If buying on contract: Owners name
��--�-�1� J Township
or legal description shown on tax statement:
l�".t+. �J � y`f �%—.2 —/O . �'%Qit�¢.o
Contract recorded in Recorders Office - Record
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:
certify the above statement is true, correct and complete.
� \J�
County Township
��taNfi
4�7670
' 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 the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residentiai improvements
T�otal Land � � � � �
Residential Improvements,Uf� � ;: i979 Dweiling
Garage
�� ���� Total
Other Improvements AUDITOR
T�' ' Improvements - Line (6) plus (7) equals (8)
I�by certiiy the above is�ue. correct. and�complete.
Sig�awre oi A55¢ssOe
APP
True Cash
Value
(�) /�%D--O
(2) `_°_
�3, / 9 �-o
�4� ��-a
�s� 7.�od`_°
(6) �B"'
(�) —O—
�8� �r.�6'o
- ACTION BY AUDITOR -
Assessed
Valuation
�30
�30
Homestead
Valuation
(0 3 O
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Date: