Homestead_Brown (18) STATE FORM 53569(8318-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTEN
MT OF LOCAL GOVERNMENT FINANCE IC6-1.1 22-8 I
"=f IMPORTANT:NOTICE TOMOMESTEAD:PROPERTY.OWNERS�y�", I: !'
Jam. .4,
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
eduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
S2auses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive 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 be kept confidential and can only be 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.
IMIMINTIPMTOSVV:0---virSinyrrATi:,,.PROPERTY.INFORICI4TION;1`'....:74:1--- :r. V.V- f .r t ` - .1^"
Taspaver Name Property Address Slate Parcel Number Lent Description:
Eli Brown S SEMINARY ST 26-12-18-203-002.046-028 SS ADD 196
PRINCETON IN 47670
Complete and return to: 1111111[IREINIIMINIME11111111111 1131111111111
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
''? .S.c:.'14::. - „ .•... , • -•(V± PART2: TAXPAYERINFORMATION?Cs.4s44 !rnK �.,' :`I
Owner 1 / First Middle �2 ' Last
�/ /, DOL9I CS growt.-
Maa ng Address mummy and street.city,state and ZIP code)
t. 1 Same as property address
/ I3Lf S 5ea.!'t.,AVtY Po∎net1/W cT N _ ¶ 9690
Spouse First Middle Last
nereS - GI,rttsf�in n
j 8owt,\
Mailing Address(number and streets sty,state and ZIP code) r{/I $ame 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.
Owner I Signature Date
FILED
FEB 2 5'2013
W' I 50,
GIBSON COUNTY AUDITOR S
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
s•�r�s�r3 ��isas�
P�er�beA by Me DepeMienl u( Lo�l Govenmerd F�
INSTRUCTIONS: See raverse side /or h7ing instructions.
� CERTIFlCA7I�I STATEMENT
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, i i� '' fl '.a
DEC 1 1 2006
�(VVe) [�/ / Yc/�� certiN�B�01�Ct9W9f�TM►1�TQdt
��I,,(.�.W//e) ocwpied as aa prmdpal placa o:: esiderce the fcRowirg desrn3ed rrzl proper.y tor which a Hamestead Property T�c Credit is hereby daimed:
�I(We) owned ❑ Ne buyug unda cmtrad
Have a Denefiaal mferest in C�e entity C�at is IiaWe iw ihe poperty laues on the property and that owns the poperty w is buying urMer a mntrad
� . . : .. � . . • .. � CQM7FACT REGORDFD w: � `. • . . -. . �.. - ..., ` . .
( _ .
. . • . ..:: •:. . . � � . . .. . . .. .. . :.
M Gryo�B on mih'aq. Fee Simde wmefs reme
fLamde/s oKm wPere cavraa is racuded Recvtl number Pa9e
Ca�mq _ Tuvnskp .
1
' (r3y,'Inwn. fwnsftip)
Is�L ».auestion:
tl arry pation of Ihe residrltlial stnc4ue a tlre IaW nd �eeding one (1) aue Mal irmedr�ey snmmds fhal
dihep�perly��pmd�ce's�mne. -.' '
��J
dG �d-i��o3-��.o�-oaP
al praparry L„J Ma6ila Fbma (LC. 61.1-n
rm u�d to G�duce'swpme. descnba Ne �sa �d pwtion
rASSESSOR�USEONLY:�: ..' , � �,..:} "�TTNIETAX�.: . /LSSESSED.VALUE � � HO�ffSTEAD' � � �� .NON�2EStDENML
' . VALUE:;c, _.' � �AT 100% OF TTV;. .; �-. VALUE �� � :' VALUE "> .> � � � s
L
. . . . .. . . . , .. . ...� . . _ ... ........ .. . . .. ..... . _ .. . ... .. .,,
�8fld llOi OJfCEEdif19 �(OIIB) BCfE IAIff1�8$'ly ; t••+ ,
stmamd'cg residential impro�ert�ents. (�) E., _: � �
Otl�erlaM (2) �
Td� lard (lure 1 pk/s fine � (3)
Resdential miprvvertients a Mmially �� �4) !` , �: ..; .. - ,- � , Y . ; .:.; '; �.. � �
Asse�ed Moble / Mtarpifec4sed Hort�e � � � :.� `� : i ` �; �. .
( ) -.. .
Gatage 5 f = � ;.`.
�:, 44
1
Olher improven�ents I(6) � .. e � �
� —_—_—�--�— —� —
TU� vnprovemertls (6re 4 tivwigh Rne fi) _'__ (� � �
T� value (l"ore 3 pds Gne n I(g) I
I l�ereby certiy the above is true� cartect. and --- ' S4�se of acsesav pate sqr�eC -- —
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�Mre aaon _ syreme a a,6trr o�t» g.,.n.,
�
20 _ Pay 2b _
Lesser of 12 Horr�esi�d
Valuatian w S35.000
S
'..'4`.';,. � . .. __—
Sipnahae of Aud�hx � Date signed