Homestead_Brown (20) SLAT[FORM!)H Cl•AP1 TREASURER FORM 71tA'
IMPORTANT AMOUNTS,
NOTICETOHOMESTEADrP OPERTY GOVERNMENT
OWNERS .r
Gibson County Auditor
101 N Main
PRINCETON IN 47670 IndividuaLs and married couples arc limited to one homestead vandard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than carer for homestead fraud.Homestead fraud causes higher in bills for all:therefore.
HE.\ 1344-2000 requires taxpayers who receive the homestead standard deduction to serily that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi conlidemial and can only be accessed by authorized tummy officials.The Department of
Local Government Finance will use this information to create :Olt that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Brown, John W/Abigail
( 1002 SBall
\I`(/v. Princeton IN 47670
3642
John W/Abigail Brown
1002 S Hall PO Box 203 State Parcel Number Legal Description
Princeton IN 47670-0203 —
ltlttiltttltllttltttllitttil ��� ��t�� ��r�tt�t�
lc 26-12-18-101-000.264-028 019-00264-OO ROBERTS PLACE
•
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Jol■h Wl 111Qr, , 8ro -)4
rg Address(number and street.city,state,and ZIP code) -- - —- Sarno its property address
loo 5. hill St Po Box 0903 PrincehanJ IA) (/7670
First Middle Last
�
? b► 9a � 1 Brown
Mailing Address(Number and street,city,state.and ZIP code) -�.I Same as property address
/00x. 5. /fall S- Pp Box ao3 Prnce Ion .1/) y7( 70
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eliuible 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
FOflM MC 10 7979 �
PrtwiCeC By Sta;e Baam ol ia. Commissioners
CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT.FOR YEAR 19 ��
to Be Fil¢0 in Duplicate
�
SEE BACK FOR FILING INSTRUCTIONS o�q_�oa�y' �O
,�-�.� � �.� � �,
I, (We) /`f'��, � � � -a-�- certify that on the 1st day of
�larch, 19�o I, (We) occu ed as our principal place f residence the following described real property for
hich a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial i terest in the taxpayer
Property Description in _ County �) ��`t-- Township
Taxing District (City, T-ewa-�ewflsMip): < y'/zc�-u �n�-�
Parcel Number or legal description shown on tax statement:
`%'�--c.�,.-�- Q..L.��� �°. �- G ,s� 9 ��
If buying on contrac[: Owners name �'� 5inip1e
Contract recorded in Recorders Office - Record
Ii any portion of the residentiai 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:
I hereby certify the above statement is true, correct and complete.
Sveet Aatlress
County Township
5ta�e ano
Individual.either owns or is buying under a contraci 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 residential improvemenis
Other Land ��T ��
Total Land 'g•a
Residential Improvements�j�,� 2 Z �ggp
� , ,
� '
.
� � n
Other Improvements
True Cash
Value
��� a3�o
(2) —
(3) z 3 �/ u
Dwelling �4� —�7 �°-
Garage (5) �`�9�d
Total �6> �a
Total Improvements - Line (6) plus (7) equals (8)
I•Aeby certify thy�above is true. correct. and complete.
Siqiuwre of nssessor
��
(�) —
(8) �-�
- ACTION BY AUDI
Assessed
Valuation
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IL•L
Homestead
Valuation
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Date: �— ��— O v