HomeMy WebLinkAboutHomestead_Brunson STAVE FOAM fct I ` SUc.H1lOZV
...KIM',O)R\ 9lF n WOOF V ntNr.an PRESCRIBED o iO @ANTbTOF ICCACO\FVNrRix& L: 1 IS IA IC bl IA
Gibson County Auditor • IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street Individuals and married couples are limited to one honksteml standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial there is more ireentiw than ever for homestead fraud.Homestead fraud cause:higher vac bill:for all:therefore.
HF:\ 1344.2109 requires taspavers who receive:he homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying mtbrmation necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can onk be accessed by authorized county officials.The Department of
local Government Finance will use this information to create tools;hat rill help county officials eliminate homestead thud.
PART l: PROPERTY INFORMATION
Taxpayer Name Location Address
Brunson, Horace Jr/Judith L
719S Hart
Princeton IN 47670
863
Horace J Brunson Jr. IIDI v1111 DIII DI I DI DID III II DIIII II 1/1 DIII II-II I DII DI I I I Hi:_DIID IIIII/1111
719 S Hart
PRINCETON IN 47670-2641
I�I'�III'll��lllll'III'Il�ll�ltllltltlll�t�llll�ll�tllll�l�llll�' State Parcel Number Legal Description
26-12-07-304-001.583-028 HALLS 2ND 27 PT
•
a
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
•
v..oer I First Middle Last
kRA c-F ' kU toss ft ig �ifd/4&YLC L-Se,
Mailing Address(number and street,city.state,and ZIP code) ,Same as property address
•
9 S rrnRrS Si Z/77G`7o
Spouse Middle Last
Obi L. rRifAISa,kr—
Mailing Address(Number and street,city,slat:,and ZIP code) Same as properly address
•
719 5: i�A2r
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 I Signature Date
1
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
- CREDITISTANDARD DEDUCTION Hc�o
t � � SfaleFortn5473(RS/10-01)
N� PmsaiDed by the Depar6nent d Local Govemment Fina�xz
INSTRUCTIONS: See reverse side /or filing instructions. -C `�—,
N
_c . a � _ _. , ri �f <.'�S„r __-r� y': -. .�� ".� .� - .�. ,F
�-�:r,��".��'�`� •i,a-- -�„�c�:� :.CE ICA710NSTATEMENT�?'-��s,�,aX% ��?; � �- �,_;;r.,a��-�-�
1(We) certfy thaf� �e flstid�UA�arch. 20_
I(We) occu as our prindpat place oi r idence Ihe following descnbed real property r which omeslea///d ���Property Tac Credit is hereby da" ed:
❑ I(We) owned ❑ Ne buying under cont2ct � � ��� �
�� Have a benefidal inleresf in the entity Nat is liable tor the property taxes on the property and ihat owns �yokok 51Gu� undef8lcontraG.
/'� GI 56N�,Vur.�
If buyirg on coniracl, Fee Simple ownefs name
Recoiders of6ce where contrad is recorded
Counry - Twnship
Pa{�I n =r Q � Le al e ' n
V
H any ponion o( Me resiCential sWC4ire w the land not axceetlinp one (1) aue Nat
ot Ne property utll'¢ed tu produce irroome.
Tating datrid (tiry, town, township)
Is the vmDeKY in 9ue5Gon:
❑ Reel Drop
Record numGer
❑ Mobile Homa
Page
wrtounds Ihat swGUre is usetl to produce inmme, desaibe ihe use and portbn
�� " '.z- Y.�.� qS'r'�.'Y'./y.v-�= �r.-'4.�.j9j : � . �t'z.* . . . •Y`� s�aw�. .
' ��'�' �:, TRUETAX � ASSESSEDVALUE _.HOM6STEADK NON�2ESI�ENTIAL '�`
�"' � }�A4�SSESSOR�USE ONLY" x � � YALUE � Lr - AT�100%OFT7V VALUE£' ��rc' ���'"'"'�'YALUE * ��
3. '�n,r�'.. aaS aCSFa`S.'�i�t.t'.=m. � �� ...�.._ .z..�t.o.-�a ��i.rs�,T._..,e�� �Se'.L.u� � ..�'�.
Land nol exceeding 1(one) acre immediately ' � ���c+. 2����5 ..
surrounding residential improvements. ��� �'����,���'`��;�
����zi ��' .
Other land �y� _��.�����
Total land (line 1 plus line 2) �3)
""*YM �� �S1'�16�#
Residen6al improvements �elling (4) �F ��u,Cu���"$�-t.,f
Garage (5) v�+'^'::%i�'-`'w.�-��--��'��..��'���
��� Y l�
Other improvemenls (6) ��'��.
�"z "!.` '»v..r �.c
Taal improvements (line 4 fhrough line 6) (�)
Tdal value (line 3 phs line n (g�
I hereby certify the above is We, corted, and Signamre otwssessor Date signed
complele.
Vaifying adion - SignaNre of Auditor Data signed