Homestead_Brewster STATE MINI!Ma*IR_tun, TRfAS4lR FORMz1A
AMMO BY CI 11E BMRDfF AM,U,N'Tt.Yin PRESCRIBED BY Ills DEPARTW_YTOT LOU' L GOVERNNWNT FIANCE M 4-I.I-22-tI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples ate limited to one homestead standard deduction.As the receipt of this deduction becomes
� more beneficial.there is more incentive than ear for homestead fraud Homestead fraud causes 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 he kept confidential and can only be accessed by authorized county officials.The Dqunment 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
Brewster, Henry Michael/Julie E
RI Box 106
Oakland City IN 476k1
4667
Henry Michael/Julie E Brewster
8650 E SR 64 State Parcel Number Legal Description
Oakland City IN 47660
26-13-22-100-000.082-006 003-00082-00 PT SW NW 22-2-9 3 AC
D-6 C-1
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Henri Pk[ ael grewsAev -
ow Address(number and street city,state,and ZIP code) Rtame as property address
Spouse That Middle Last
3L��iE E.VIzA 04-1/1 re.W5 etc'
Mailing Address(Number and street,city,state,and ZIP code) Et Same 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 1 Signature ._ Date
Oil
LaCCIE�ZZ IS.' S'.at:e i'3a-M Ol TaX LXMI 1S510tier5
SEE BACK FOR FILING INSTRUCTIONS
003- 000't1 -o0
„) H-zyuxm certify that on the 1st day of
(P ied as our principal place of. residence the following described real
�perty ��r a I�riestead ? roperty Tax Credit is hereby being crai*:
QQ� i, (we) are buying under contract 6;e-1,3-d'52, /�-
have a beneficial interest in the taxpayer
Property Description. in County \ rQ. , rM Q Le,.) Township
Taxing District (City, Two, Township)
Parcel thanber or legal description shown on tax statenent:
Pi &,;% nw 1)y as-)A 3 A��.
If buvina on contract: Owne:s natre (_fee simple owner)
Contract recoriied in Recorder's Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one' (1) acre'that
imnediately surrounds that structure is used to produce incase, describe the use and portion of
the property utilized to produce income
Any other counties in which individual owns or is buying real property: County Township
hereby certify the above statarent is true, correct and complete. -
- -
' 76�
*Signature Street Address U City, State and Zip Code
*Individual either owns or is buying uner a contract that provides he is to pay the
property . taxes on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSORS USE ONLY -
Land not exceeding 1 (one) acre immediately
surrounding residential irprovements
FILED
Pesidential covenants _ Dwelling
'AR '29 ME
AUDITOR
Other inprovanents
To I=ravanents - Line (6) plus
I hereby certify the above is true,
True Cash
Value
(2) 2-90
(3) -7L?
(4)
Garage (5)
Total (6) 7G C—o
(7) 'f V o
(7) equals (8) (8) 1090
correct, and complete.
- ACTION BY AUDITOR -
Date: 3- C�7-�J-
Assessed
Valuation
1 -7o
low
to
Harestead
Valuation
/ 70