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Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
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 e'er for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
4
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying infonnaton necessary to allow county government to better monitor homestead
filings.This infoo ation will he kept confidential and can only be accessed by authnrired county-officials.The Department of
Local Goverment Finance will use this information to create toots that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Branham, Nancy N
-�R-r'tsaChF�
Patoka IN 47666
1049 73 1-2—E see Al
500 N State Parcel Number Legal Descrip nn
Patoka IN 47666-9147
�t�It��tttlt�Ittt��tlt��ttltl ��tltLlltrtltt�t�tt�tlt��tt� 26-06-17-200-000.351-017 009-00351-00 PT NE 17-1-9 5.85 AC
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Spouse First Middle Last
NA/Vey Nfr6/I/ 6 RA A) N 4
1. Mailing Address(Number and street,city,sate,and ZIP code) Sane as property address
?3 2- 2, F Soo AI C.
_
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjuy,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.
PARE 4:ADDITIONAL INFORMATION
INSTRUCTIONS: See reverse side for tiling instructions.
FORM YEAR
q3
[SEP 2 2 1993
I (We) I � certify that on MTOR tch, 19 fJ
?e)
under•contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
_ CONTRACT RECORDED. It buying on contract, Fee Simple owner's name ,
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES "
PROPERTY DESCRIPTION
County
Township
-
Taxing district ity. to n. lgvnship) -
6 2by certify the above statements are true, correct and complete.
Signature or Auditor (1
(
AleZZW7 cir, ate. ZlP ood)
Parcel number
Legal dpscrigrion
WC1- S l
- 5.85 H CJ
It 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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES "
County _-
Township
County
Ta '^a =:per
6 2by certify the above statements are true, correct and complete.
Signature or Auditor (1
Signat aimant
AleZZW7 cir, ate. ZlP ood)
%
/
ASSESSOR USE ONLY -
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Signature or Auditor (1
Date igned,;� _fY
Other land
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pbs line 7)
(S)
certify the above is true, correct, and
plete.
Signature of Assessor
Date signed
Flhe,eby
ying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 _ Pay 19
Lesser of 1/2 Homestead
Valuation or $2,000
S
Signature or Auditor (1
Date igned,;� _fY