Homestead_Brittingham (5) STMT Fr*M.)!tsr:t,YI 1RF RALR FO0.`(11A
.APPROVED BYSTVLWARDM VTTt.\TA.am PPlstiamnY nx DFPARPANT OCXEsL rOVZt'METT FB:A\CEMLtt-_.1
Gibson County Auditor
101 N Main I IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS x
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 eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HBA 1344-2009 nd to p ovideres taxpayers i who receive the homestead nele standard tllowcco n to•ever met they are eligible monitor hems the
benefit and to reiui additional identifying information the hom necessary to allow county government to better mommy rom'e the
filings.This information will be Lein confidential and can only he accessed by authorized county officials_The Ikpannient of
FILED Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PAR'E,1: PROPERTY INFORMATION
MAY 3 'LOW Taxpayer Name Property Address
_ `- ,(�'- Brittingham, Yvonne A
l'`5 L r6"r'�r. 8288 E 350 N
GIBSON COUNTY AUDITOR FRANCISCO IN 47649
1120
Yvonne A Brittingham
8288 E 350 N State Parcel Number Legal Description
Francisco IN 47649-9262
26-06-21-400-000.049-017 009-00049-00 PT SE 21195.00 AC
1f 1rA 11r tr1flllrr1tt11r 1rr1r1Frr r1f ir lif tf tltllf tlf Ilfltflt irl
7
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
YVoU �( F iiu/ a r1 -f-i"►fN go-rn
�arg Address(number and street,city:state,amt ZIP code)_
8 - E . 3501 `111 7 a-naifs • 1.t ci76419
C `j/ `t \ First /,/�� I Middle ( Last
A-
`//Z� �F pt �II'/ll1C--17Z
Mailing Address(Number and street,city,state,and ZIP code) �y1 Sank as properly address I
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
unlawfullyy a or she may be liable for back taxes•.id substantial financial penalties.
own I j •turc • 1 Date
es ...at 201 -
PART 4:ADDITIONAL INFORMATION
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION Hc�o
' State Form 5473 (RS 110-01)
Prescribed
by the Department of Local Government Pounce
INSTRUCTIONS: See reverse side for riling instructions.
I (We) if rrL�" certify that on the tsl day of March, 20_
I (We) occupied as our princip lace of residence the following described eat property for which a Hor s ad�ropg2gLT6, Credit is hereby claimed:
v
❑ I (We) owned ❑ Are buying under contract � /
Have a beneficial interest in the entity that is liable for the property taxes on the property and Nat owns the property or is b ylrng under a contract.
If buying on contract, Fee Simple owner's name
Recordees office where contract is recorded
Record number I Page
"ore_" L '°' ftF �a�iic- ±+��., . -._ r� . __ -
_ -•_ _� _ _� _. __ >�iCt44 _ _
i�__ _. _ ._._— _ -__,e
P,ROP.ERTYDESCRIPT10N
Coon
Township
Taring district (city, to
to ip)
I nu r
L s rjfih
r
Is the p
in question:
Real property ty Mobile Home (I.C. 6-1.1 -7)
H any portion —of residential structure or the land not exceeding one ) acre Nat iminediately
of the property utSved to produce income.
surrounds that sfructure
is used to produce income, describe the use and portion
"ore_" L '°' ftF �a�iic- ±+��., . -._ r� . __ -
_ -•_ _� _ _� _. __ >�iCt44 _ _
County
Township
County Township
I hereby certify the above statements are We, correct and complete.
S' r err claimant
in qr! and '?k" , state. ZIP
t 'AS$ESSDR�USE ONLY y "'-'
_„ -.ay- nn '1
l'RUEaTAX,p t:
- VALUES`'_
ASSESS D VALUE
AT�100_/e:OFcTfV tiVALUE
'z- HOtdESTEADk�'
` 3eNOxNrRESIDENTL4L
6.:; VALUEz.
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
11)y
F'1 -
Other land
(2)
�� a,.r
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
}}
d , ' ^1y
Garage
(5)
: z
`cs �
t WIN
Other improvements
(6)
Trial improvements (line 4 through line 6)
(7)
Trial value (fine 3 plus line 7)
(S)
hereby certify the above is true, coned, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed