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Home My WebLink AboutHomestead_Brummett (2) STATE FORM 5350(10/810) TREASURES.FORM TS-IA • APPROVED BY STATE BOARD OF ACCOUNTS.EOM PRESCRIBED BY THE DEPARTMENT OFILCALGovutwETFINVI(F.IC 61.1-n41-I • Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes i Pdnegie N more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore, 11 EA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the 4o, DUL N elt and to provide additional identifying information necessary to allow county government to bean monitor homestead ings.This information will be kept confidrn[ial and can oDN be aeccssed by authorized county officials.The Department of Subject to final acceptance for trantfeal Government Finance win use his nfo ma ion m Tear Dols hat will help county officials eliminate homes cad faud. day ofAPR 2 6 2011 PART 1: PROPERTY INFORMATION • C-3. - '+N' a - Taxpayer Name Location Address iiii Ili � udiitCtor Brummett, Robert URoselea GIBSON COU AU my 1 3a 5 $ 575 E Pared # . - • ELBERFELD IN 47613 9032 Io3a5 S L -i5 E • Robert L/Roselea Brummell iii01:0111011111111:10 1111II_II101111 II 1110111131[11111II II 111111111 Elberfeld IN 47613-8601 I'II'II'III'Illlllrlrllrllllrlrlllllllll'IIII'I"I'IIII'III"IIII State Parcel Number " Legal Description 26-20-32-300-000.082-001 / PT Sw Sw 32-3-91.026 AC D-10 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: T P4 ]'ER INFORMATION . First Middle .-.__ Last - - tcor'3r1e% LOcuis &nLtAtMC Mailing Address(number and street,city,state,and ZIP code) E Same as property address - ,1 _. Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address • — • ;A- «—.XFC f 1776/3 „- 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 claim additional homestead deductions unlawfully,he or she may be liable for back taxes and substantial financial penalties. �,,, iya- et PART 4: ADDITIONAL INFORMATION ayeat -V Gtrc.P_eL-i 2r:c_Ai/,t4 -�Yi •; -y4.-2 , e "711r1WOMI=- . - lido 0C-0'c -a.e! "L - //?' .� ,e�'-'—Z tic-A`:- — ten o - r h�c.V.4.1_4-4...w y u eI.x •cc-Ciia,c- .��a-7/r 4 4 1 tt. f:moo- 44dccc'a -P-• I L _PAP, CLAIM FOR IIOMESTEAD PROPERTY'FAX ronM a -t. 0t CREDIPSTANDARD DEDUCTION nclu Y, Stale Porn 5473 (1`12/1 -90) INSTRUC11ONS: See reverse side fur filing inshucliorls. CEIII IPICATIOII S LA I EMENT YEnn 9a I (We) I 1 �� % "'�ellify that on [lie Is[ day of march. 19 I (We) occupied as our principal place of residence Ilse lollowing described real property for which a I lonieslead Properly Tax Credit is hereby claimed: F1'olh (We) owned ❑ Are buying under contract Have a beneficial interest in the entity Ilial is liable for the property taxes on tire propei ty and Ilia[ owns tyre El property or is buying it under a contract. CON IRACT FIECORDED If buying on contract, Fee Simple Owner's Name flecolder's office where contract Is recorded I Ilecoid Number Page PnOPERTY DESC(IIPTIOI-I Counly lovtrry r{- 1 Iaxing District (City, Town, lovmship) P r yNu that ty,�,� LegalDescnpliorr � 3a-3 -9 /D�6 Pr- 11 any porlion of [lie tesidenlial structure or file land not exceeding rare (1) acre that immediately surrounds that shuc- lure is used to produce income describe the use and porlion of [lie property utilized to produce income. 00 – PIIOPERTY OWNED BY CLAIMANT- IN OTIIEn COUNTIES Comely township Counly ( township I hereby cattily the above slalenrenls are Ime, conecl and complete. Signature Address (Street, number, city, slate and ZIP code) ASSESSOn USE 0I4LY TnUE TAX VALUE ASSESSEUVALUE IIOMESIEAU VALUE irorr nEswetillAL VALUE Land nol exceeding I (one) acre Imredialely sunourxlingresldenlialImprovements Other land Total Iand - [file (1) plus line (2) nesidentialImprovemerds Dwelling Garage Other Improverneuls Total lmprove _mails- line (4) through lbre(6) Total value - line (3) plus line (7) (1) 1991 Pay 1992 19 — Pay 19— Lesser of 1/2 1lameslead (2) Lesser of 112 I foureslead Lesser of 112 Ilomeslead Valuation or $2,500 (3) Valuation or $1,500 Valuation or $1,500 Signature of Auditor (4) Date Sign S- - �:a (5) (6) (7) (8) I hereby certify the above is true, Signalure of Assesor correct, and complete rr y ng ci on S(gnalu— re oT nuditor Dale Signed — Gale Signed crntll1Ann I)F1-111CTI011 At —1989 Pay 1990 1990 Pay 1991 1991 Pay 1992 19 — Pay 19— Lesser of 1/2 1lameslead Lesser of 112 Ilomeslead Lesser of 112 I foureslead Lesser of 112 Ilomeslead Valuation or $2,500 Valuation or $2,000 Valuation or $1,500 Valuation or $1,500 Signature of Auditor Date Sign S- - �:a d