Homestead_Brandebourg (2) r
%TATE Font')—IR:/ 4't TEANLEA FORM YIA
APPPrA'N BY CrntE B5•D Of KIYX:.TS.`nrr PREYArhm BY file OEPAREML•r If LOCAL rovttRNMr n FffaNCt M4-1.1.L.1 I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction become,
more beneficial.there is more incentive than e'er for homestead fraud Homestead fraud cause higher tax bills for all;therefore.
1110-- HEA 1344-2001 requires taxpayer who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necesmry to allow county government to better monitor homestead
filings.This information will he kepi confdemial and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create muds that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Brandebourg, Wm E/
6563 N 150 W
Patoka IN 47666
342
Wm E/ Brandebourg
6563 N 150 W
Patoka IN 47666-9054 State Parcel Number Leal Description
— —— - —ll—lll llell I I i I I Y 26-0402-100-000.092-018— 0_1 0-00092-00 DEC LOC 1--1_15.894 AC
lltt tttl ttt tt1rG -1JIt1 ; -11GIIILIIII� ll
PART 2:TAXPAYER INFORMATION
Owner I First Middle . Last
lei / LL //1M e Apavde6o v eU-
g Address(number rand street,city,state,and ZIP code) - I Sane as property address __--_---- __
5 L 3 N /sow ?crate i4' K7 t9G6,
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
PART 4:ADDITIONAL INFORMATION
0
fOWd tic IU ISiO ....
Prescribed By Slate Board of tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR -1.9�a.
SEE BACK FOR FILING INSTRUCTIONS ✓/ O — O D 0? Z —
W&We) I LJ %y}iY✓1 &amda —certify that on the lst day of
� ,rch, 19 I, (We) occupied as &r principal place of resident the following described real property for
which a Homestead Property Tax Credit is hereby being claimed: n
I, (We) U,6wned e�G— O D� —Iez - ad. D'ol -Q�d
El are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in County IlIl /��1 Township
Taxing District (City, Town, Township): LA_ kA QeQ 12_.
Pa or legal description shown on tax statement:
If buYAWT ¢tfft Owners name (lee simple owner)
Contract recorded in Recorders Office - Record No. Page Ifential structure or the land, not exceeding one (1) acre that immediately surrounds that
structur�( t produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
certify the above statement is true, correct and complete.
County Township
en'. >rnm vm [m code
Individual either owns or is bug under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
Assessed
Valuation
930
,to
q-70
"LS.7 D
Homestead
Valuation
—1-ST--20
Dale: - -L /— — _—a _
FOR ASSESSOR'S
USE
ONLY -
True Cash
Value
Land not exceeding 1 (one)
acre immediately
SO O
surrounding residential improvements
(1)
'2
Other Land
(2)
1 d 0
Total Land
(3)
'900
Residential Improvements
Dwelling
(4)
Garage
(5)
Total
(6) 9 a 7 00
0th Improvements
(7)
To #nprovements - Line
(6) plus (7) equals (8)
(8)
I fteteby certify the above
is true. correct, and complete.
Signature or Assessor
-- ACTION BY AUDITOR -
O-/_J�
Z2) ��/�
/w
Aoo(oved:
L!
Assessed
Valuation
930
,to
q-70
"LS.7 D
Homestead
Valuation
—1-ST--20
Dale: - -L /— — _—a _