Homestead_Braun 0
sl VE roam`1F.IR_t s■Mt 1RFlwlm 10101!5-1A
.APPROE1t BY MOE BOARD OF YXTh i5._or1 PILLICIUDFD BY TUE DEPARTHEIT OF LOCAL 00VE100.1T.T FINANCE IC 41.1-2:4,1
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 becomes
more beneficial,there is more incentive than e'er 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 Depanntent of
Local Government Finance will use this information to create tarts that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Braun, Kerry/ Peggy L ^f�
RI Box 44A �6l
Hazleton IN 47640
31
Peggy L Braun
P O Box 565 State Parcel Number Legal Description
PRINCETON IN 47670-0565
�t�rt��tlt�t��lt�rtt���lll III111111111111111III III II'llrllllrl 26-02-58-0114-0 000.024-018 010-00024-00 PT MD 14/19 1 10 5.539 AC
•
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:TAXPAYER INFORMATION
Owner I First Middle Last
L . RAvA)
*mg Address(ntmbernd street,city,state,and ZIP code) n Same as preperty address
8O 7 � ti 7 s 42_ct /vat: Y76 yo
Spouse First Middle Last
Mailing Address(Number and street,city.state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
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._ — __ sat
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 Signature Date
)
PART 4:ADDITIONAL INFORMATION
•
•
CLAIM FOR HMSO!)I'r}IU PIU7t1Y TAX CaiIIT FUR YEAR y_ . . •
S.T. BACK FOR FILING INSTR(FiIONS ; •
Is..,,,,:
as ate r�Dal Duce of r°sinr� t e iailuarg den S real
�?a Prope<rty Tax C.r°^._.:it is hereby being r 1 i, i'
alp( J � yicsc cnaY: -t i
❑;o are he rinq't °r c.a.r:..,�"'` • .
ohave a bei'sfig'all iri_east • \the ta;.-aver •
P--_r:y r s. `.x.01_ in (�/ / Cot y �k�7 Tu.nss
Taxis.; air:riot (City, Tan, itr.cis it ) : •
Pa...-t&. i I I . I J • I or le-1 ds=: n •ram on tax -ter:
f t Fn. ,'E.(, it ! S3 e t ,2 9 r 1 t nhIf-/-/0 , /. 70
If buying on c_... i : Cr..—x ramp (fee srthe cc,-2-s)
CL :_Lact .J.__.Jr ti in _P2 trd 's Office - Po— d lb. Page
If any tcrttict of the rs=;^°z..ial sn:_zbne or the land, not s_°°-iirg one (1) a_-•p. ti-at
arrnediaiely =as that s ec_-•tae is used to ce lore, der;he the use me M--ni c
the r cparty i-tilized to F. --c incone
•
`ay c`_.^ r Corti es in Which individual a..ts or is b hying real Fr-party: ' Cci—v Township
I ••_. = cer` 'y the above statt alt is the, cdtt and c�.11ets. , t
s7 , £. c • �- A. " G. • •. • ¢767a
f Sr-at ACet c_as c ty, S to and Zip a
- X1.1 '
*Ira idyl either mots or is buying ta=. • a contaa'j that rzwin_°s he is t pay tbs
ar. : taxes an the resi n=rb, or has a bg-°Ti•-ia1 interest in the tan var.
. - . - T- ASSSSORIS US°- ONLY -
•
• . •. True C sh• Assessed Ysest
.. Val,a Valsat-i= . Vale=:.=
and not a,°°_-ling 3. (one) anre. i _diet may . . • .
(1) moo /- 70 / 70
(2) /40 rity//a.
• 5 ,31 Loth [[...e
e; ..1 i (3)
P=-;;,--,-2-4,11 X 5 y 4 —
D ?ling �/
MAR 5 1987 am-a. ge (5) • �G��� �� /% %// :
Total (6) (Soo
c"InjZ Si_Ct^- I-VD• `-on t° J() ///�/
•To - T.,..-7-o.. - s - Line (6) plus (7) mink (9) (a)
cer.; - the is true, .""..L1w, aril crolet_. /
Ir `° y .,.. 31 .5 /t7
--ti II 7�3L
of �_� cx
- ACfIO(N BY AUDITOR .
nth: