Homestead_Bryant (2)FascuGed By Scare Board of %a. Cmnimssnnrcrs
61 O O// 0 - 0 0
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 /
{y p�SEE9BBA�CKK FOR FILING INSTRUCTIONS
I' ('11 �%•YYj.Q,J.%/lJ �/�J L(.F�%L.�L A 11- 4n#/Y\4- certify that on the 1st day of
No 19 I, (We) occupied as our principal place of #esidence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned C��- Q�/_ -dQQ
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in County — Township
Taxing District (City, Town, Township): W{Lj_Q_1
Parcel Number' or legal description shown on tax statement:
n-L- n % u,r r . '- Irr,- l.n•l- AI. Ili, /7//..Jli,
If buying on contract: Owners name !lee simple onner)
Contract recorded in Recorders Office - Record No. Kage
If any pert tf� r e Dia tr ucture or the land, not exceeding one (1) acre that immediately surrounds that
structure i s ome, describe the use and portion of the property utilized to produce income
Any oche u ti so &idual owns or is buying real property:
AUDITOR
certify the above statement is true, correct and complete.
Address
County Township
uty. wnre dun -p bone
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR -ASSESSOR'S USE ONLY -
.and not exceeding 1 (one) acre immediately
urrounding residential improvements
)ther Land
btal Land
residential Improvements
Dwelling
Garage
Total
3lher rovements
Total , rovements - Line (6) plus (7) equals (8)
I hereby certify the above is true, correct, and complete.
Signature of Assessor
True Cash
Value
(1) -2 g00
(z) 3500
(3) %,3 P
(a) / O O
(5)
(s) — lc�Q =O
(7) (o G o 0
(8) FSOO_=
- ACTION BY AUDIJO13 -
CC4/L/ 4 ck' --
Assessed
Valuation
7170
0-100
Homestead
Valuation
el 30
l03(2
63o
.K,
u
-6 -gliq
'TnE FORM!Mt.12'1 4'I TREANtUA FORM 73-IA
R ED BY CIATEWMPOOF
TO HOMESTEAD PROPERTY O��NERS i,
Gibson County Auditor
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 ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
,• HEA 1344-2009 requires taxpayers who rosette 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 be kept conidenial and can only he accessed by authorized county officials.The Department of
Local Government finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Pro i .c .._ ss
Bryant, Thomas D/Diane
R 113ox 37
Patoka IN 47666
2242
,//
Thomas Thomas D/ Diane Bryant A
2089 W 400 N State Parcel Number Legal Description
Patoka IN 47666-9030
I I II III I I 1 1 1 1 1 1 I I r I I ut I te III III 26-04-23-300-000.110-018 010-00110-00 PT S 23-1-11 50.00 AC
rn nr t nr nr n to rr un r C-1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
A
e Addrews(mmnoer and street,city,stain,and ZIP code) - -' - - - - fl Same us property alfdrus -- - -
.Z 0&7 Gtr ye)a ' /1 Td'f A-- Z v26-
Spouse First Middle Last
7//
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as property address
7a I'9 w Vac 7 0/7- 7' t — silo
•
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 Si store Date
PART 4:ADDITIONAL INFORMATION
•