Homestead_Anderson (2) STALE FORM.)M,R'r S•ln TREASURER FORM MIA
APPROVE IMPORTANT NOTICE TO HOMESTEADEP PROPERTY GOVERNSTST FINANCE
Gibson County Auditor
101 N Main
PRINCETON IN 47670 IndividuaLs and married couple:are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ester 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
ftlin•g.This information will he kept confidential and can only be accessed by authorized county officials.The Depanntent of
Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Propertv Address
Anderson, Ryan M
103 N Church
Fort Branch IN 47648
2534
Ryan M Anderson
103 N Church
State Parcel Number Lesal Description
FORT BRANCH IN 47648-1101
Ir loll err ltll tttlrtllt tltttt llt ttllll 1111 11.11.1.1 26-18-13-404-000.134-026 011-00134-00 OLD PLAN 32PT
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: TAXPAYERINFORMATION
-
Owner I First Middle Last
Ong A dress(number and street city,state,and ZIP code) as property address
Spouse First Middle Last
�011610-1)1 Iva d-eirkir,
Mailing Address(Number and Street,city,stale,and ZIP code) 'Same as property address
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
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slsta Farm 5473 (R6 / 4-03)
Presaibed by Me DepertrneM d Loral Govemmmrt Fina�e
INSTRUCTiONS: See ie�eroe aide b tSp iuEructiont
FORM
V� YEAR
�HC10 �
�� �
OCT 1 7 2005
�(We) ��� �� �"�� certfy that on the'}'sl day of�March, 20_
I(We) occupied as our prin i I place of residence the (ollowing described real property for which a Homestead�Propeit�Tai-C'�edit f's�treieb^j�daimed:
❑ I(VJe) owned !ve buying under conlracf
` Have a benefidal interest in the entity that is liable for fhe property taxes on the property and that owns lhe property or is buying under a wntract.
116uyinq on conVad, Fee Simple owners name
Remrders ofice where conVad is recordetl
If any
of the
Twmship
13�t-O� I`�
esidenllal sWcWre w the land not
d � Waduce i�ome.
one (1) aae that
Tsing Cistric� (ciry, fown, townshiP)
Is the
a�ely wrtounds
Retord numCer � Page
question:
Rea� D�aPeM ❑ lAobila Homo (I.C. 67.7-n
ire is used to produce income, desttibe the use anC portian
20 _ Pay 20 _ I
Lesser of 12 Homestead §
VewaUOn or 535.000