Homestead_Bertram • BNIE IO M''HIR:la.m rRrsSULPL FINN TSA
.ArrnwLo BY AUE WIANNI .Mn*FNTS.aue PIGYAIBDBY mr DEPARTMDM IFLLLLLGOWANMITa raC,NCE h'Hl-T4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead ;landanl deduction.As the receipt of this deduction become,
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• REA 1344--7019 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to pnxide additional identifying information necessary to allow county government to better monitor homestead
fling-.This inlhrmnon will he Lep1 confdemial and can only M accessed by authorized roomy nficials.The Depanmenl of
Local Goverment Finance will u-c this information to emir tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Bertram, Bonnie Lee
R I Box 197
Fort Branch IN 47648
7994
Bonnie Lee Bertram
-
7936 S 30 E State Parcel Number Legal Description
Fort Branch IN 47648-8010
II III III I I III II II II I I III 26-19-19-204-001.316-026 007-00060-00 INDIAN HILLS 117
to nrB nru urIIr not n un r ✓/
0-27
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Jennie, .fee- /6ertrann
trig Address(number and iucct,city,state,and ZIP code) - -— — - - - 'Same as prupcny nddnas -- -
--79 36 5 3°E fak-f aan ch viozie
/
Spouse . ..... i First Middle Last
/chae a/a/nt hf in
Mailing Address(Number and Street,city,state,and ZIP code) ® Same as property address
7936 s 3 6E &u± & nc q/6q/
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 Si - c Date
PART 4:ADDITIONAL INFORMATION
al
, CLAIM FOR HOMESTEAD PROPERTY TAX ,
�` n ,� CREDITISTANDARD DEDUCTION ' " ' ' ��
, S�aic Fwm Sa731R6 / 403:. . . ^ . �
Prescn6etl �y ihe Department of Local Govemm�nl Flnanv; � � ' .
INSTRUCTIONS: See revcrse sidc /nr Iiliny'intilnir.(inns � � � � � �
FORM
HC10
YEAR
��e) ��� ~�V` v/%'�� Q���l�GU��r� � ' - certify lhat on the td/� y( anmnhr,. 20
1(We) oaupied as our principal place of residence lhe following described real property (or which a Homestead Property ��eCil � h�k�Hy daimed:
❑ I (We) owned ❑ Fve buying under contract � ' ' ' � �
'� Have a bene5dal interest in ihe en6ty that is liable (or ihe property taxes on Ihe property and that owns Ihe property o���� contrect.
t+;z, c a�_; i� v�:.:�}�.ry -.4 ..h.. vi._. �CONTRACT.�RECORDED.•' �:. ::x.� .
-^A�.��.1ms3�v`'-�i>hz �t.� 4 . xv. c��:,� � �.'.. -<.�-. .
:„
II huying on conUaa. Fee Simple ownefs name .
Remrdefs ofice where contratl is recordetl . Recortl num�er Page
County
I{ any pof,ion W Ihe ruidential str
of the pmpetly uliGzed to produce
�
Tamship
Legal
Tacing dislritl (ciry, rown,
Is the
ot the land nol exceeding me (7) acre Uat immetlia'sly sunounds
Q
�
ques�ion: -
Real property ❑ Mobile Homo (I.C. 67.1-7)
ve is used m produce income, describe Ihe use and portion
fi"�"�.��.-si`�s'?'�;JUrb`si±y.��+.'�'." -'`.i�,:=.�'_PROP.ERTY'OWNEDBYCLAIMANT'lIJ'OTHER"COUNTIES:'�' `'�`"7a'}'9>t�-��,`�,�'*f�'`cvT, . :_�-`..:3:.,'.`�
County � � Tnanship � . � County � To.vnship
I hereby certify the above statements�are W e, corred and complete. Signawre ot claimant
�dreu (numbe� arM sYree( ciry, afate, ZlPCOde) .
20 Pay 20 _ I
lesier of 1/2 Homestead
$
va�uauon w 535.000
JI