Homestead_Bond •
Ann IORi wWt.-WI IRFA9.'RtR}ORM IS-:A
SP lm En m-l1E 3MRO OF Mt t a FS ww rRLsCRRIFD nI nu UPARIMLT OF tIX:LLCmFAVU-T L\x4TJC t-:.t.ral
• IMPORTANT NOTICE TO HOMESTEAD:PROPERTY OWNERS,
01 nM If-.- r Individual. and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
fl el N T more beneficial:there is more inecnti.c than ever for homestead fraud.Homestead fraud causes higher tax bill:for all:therefore.
S 11 IIE.\ 1344-2'009 requires taxpmen uho receive the homestead standard deduction to verify that they are eligible to receive the
APR 16 2012 benefit and to provide additional identifying information nceessary to allow county government to better monitor homestead
filings.This information will be kept confidential and east only be aece sed by authorized county officials.The Depanmert of
Local Government Finance will the this information so crane tool: that will help county officials eliminate homestead fraud.
Cain.` PART 1:PROPERTY INFORMATION
v ,v Taxpayer Name Location Address
_ GIBSON COUNTY AUDITOR Bond, Robin B/Lesa A
201 S MAIN ST
FT BRANCH IN 47648
2135
Robin B Bond II�I0iii 0th Ohl I III 0111hi01111111111011011_ii:1110111011_ II Billli010111 II
201 S Main
FORT BRANCH IN 47648-1311
IIIIIIIIIIIIIII1I1t'tld lull111111111111l 1111rt111111111111Et111 State Parcel Number Legal Description
26-18-13-404-000.567-026 OLD PLAN 7PT/268PT/269
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,
Y• • II .I • 1"
Cr_ I First Middle Last
i e 5 G 1/'z7 gang
Mailing Address(number and street,city.state,and ZIP code) [me as property address
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)
I I I I I See
. 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 ignature Date
-
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
SYato Form 5/73 (R6I403)
RexMbed by the OepeMront d Loml Govemrtront Finarroe
INSTRUC710NS: See re`szss alde I6r IHrp inebuc8oro.
FORM
HC10
���
�
YEAR
� lwe) �l E/�'l_. UI.C,D/4� � J t N nn�
� cer8ty that on the 1st day ot Ma�r�`2&!
i
I(We) occupied as our prindpal place oi residence Ihe following described real property for which a Homestead Property T�c ���t is herebyy daimed:
�(We) owned ❑ Me buying under contract �'6�+�y
, Have a benefidal interest in Ihe entity that is liable for the property taxes on ihe property and that owns ihe property'orss�tiu�r�gf��ridef a'(,w��rac�
If buying om m�VaU, Fee Simple owners name
Retarders afice whera conVad is recorded
Couniy
Parcel number
Tu,mshiv
Legal
H any poAion of Ihe residential sWCWre w tl�e Wnd nol e�eeEing one (1) aae
o( Ne properry util¢ed tn produce irKOme. J/ O�
`�t �� o
Record number
Tating AisVicl
tha
Page
� � �LWtoal Droperty U Mobiie Hwno (I.G 61.1-n
imetliatey wrrounds ihat swcwre is used b produce income, desuibe the use and portion
a� q
�i'=� �"�"F�-'�*���'� ��y'� 'TRUET�� AS8ESSEDVALUE �HOlAESTEAD� '` NON-FtESIOENTIAL �
F-�}4�,`�ASSESSOR�USE ONL'Y��`�`�x+�}S � S ,+j,VALUE�"-s�+,"�� /1T.�700%'OFTN �,.�''fVALUE�y� ��a�b��VALUE�;y-✓$'+� � �. x.
a...4.b1?'!"r;rt'�i'�e:..^5'�'�'R_�.3�1?._^�....�2�,ef _._ �vr . :E....�..,W.�.-.&.a. ,� •. 2
Land not exceeding 1(one) aae immediatety �' � j s�'3,�Y`y.'�.�"r"� 3�'�-+,�K��xy��{
suvounding residentlal improvemenls. 't. ��;� F��,�r-�:�'
Other land �` � K Y
�� . � ,1t,
. i2) "r:�i�`�i;:-���� �
:..hr.._.� ia:
Tdal land (line 1 plus line 2) - (g�
�-� ;
.� "`�i'.- ,i. ('rID Y It7°�s.'xr a:
Dwelling (4) ��`�'�a.�``�d...Y'��a�iz�:' 'it;.. ��
�Residential improvementa a MnuaOy
Asaes�d MobOe I Manufactued Home Garage (5) ���".��,�- � ` � � � �z
��" -
>..�a
Other improvements (6) � �{��'`��
c Y ..4`�1..�i3:r
Tdal improvements (line 4 fhrough line 6) (��
Tdal value (line 3 pl�s line n (g�
I hereby Certify �he above IS We, corred, and Signature otASSessor Date signed
comptete.
Verily'vig action - SignaNre of Auditor Date signed
��:a�',�.-��'�-,�.��_-':`.k�.t ,�" �.�i?�t��`�'�`'^.�`".2'��s.'�9�1'�.-ilSTANDARU;OEDUCTION'ALL'OWANCEYS-e�'�:?i'c�"1t���'<�f-"`N�y��``'`fw�`��.�'°.�.aYicYe�.a—°'�-
20_Pay20_
Le>ser of 1/2 Homestead
Veuauon or 535.000 S
Signature of Audilw � Date signed