Homestead_Braden •
TREE FORM 53!•411t2(WO TREASURER IORM ET TA
AeeRO.'FD nY CT,OE Mx\Rnm.NYt4\ia.br PRE9(MIBm BY nn DEPARTMENT OF LOGM.GOVERNMENT rp:ASCEn"IRI.I-CA.I
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 ever for homestead baud.Homestead fraud causes higher tat bills for all:therefore.
® HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying inforinanon neces ry to allow county government to better monitor homestead
filings This information will be kept confidential and can only be acrex¢d by authorized county officials.The Depanmem of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Braden, Micah D/Johnna E
908 Mohawk Dr
Fort Branch IN 47648
2802
Micah D Braden
908 Mohawk Dr State Parcel Number Legal Description
FORT BRANCH IN 47648-9508
II III I II III ' III I III I I III 26-19-18-101-001.172-026 LITTLE YORK VILLAGE PHASE II LOT 11
In utt ntn uttntlt ntut ntnnu D-27
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
"NA 1C k 17 . �jr<tic� 2�1
tg Address(number and street,city,state,and ZIP code) III-Same as properly address
Hog Wiohat.k fir- F-1 - (c=ACC\ k) Lkugg
Spouse !_ First Middle Last
Johnny E. . &ccc{e.n
Mailing Address(Number and street,city,stale,and ZIP code) [Same as property address
50 nnohrA_..ilL br. F}. ranch 1/4 1 I \ (4- ell
PART 3:CERTIFICATION _ ----_--- -�—��Each undersigned 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 t property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she{may be liable for back to and substantial financial penalties.
Owner 1 Sign /re I1 Date
•
CLAIM FOR HOMESTEAD PROPERTYTAX �
CREDIT/STANDARD DEDUCTION
ti smte Fortn 5/73 (R7 � 5�06)
Praernbed by iha Deperbnant of Loml Go+ertunerd Fuiance
" INSTRUCTiONS: See ieverse side /w filing instructions.
FORM
HC70
FT�,�
�
� �e) �' y I � `���� , �15I.�.�f/��„ �e� � �Y,� �y ���a,, zo_
I(We) ocwpied as av p ndpal place M residence ihe fo described real pmperty fw which a Homestead Prope[ry,r�Tmc Credt is hereby deimed:
,—' � twe) owr,ee ❑ xa b�yNy �oaer m,vaa �;�q�� `�.(� '� �
iave a benefidal m0a2st in fhe entity Nat is liade for the property tazes on ihe property and fhat ams the propeny�r(�etll�Tii§ AAt@YE0lontract
tt Evyeg om m�treG, Fee Sirt�la wrtiefs name
1_L1�:2:. �1L.G: JL-1- !�_L[: C � liy_V:!.
Tamstdp
��
Tm�g disUicl (cify,
Is tlie
Re(ard number � Page
- U f- d-ib�b awam L1 Moa�e r�� p.c. �i. �•�
It a1ry paGon d �he residerdial s6�w9rte u tlre lard nol mcceeding ore (1) thal'vnrtiedafely artauMs U¢t strWUre is used tn Prod�ce'v�e. describe the �ae ard porUOn
d Ihe WopaM1Y uli6mA M pioduce mmme.
a�-I� - 1�6 -lol . oo i. I�a-6a�
�� �•t.�"��'`��.:"�*�.'`l�u�:";;��t7).,.,.L? .,�5�#r?sP.ROPERT.Y� OWNEU'��BY. CLAIMANTqIN �OTHER �COUNTIE§?�i`<.�3uh i��. s-.i'Y'." 1��Va',�.�t;'�?'f�; ��`n a�a�.."�"�`�e s,a;�;t�
Counry Twvnship Counly Twvnship
� nereny cerery n�e abwe sha�rr�ents me we. c«rec� arw corr�{�lete. �e"i tl'� l�` �c_.0 _ n! _
d�jk�$�� n+'�+r�.S+:'�k'+�+Pz+,�}�+'�Tf�.sst3+�.��„„a�f" �',�x,y"i - r�tTRUE�TA7C�'k`+5F �'ASSESSm V/1LLUE £''HOMESTFIID ( �,� NON-RESIDENTIALu4t.,�' `
s�����AS5ES50RU5E�ONLY%$t-o4' ��F�* s�«VALUE �'' � AT�t00XOFTTV t�AC .�VALUEf''+'sy T h�,,trz,s�VALUE,� j'�." �
"ii5x:. w � �-._c"�;S � d t',x.: .,,s�3� ,�'.,.cn_t� . u : ��?3?'�y-.. r.��.�.:. „z _,:e .� ..r. ,�'r �.i � . .,. ..x.a.. . h.��s�^.: � , .m�
Land not exceed'ing 1 (one) aae imnediatety � ;#"y�' >�,(RS �. _ ..,fr ��.a s�'i-: � y � `
be �3°i i�'�'t1+h �K@'3e��1'L'�. ` �
surtound'agresidentialimprovert�ents. ��) n�an�P',7�?'�ro,'�_`'�twhr,���'^-n�..av
�y�" �. �"'�4`'��e�'
Olhmland i2) ,C��ri�� �'�n�:,t: '
Tdel la� (lirre 1 plus fine � -- � — .,_. - - - - - � - -
. �M �y r/.y T!��� �#' r'4`�i� � i����s
Resdentialimprovertientsor0 Dra��•cr NO�SLit/./.�'.�.1•(� .�-,��.��'.�`;�> ����-.'i�`���
pv45ES5Ed MOG�B � M2fN�JR �,{%� +i.t�. sn a3 YySe f'�:.
� �i" (� ,���,1 Ift�>'�:+y��,�:E
�.� 5��1� l � wT3
=;��It .t�\V4nt;'.��.Ctd' �:� ���f�.S'
Cat'(� ��.• ..................... ���L� '�2�`,�i
Otha improve�rients {��'`'��:
. -v�S�kb. . m. �1
raa� �PrweR,erro �rvre a m� . . •
Tatal value (line 3 pGs Gne n (g�
I hereby ceAify tAe above is true. cared, ard SgnaWre of Assessar Date aigned
complate.
�M�6 amon - Sigimnae ot Audimr Date eigned
ZO _ Pay 20 _
Lesser of 12 Homestead
Valuatim or 535,000
5