Homestead_Bratcher SLATE FORM fl 'lc i!+nl TREASURER FORM t3-IA
ArrRCIV IMPORTANT NOTICE TO HOMESTEADEP PROPERTY OWNERS
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 h more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
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HEA 134-4-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to creche the
benefit and to provide additional identifying information neR■6ary to allow county government to better monitor homestead
filings This information will be kept confidential and can only he accessed by authorized county officials_The Department of
Local Government Finance will use this infonnation to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Bratcher, Nick R/Natalie M
7942 S Andee LN
FORT BRANCH IN 47648
2985
Nick R Bratcher
7942 S Andee Lane State Parcel Number Legal Description
FORT BRANCH IN 47648-1545
Itlnllnrilllnrinllu lu nllt�rinlnit itinlnlnlr lllnrl 26-19-19-103-001.202-02�SOUTHGATE 16
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
Alf ch4 /Ci /3f44 ,13 fah Act
ong Address(number and street,city,state,and ZIP code) ❑ Same as property address
7q0— S. Aniee Cline PORI- &ranch tM 476,4$
/
Spouse First Middle / [ Last
/t t e? a //G Mae ?r0_/c/I e r
Mailing Address(Number and street,city,state,and ZIP code) El Same as property address
79 92 S. Ansee L'an* FPO/ Brae, u 04,/g
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 �p Date
PART 4:ADDITIONAL INFORMATION
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
sra�e Fom, sers �t� i sa�
Presaibed by the DeparUnenl aF Laml Govemrr�a Fu�ance
INSTRUCT10N5: See ieverse side fir filing ins6ucGons.
. � : �° � �
C1.QJ
JUN 0 S 2007
I(We) �1 ,(�(/L �� � %V (y�(Cld�{^S! �llLa.('lL0 � �%.1HaE�on-�tfieTt�st��y�aF�'I�arch,20_
I(We) oaupied es av prindpal pWce oT residence the fo0owirg desaibed real property tor which a Homes�ad Proprlty Tmc Crt.Wit is hereby daimed:
�� (We) owned ❑ Fve buying unda contract
Have a benefidal 'vderesl in ihe entity ihat is liable far the property fues on the properly and fhal ams the property or is buying under a conhacL
rc wy'c,g on �o-ac1, Fee sirt�le wners iame
Remrde/s ot�e where wwaa u re�ded
'�is,i:i:± ��y €tw, :�-�: *W :.-°.y"�,r%i7'
�?! � :4:�f,d��.n:t3%-,�:4r..^.t?%n..n'_../.2�z
Camh Townstup
f:-Z?'.4T`7
aesc�ptim
nf�+-i -�-� i ��.i or.id{z����n�
rc e�r voroon a u�e residenti� sfichae o�e Im,a �u
d the WcOeM1Y uU(�tl b protluce mmne. Q
�S
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number I Pege
(�h: torn. fa.nsfnD)
- Is ihe paperty m Guestio�.
r1�'- l�p �el poperty � Mabi1B Homa (LC. 61.7-7)
ore (7 ) acre that'unrnetliatey armur� thal ia uaad tc pmC�ce'vmne. tlescribe t�e we end p«tion
��x°i�'�, u'��.° ���'�:�'�.�:�`�'��,R�.���-`sTaroar:n':neoucTion�ia��owa+ce�: '`�`!�,�'��4�u;��`�d��ri�ns�.���b��`.:
20 _ Pay 20 _
Lesser of 12 Home�ead
Valuatian or f35,OD0 S
signa¢ve oflwditar DaU signed
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