Homestead_Brewer (2) •
STATE FORM 5356C(R3/SAO) TREASURER FORM TS-IA
APPROVED BY Sl AT:BOARD OF ACCOUNTS.2Wt PRESCRIBED BY TIE DEPARTMENT OF MCA].GOVERNMENT FOYA`fl IC 6-L1-224.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals'and married couples are limited-to one homestead standard deduction. As the receipt of this deduction becomes
' Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
HFA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
FILED
benefit This to provide m i additional identifying confidential infmnidl can necessary my b tc allow county government oto fficials.better monitor homestead r nd o
filings.This information will be kept confidential and can only be accessed by authorized county otLaials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
j PART 1: PROPERTY INFORMATION•
MAY 9 2011 Taxpayer Name Location Address
•
C.'J-1+ - ^Brewer, Lisa F
507E Vine
. GIBSONCOUNTY AUDITOR Fort Branch IN 47648
7931 _ _ __ -- --
Lisa F Brewer II.I�III]hi �II I III �II I��111111 11_ 111Il_11�1IIOEfl 111 I I�1II1II l�lll till
507 E Vine
Fort Branch IN 47648-1225 • '
tillIIii lilt IttllItlil 1 11 111111 'I'I'I'll'll'llllI Ilit State Parcel Number Legal Description
26-19-18-303-001.039-026/PT SW 18 3 10.22 AC- `
. 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.
_` o.A. C.AXPAy Lit LN_FQR.MATION
OM __— First Middle _--__.. - Last -
eLlre.AwCl —
Mailing Address(number and street.city.crate,and ZIP code) 1 Same as property address
. So 7 c.s4 Vint S-}ye- #-/FarP Bvan4i( , "J Y7L`f r
Spouse. ,(*�. First` Middle Last
/ /A
' Mailing Address(Number and street,city,state,and ZIP code) - ❑Same as property address
Social Security Number(last 5 digits) Driver's License/State Q)Number.(last 5 digits) Other(please specify in Part 4 below)„
1 - 1 1 . 1 I 11 1 ,1 1 _1__ 1 1- = -
P tRT 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
�
d.��p•4 CLAIM FOR HOMESTEAD PROPERTY TAX FoRM veaR
�;� �� ; CREDIT/STANDARD DEDUCTION �(� Hcio � �'�
> --y
State Form 5473 (R2/1-90) �
,' '°�• �� INSTRUCTIONS: See reverse side for,filing instructions. ,
CERTIFICATION STATEMENT D�/ �/ D� �– � �
I(We) _�� ��np,>��l,u.JC.� certify that on the tst day of March , 19 �
�I (We) occupie o ri�ncip placeL�,f sidence the following described real property for which a Homestead
Property Tax i e�ey�ed'� I(We) owned . ❑ Are buying under contract
�Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it uncler a contract.
-� "�,�
ff buying on contracl.
contract is recorded
Township
CONTRACT RECORDED _
F DESCRIPTION
Record Number � Page
, T, � .
arcel Number Legal Description
�r�- �ii�34-oo e��►►u IS-3-lc�•���
If any portion of the residential structure or. the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe ihe use and,portion of the property utilized to produce income.
PROPERTY OWNEU BY
7ownship
�—
hereby certify.the above siatements are�true. correct and
Address (Street. number. city, siate
IN OTHER COUNTIES
Signature
ASSESSOR USE ONLY, � . TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land noi ezceeding t(one) acre immediately ' -
surrounding residential improvements (�)
Otherland (Z)
Total land - line (1) plus line (2) (3)
Residential improvemenis - � Dwelling (4) � � - '
Garage (5)
Oiher improvements (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
7 989 Pay 1990
� I Lesser of 1/2 Homestead
Valuation or �2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7 991 1991 Pay 7 992 19 _ Pay 19 —
Lesser of 7/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or 51,500 Valuation or 57,500
Auditor ^ y�� Date Sfignes
nn n..n i� )I tl��-81fa. ��"1�—