Homestead_Bright STATE100.M nMai '/furl TREASUXOI FORM 73-IA
APPRMED BY Mill.On...ROOF IMPORTANT?NOTICE TO HOMESTEADrPROPE-RTY OWNERS a
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 is more incentive than ever for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
44
HEA 13 -2W9 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifyin_ nformaton necessary to allow county government to better monitor homestead
J J filinfs.Ibis information will he kept confidential and can only be.accessed by authorized county officials.The Department of
Local Goverment Finance will uw,this information to create tools that will help county officials eliminate homestead fraud.
J �J PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
APR 0 7 2010 Bright, Graham C/
Box
� /621 R.r. 1ox 165
Fon Branch IN 47648 =\�
GIBS9wOUNTY AUDITOR Icy` •
Graham C/ Bright
442E 780 S State Parcel Number Lezal Description
Fort Branch IN 47648-8006
26-19-19-204-001.284-026 02 90-00 INDIAN HILLS 42
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
- nr1kAm C' '3m L &
ng Address(number and street.city,state,and ZIP code) - - - -- - D.Same as property oddress - - ----
(IXE 7303 a hrR ,oe■, // -L 6
—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 elieible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claimine additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
O w n e r I Signal a Date
�
.+• ^,"aa
ea "" E CLAIM FOR HOMESTEAD PROPERTY TAX
}��: CREDIT/STANDARD DEDUCTION
�,��� S;a;e Fortn Sa73 (R2! 5-92)
iso
INSTRUCTIONS: See reve�se side Ior filing instructions.
FORM - YEAR
HC10 3
�d' �`^-ndJJ l� \`
wing described real operty tor which a Homestead Properry Tax Credit is hereby Gaimed:
� I(We) owned ❑ Are buying under contract �. , .
❑ Have a beneficial interest in the entity ihat is liable for ihe property taxes on ihe property and that owns ihe pro�prtV or is buying under a contract.
If buying on contracC Fee Simple owner's name
iiecorder's oHice where contract is recorded
Counry TownShip
Parc n pa� Legal description
/
It any portion of the residential structure or the IarM not exceeding one
of ihe property utilized to produce income.
CONTRACTRECORDED
MAY 1 0 tg9'
ord number Page
�. � .5
PROPERTY DESCRIPTION � �
Tazing distnct (ciry, o , fownsAip)
� . �
acre that immediatety sunounds hat strucmre is usetl to produce income, descnbe ihe use and portion
-i9 � 9-�� � t�� a�� �a�
PROPERTY OWNED 8Y CLAIMANT IN OTHER COUNTIES
Townshio Counry
I h� �ertify the above siatements are irue, correa and complete. �/ I Signac�
Address ;(n�u`mber and sveeC pry, sfa�tye, ZlP mde) � (�/� �{ '/ y�
�U // "-�./- l �� T� �vW'n-cJ� di�r� `T ^i, ii u u
�
ASSESSOR USE ONLY , TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL
VALUE. VALUE VALUE � VAWE
Land not exceeding 7(one] acre immediately
surrounding residential improvemenis. (�) � �
Otherland (p) �
Total land (line 1 plus line 2� (3) .
Dwelling (4)
Residential improvements
Garage (5) -
Other improvemenis (6) �
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
bhereby Certify ihe above is Irue, CorreCl, and Signamre of Assessor Date signed
co' mple "�1
Verib ;Signature ot Auditor Date signed
19_Pay19_
Lesser of 1/2 Homesiead
Valuation or 52,000
DEDUCTION ALLOWANCE
, �` �
S