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Homestead_Brown (7) • STATE FOR"<{y4'R3 I'-101 IM-cuRGA OEM IS:A APPRmED m.1 VIE SInRO Of J WI NI 21.• fRIaCRuto WI THE P.UI.YE?T OF LOCAL COVFRNLEST M1\i4t ICN.1 -ct Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS: 101 N.Main Street Individuals and married couples are limited to one homestead standard deduction.A. the receipt of this deduction becomes Princeton. IN 47670 more beneficial.there is more incentive than eser for homest©d fraud.homestead fraud causes higher tax bill:for all:therefor.. HF\t and tto04 ovide a taxpa aelm e;w ying ie;he homestead standard deduction to.edfy that they art eligible to receive the h1E 1 and m prrequi addilipaat idcndkice ie the h me teads tan to clew munto erncmnnnt to are gible t r homestead hliw.This information will be kept confidential and can only be accessed by authorized county officials.The Department of Local Government Finance will use this information to crane tools that will help county officials eliminate homestead fraud. . .. PART 1:PROPERTY INFORMATION - - APR 11 2012 Taxpayer Name Location Address C � N Brown, Jason/Julianne 764 W SR 168 GIBSON COUNTY AUDITOR FORT BRANCH IN 47648 2059 II Jason Brown II IEIIITlIII �II I11III DIII_�III ul�lll I VIII-mill II III�II �II�II-I�IIIW II 764 W SR 168 FORT BRANCH IN 47648 State Parcel Number Legal Description 26-18-13-101-001.134-026 PT SW NE 13-3-11 .2708 AC. D-4 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 - er I First Middle Last OASn N LRNIN RRowt Mailing Address(number and street.city,state,and ZIP code) - ,a, Same as property.address • Spouse First Middle Last ■N\NF mAR71. BR_ov.it Mailing Address(Number and street,city,state,_ and ZIP code) Same as property address • 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. Ow is Date & • • • PART 4:ADDITIONAL INFORMATION- CLAIM FOR HOMESTEAD PROPERTY TAX '� " CREDIT/STANDARD DEDUCTION � � Slate Fwm 5473 (RS / 10-01 � �� Prescribed by the Department of local Govemment Finance INSTRUCTIONS: See reverse side /or �ling instrvctions. FORM HC10 YEAR I(We) `� �� certi(y ihat oo tbellst'day p, ��ch, 20_ I(We) occupied as r principal place ot residence following desaibed real property for which a Homestead /Property T�c Credit is hereby daimed: ❑ I (We) owned ❑ Are buying under co ct � �/ � � � � .Have a benefidal interest in ihe enti Mat is liable for the ro e taxes on the ro e and that owns the r�o ��'� � �'� ~�� �Y P P rtY P P rtY .P�PertYjor�sbuymg�u�de�a'wntrad. I( buying on conVacl. Fee Simple owners nama Recorders olfice where contraG is recorAed County Tavnship 7aing disUict (ciry, town. RecoM numDer �Page ber O I I� r/�T I Legal es p�� ,'^ I� �— I I I Is ihe pm rry in questian: \� U A Il �w Real property ❑ MoMle Homo P.0. bf.f-7) n af the residenUal aW cWra w Ne land not excaetling ona (1 � aae Ihat immediatery wrtounds that swcNre is usad b produce income. tlesaibe the use antl portion uy uGl¢ed tn praduce i�ome. . a�os� . Toxnship Couniy I hereby certiry the above sfatements are W e, corteG and complete. Signawre ot ciaimant �� � n �n � �iress number stree�, dty; atate, Z�P code) IR � c�v �-1,�(� I� �.� �Q,^G n� I� T_nti �-1 �C��-I � Twvnship 20 Pay 20 _ I Lesser of 7/2 Homestead Valpgtion or $6,000 $