Homestead_Browning STATE FORM 53569(R313-10) TREASURER FORM TS-IA
APPROVED B`.STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-22-8.1
IMPORTANT NOTICE TO HOMESTEAD PROPERTY-OWNERS ° x-'
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, HEA 1344-2009 requires taxpayers who receive the homestead
standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying
information necessary to allow county government to better monitor homestead filings. 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 create tools that will help county officials eliminate
homestead fraud.
77pu - - PARTI PROPERTY INFORMATION t '-i- ^ lea=#x;r_
iaapaser Name Property Addreu State Parcel Number Legal Description:
Timothy M Browning 501 E PARK ST 26-19-18-301-000.632-026 HILLCREST 8
Ff BRANCH IN 47648 t1p 1 1
Complete and return to: Ig�i1I�N4lrili 'uuual1tlwi lit i7u91T1 WlLl' t111 trami
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
- PART 2: TAXPAYER INFORMATION ;a' Yrihv b ';;*ft
Owner 1 First Middle Last AI
•
t
Mailing Address(number and sir L ciy,state and ZIP code) pi Same as property address
P Attic_ ST FT ea RA-4,5 Cu i .) Li to y
Spouse First Middle Last
Se,Ong, L .jnn Brotunrtrl
Maim]Address(number and street.ay,state and ZIP code) I VT Same as property address
soy E FARk s-r F i gEA-A? e,H iti • `f 7te �!1
•
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.
Owlet 1 Signature Date
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•
NOV $ 201Z
GIBSON COUNTY AUDITOR
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
Ststa Form 5473 (R614-03)
Presuibed by Ne Department of Loral Gwemment Finance
INSTRUCTfONS: See reverse side for filing inshuctions.
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FORM YEAR _
-HC
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I(We) � � � l% ~ certify that on tpern,'Ist� � arc , 20
I(We) occupied as our principal place of residence ollo 'ng suibed real property for which a Homestead PrC�o�ertJN�vv�v�l�s,h�rehy�claqned:
S
� I(VJe) owned ❑ Are buying under cont
, Have a benefidal interest in Ihe entlty that is liable (or the property taxes on the property and that owns the property or is buying under a contract.
If 6uy'vig om m�trad. Fee Simple ownefs name
Recorders olfice where contraU is
roxnvup
Eistrict
Is Ihe
N any poNOn of Ue residenUal sW cWre or tha IanA not exceedinp one (1 j aae that immetliatety surtounds
ot Ihe propeAy uLlized b produce incoma.
i'Qr�.O� c�G-�9- �8 3oi ,zo. G� o�G
Record numDer � Page
9� P�operty ❑ Mobile Homo (I.C. 6f.7-�
is used b produce income, describe Ne use and ponion
20 _ Pay 20 _ I
Lesserof 1/2 Homestead S
vawauon w 535.000