Homestead_Bryant STTTE FOK%wIr•IC/YNI Te:e..SA O(FORM:S-IA
AP MT'ED DT STATE IXMPDnr"(OUTS.Now PEC%RIBm BY nil DEPAMCDir OF LOCAL rixERNMtNt FINANCE PC 6-1.1-224.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and nurried couples are limited to one homestead sandani deduction.As the receipt of this deduction becomes
more beneficial,there is mote incentive than ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
HEA 1344--20119 requires taxpayers who reccixe the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying infrmnatmn necessary to allow county government to better monitor homestead
filings.This infnrmarinn will he kepi conldential and can only he accessed by authorized county officials.The Damannent of
Local Government Finance will use this information to create touts that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Bryant, Christopher P/Monica M
801 F:John ST
Fort Branch IN 47648
2837
Christopher P Bryant
801E John State Parcel Number Legal Description
FORT BRANCH IN 47648-9789
irlttilti,Iilltttittnttititit rlta.11,,lt1t 1.t11 11111111 26-19-18-302-000.380-026/ 011-00380-00 HILLCREST 67PT
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
je r5 To ply rr 1-31-1 afnif
Address(number and street,city,state,and ZIP code) E Same as property address .
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) 1:t '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.
Owner I $jgna re Date /
PART 4:ADDITIONAL INFORMATION
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
Stete Fortn Sd77 (R6 / 4-03)
Presaibed hy Na DepartmeM af Local Govemment Finance
INSTRUCT10N5: See ieverse side /tx filing ins6uctions.
� �
FORM
HC10
-cr..
"1 �
���
YEAR
,-�
I(We) � �� �. / certify that on the 1 st day o�j��f�h, 20
I(We) occupied as our princi al place of residence the following descnbed real property for hich a H mestead Property �CiEdit is hereb �yed:
V
P
�(VJe) owned ❑ Are buying under wntract SON Cp�N1V
, Have a benefidal interest in the enGty that is liable for the property taxes on the property and fhal owns the property or is buying under a wntraU.
If byvg on conVact. Fee Simple awnefs name
Retordefs afice where conVacl is remrdeA
County
Tnmship
Parcelnumber L al sc" on
0/1 -pd�[��- � � �PAop�
N any portion o/ �Ae residen�la� sWCture M the Wnd no� axcaeding one (1) aae
ol lhe property ulilized to protluca income.
��#aG-�9�� �oa-an..s�o-oa�
IRewrd number I Page
�'_�^�ii.-'ri'�'�,^.*'':`.42_--�ti .�-�.�'.+'.i-w�?-T.�-*�-��is��.,r�'-� i�i�w °-.!'.
fown, towns r )
z��
�pe in question:
property ❑ Mobile Homo (I.C. 6f.7-�
surtounds ihat str8cture is used W produce income, describa Na use and portbn
'�m�sr's���_�FO�.r.�'����? ����`:`STANDARD`OEUUCTIONALLOWANCE;;��'��e�d:�.:'��.��s��'�z�'�r���5?'��M�
20 _ Pay 20
Lesser W 1/2 Homestead
ValuaUOn w E35.000 S
Signatura of Auditor " Date signed
S!'i�Y�_�