Homestead_Byers (3) STATE FORM 53t IR_/swl PV.xSU{ER FORM:11A
.Arrrm'EO nY St11E BMROOr ArerEN s_aiv PRESOUZED BY 151E OEPARnxenOF LOCAL°OVERYMFIR FINANCE m VFI--_F.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual.and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than net 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 lecehe the
benefit and to ptmide additional identifying infomntmn necessary to allow county government to better monitor homestead
filings_'Ibis infomation will he kept confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Byers, Craig W/Judy K
104 N Church
Fort Branch IN 47673
2876
Craig W Byers
704 N Church State Parcel Number Leal Description
FORT BRANCH IN 47648-1102
Itlnlintlt��nrinlllrlunllnril�lnnrirllinnit 11lr11r1 26-19-18-303-000.827-026 A11-00827-00 WALTERS ADD 154
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
Owns I First Middle Last
GRA-EG / Imps/ &J K ycRs
ig Address(num and street,city,state,and ZIP code) rr, Same as property address
0 Y /U. G/iaRC g -
Spouse First Middle last
s� �� K yc2.s
Mailing Address(Number and street city,state,and ZIP code) LJ[lame as property address
log IV. Cgu ,ecW
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.
Owneder.....,
n Date
IP
•
CLAIM FOR HOMESTEAD PROPERTY TAX
'- " CREDIT/STANDARD DEDUCTION
��� srate Fam 5a�a (R5 i�aot)
Presaibed by ihe DepartmeM of Lacal Govemment Finance
INSTRUCTIONS: See reverse side /or filing insfrucfions.
FORM
HC70
YEAR
�(we) d� cert�iFiat �th 1 std of t�i, —
1(We) occu ' as our prind p ce ot r e ce e following described real property for which a Homestead Property Tac Credit is hereby daimed
(We)owned ❑ uyingundercontwct �aN 2 � 2003
=Have a benefidal interest in ihe entity Nat is liable (or the property taxes on the property and that owns the�property or is buying�under a contrad.
I( buying m conVap, Fee Simple ownets name •
Recordefs alfice where contrad is remrdeO
County
Tavnship
�� ����} /-OCl I 1,J � G2� R/ 5
H eny portion ol Ne residenUal sWCWre w Me land not axceedinp one (1) aua Nat imme
W Ne propeNy uLl'¢ed tu D�oduce incoma.
County
I�certify the above statements are We, corted and complete.
Addr�ss (num¢ereM stroet, dty, sfate, ZlPCnde)_
County
Is
RecorC number
town,
Pa9e
�yR45rpropsrty LJ Mobile Homa p.C. &f.1•� .
swGUre Is used to produce inmme, desuibe ihe uae and portbn
ofFlaimant
' ����'aY%'3�e�'��=:iti'��Ta.a�dr� �� � `"`t�'`s':xas€'�STANDARU:UE�UCTION'A1101NANCE:���'�'?"'..K`a.x����am.'•�"'v� rm�= a� �; � Ma �
� . ��.. ��,.�`3��t� _.
�
20 _ Pay 20 _
Lesser of 1 f2 Homestead
Valuation or E6,000 $
Signahire of Auditor � . Date signetl