Homestead_Drennan STATE FORM!MIA cR_f J) TREASURER FORM CIA
.APPRFT'ED BY'TATE WARD HE MRRlNTS.by PRISRnIEn BY THE DEP.MTMNT(FLOCAL novELNMLA'T FINANCE IC€1.1r-RI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead aandaN deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher lax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to troche the
benefit and to provide additional identifying information necessary to allow roomy government to better monitor homestead
filings.This information will be kept confidential and can only he arcecsed by authorized county officials.The Depannent of
Local Government finance will use this information to create tools That will help county officials eliminate homestead fraud.
PART 1: PROPERTY E\FORMATION
Taxpayer Name Property Address
Drennan, Nelson/Nadine
i - Olen ST
FORT BRANCH IN 47648
937
Nadine Drennan
1207 S Walters S
t/
State Parcel Number Legal Description
26-16-13-402-000.489-026 011-00489-00 WALLACE B
FRENCH FORT BRANCH IN 4764 87_1536
{t I II t r ItII t II nI un IIiI nI n II n II it t t III t I 290PT
, u
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
/VS 150y\ Robe14-- Ore IAnah
lg Address(number end street,city,slate,endZlP code) - - - - ❑ Scone m prupeny uddrus -- --— `-
2_07 SowrVt VJ li'8c5
Spouse First Middle - Last
K'liv vd1y Ann pCemma91
Mailing Address(NunSber and street.city,state,and ZIP code) ❑ Same as property address
2-0-7 S . Wad+ells
• 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
unlawfidlly,he or she may be liable for back taxes and substantial financial penalties.
Owner 1 Signature Date
•
Q�y....�c
� t CLAIM FOR HOMESTEAD PROPERT.Y TAX
' � CREDIT/STANDARD DEDUCTION
t , SWte Fwm 5473 (RS / 70-Ot)
���� Prescribed by the Department o( Local Govemment Finance
INSTRUCTIONS: See reverse side !or /iling instructions.
FORM
HC10
YEAR '
I
�;;:` � x = � - _ � � � CERTIFICA710N STAIEMENT'-�. � "' "�'�J "^ � " � ' �
I(VJe) • cert��t up the 45[O�ay of March, 20_
I(VJe) occupied as our principal place of residence lhe following described real property for which a Homestead Property T�i Credit i er daimed:
❑ I(We) owned ❑ Are buying under wntract �//[��,� �(�q
� Have a benefidal interest in the entity that is liable for the property taxes on the property and that q�4�5�fi���' oGisWip4'� lmder a contract.
/� GIB "
I( buying on contracl, Fee Simple owners name
Recordefs olfice where contracl is recarded
Caunty
V'�� �J
If any portion of
ot the properry i
To.vnship
sWClure w Ne Wnd not
ice inwme.
one
Rewrd number
Page
ESCRIP,TION.':.: _,": `, 2 'o-,� -� ±�'c> � - .
Tacing tlislrict (ciry, fawn, township)
� Is the property in questian:
❑ Real OropeRy ❑ �+7obilo Momo (/.C. 67.1-7)
jalely surmunds t�al swUUre is used lo produce income, desui6e Ne use and portion
��� ��'"•�� '� "'�� � '� '�� TRUE-TAX � �� �ASSESSED.VALUE -HOMESTEAD °�', �� NON RESIDENTIAL'� �'s ��
��� ,d�� ASSESSOR�15EtONLY x �:�..J� a ':F t r VALUE� � ��AT 700°/ OF�ITV ' VALUE �, ` �t � ` �_-�.'VALUE�m: �Fi'�`•.`
�}
- ' _: . . -.. . �... � .= Yr� � �..._; �..�,
Land not exceeding 1(one) acre immediately � _ �; �� .� � ��� _.
surrounding residentlal improvements. � � ' � `r,� `� � � =-;i;� �,, ^
.:.a— �s�?"r:�t.: �
.iF!.� ��4'j4;���y���
Otherland (2) --;�f,;:_' , _�
'. ri.; ' -
Tatal land (line 1 plus line 2) (3)
:� 9 r�b.�s.i 1 "-•3�:
4� r
Dwelling (4) ��"' ° f'�# „a�r � �,?�� ��:.
Residential improvemenLs s�� $ ������ �� ..,
Gara e �� "� v�- �`- �, i�-'.� ��
9 (5) 4: � t..i�:.r-:�..�r-3!�.. i+3
Otherim rovements 6 - `����� � .�`i' �
P ( ) = �.:�.:,'�.'=;
i;a .:�;i
Total improvemenLS (line 4 through line 6) (7)
Taal value (line 3 plus line n (8)
I hereby tertify Ihe above i5 We, correct, and Signature ofnssessar Date signed
compiete.
Vairying action - Synature oflwditor Date siqned
20_Pay20_
Lesser of 12 Homestead
ValuaGon or 56,000
Signatura of Aud"nor
S