Homestead_Powell (3) • STATE FORM 53s.IM-rw't TREASURER FORM"3-IA
AMFM,ED BY STATE WNW OF ACCOUNT 3.9n FRFSAFBW BY mr DEPARTMENT OF Ux:LL GOVERNMENT FINANCE IC 4-13-2:4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,that is more incentive than nu for homestead fraud.Homestead fraud causes higher tar bills for all:therefore.
• HEA 13-14-3009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling.'nlis infnrnutinn will he kept confidential and on only he 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.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Powell, Wyatt Kyle/Joanne L
I t i 73 2I SACII Lane
i,p FORT HRANCII IN 476-48
2990
Wyatt K Powell APR 1 4 2010
7821 S Andee Lane State Parcel Number Le2a1 Description
FORT BRANCH IN 47648-1550
I II I I1 I II I 11 I I I I II i I' r Il /k+� 26-19-197103-001.212-026/SOD THGATE 31
r r '.' r tar a nFur r rrrr r nIIr r tar J
— — — — cIasoM COUNTY AUDITOR
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 j Last
Wyatt- Kyle. Powell
ng Address(number and street,city,state,and ZIP code) d Same as property address
78 2. 1 S Andee Lane Fort Brand, IN 47648
Spouse — First Middle Last
Joanne L Powei 1
Mailing Address(Number and street,city,state,and ZIP code) I_I Sante as property address
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 Signature w Y/ /•^ Pawc Date
CLAIM FOR HOMESTEAD PROPERTY TAX � FORM �R
CREDIT/STANDARD DEDUCTION � HC10
ti w sr� r-«�, srrs rta i so�
rresotad by Me Depertrnent m Lora� Govertvriern F'cianm
INSTRUCTIONS: reverse side i ing instrucfions.
n . .^�S'�3�-�.°,".a�,`'^'f�`,(� � } Si5 � '"4`•'•'' � acsp,� �:: := � .'�niLn�C _. ATION�STAIEMENT %�r`2fn r��'t � u v� �' 4z- �v _. �.:- r � .,..��, �.p
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...� ,.� .,� . �... ,_� t ��>;� � _. _ _ . _. . .�s.._. .,...,e �.:.a�'r--
� �e) ce�' �`��'�iU� ���`darch. 20_
i(We) ocapied as our prind lace of rPSidence the folbwirg described real property for which a Homeslead Property Tac Gedit is hereby daimed:
❑ �(We) owned ❑ 7Me buying unda mntract
a benefidal interest in fhe �6ry that is liable for the property fazes on ihe property and ihat owns fhe
�l� ��
o coU� ���`��`�
Cwnry
7wvnship
I hereby cerliy the a6ove satements are We. cortecl and cortplete.
end s6eet �: sta�.
.S. Q/IdPt �.
Counry