Homestead_Bratton (2) STATE tOKM•)!roIL/Hnl TPE.• :RFY FORM TS-TA
ArF0.la'En BY SISIE WNW OF VYYANTl.1.n PUM IDED BY no DEPARIY1LVr(WLOCAL rnvtt,nMENT FINANCE IC 41.1"J.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main IN 47670 Individuals and married couple are limited to one homestead standard deduction.As the receipt of this deduction becomes
ill more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1343-22009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recewe the
benefit and to provide additional identifying infonnatwn necessary to allow county government to better monitor homestead
filings.This information will be kept cnnfdemial and can only M accessed by authorized county officials.The Depannicnt 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
Bratton, Rebecca L
— RI 13ox 37
C_vnthiana IN 47612
7157
Rebecca L Bratton
11[0300 S 550 W State Parcel Number Legal Description
Cynthiana IN 47612-8805
t 26-18-32-300-000.166-024 004-00166-00 PT SW 32 311 1.16 AC
\% LII Iltrit11 11111,11tlltttrllltlltlrllrrrlElEtl D-2
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�E4Eec4 C . sly) S"
�Ig Address(number and street.city.state,and ZIP code) - ._ - — - _ - -- - ❑ Same as pmperty adds s— - — '-- —
/03oo s S's'o w cyo7W�, ,s p. #'?6/z
Spouse First Middle last
A'EdiT E. Berttroiti
Mailing Address(Number and street,city,state,and ZIP code) O Same as propeny address
/0300 s v3t7w d Y /w/f -7.4/, g?6/z-
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 Sign c Date
ilk
�t�•,.
e� �` °£ CLAIM FOR HOMESTEAD PROPEFiTY TAX
; ��: CREDIT/STANDARD DEDUCTION
� � State Form Sa73 (F2 / 5-92)
�us
reverse side fc+� (yig in5tiuction5.
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� ,f�'. 7h.�r,�s
ei iniTnR
__�...�{d ^(�(,�� certify ihat on the tst day of March, 79 %
j occupied as our principal place ot residence the' ".� a�escrio,e_ at property for which a Homestead Pmperty Tax Credit is hereby Gaimec
I(We) owned ❑ Are buying under coniract �
Have a beneficial interest in the entiry ihat is liable for the property taxes on ihe pmperty and that owns the property or is buying under a contract.
. � CONTRACTRECORDED .
If buying on contratt, Fee Simple owner's name
Recorder's oHice where comraa is recorded Recortl number Page
COUny
PROPERTY DESCRIPTION
Taxing dis(rict (city, fowq (Ownshrp)
Parcel�mberQ,l/� �O��O Legald�scri��S � 3�- 3- ll I•'�fl (�(�_/
r �� ll
v
II any ponion of the residential stmaure or the land not exceetling one (1) acre ihat immediatety surmunds ihat structure is used �o produce income, tlescribe the use and ponion
ot the pwperty utilized ro produce income.
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
� VALUE VALUE VALUE VALUE
Land not ezceeding 1(one) acre immediately
surrounding residential improvements. (�)
Oiher land (z)
Total land (line 7 plus line 2� (3) �
Dwelling (4)
Residential improvements
Garage (5) �
Other improvemenis (6) �
Total improvements (line 4 through line � (7)
7ota1 value (line 3 p�s line 7) (g)
I hereby certify the above is Irue. Correct, and Signamre oi Assessor Date signed
c^^�olete.
.� :g action - Signature ol Auditor Date signed
19_Pay19_
sser of V2 Homestead
Valuati n or S .
STANDARD DEDUCTION ALLOWANCE
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s,ig^netl
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