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Homestead_Briody MATE FORM!Me.OC!-' 1➢FASn[IA FORM 79-IA
• a IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 1_a
'Gibson County Auditor
7. 101 N Main
PRINCETON IN 47670 Individuals and married couple are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever far homestead fraud_homestead fraud causes higher tax bilk for all:therefore.
HEA 1344-2009 require taxpayers who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifvine infomation necessary to allow county government to better monitor homestead
filings.this information will he kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance Mill use this information to create tools that will help county official,eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Briody, Gary A/ Barbara J
1(2 13ox 153 B
Ilauhsmdt IN 47639
3514
Gary A/Barbara J Briody
R2 Box 153 B State Parcel Number Legal Description
Haubstadt IN 47639-7966
26-23-16-400-001.875-024 004-01875-00 COUNTRY AYRE ESTATES
I t ll ire t ll t t llr I r t 11r s ll r 11 r 11 F r���
3 D-9
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
mar A ' $ r(Opy
Mg Address(number and street,city,state,and ZIP code) // �95me as property address
/41 k ,r
E. GJArre1on..� led 4 6sffadi 17/763�1
Spouse Firs[ Middle Last
rbar i J r r %ody
Mailing Address(Number and street,city,state,and ZIP code) RSmne as property address
i /4-/g. E 11)0frenion3 Rd %u6s-Mcli J7J
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.
Owne I Signature Date
;�� sr„e .
�: CREDIT/STA DARDTD DUCT ON RTY TAX
r State Form 5473 (R2 / S92)
,e
INSTRUCTIONS: See ieverse side for liling instrucfions.
FORM
HC10
YEAR
Tr• T -_.�,,..,�
CER ICATION STATEMENT � �' -u [� '
' � J���L.��W yt+�
I(VJe) certify that on the 1 st day of March, 19_
1(We) occupied as our pri ci al place oF residence the following de ed real property for wh a Homestead PropeLiyL7y C1redit ��qby daimed:
1 �
❑ I(We) owned ❑ Are buying under contract �
❑ Have a beneficial interest in the entity that is liable for the property taues on the properry and that owns the operry or` buying�der a co tr E
' �-�r,,i�`"�,
' Ot cn � . ,
� CONTRACTRECORDED '" � ���� � �� "
It buyinq on conVact Fee Simple owners name
Recorders oKCe where contwct is recorded - - Recortl number Page
PROPERTY DESCRIPTION
Counry Township Ta�cing district (ciry, town, township)
Parcel num�er — �� � Legal tlescription n 1
S� � �
S- c�.-i
It arry portion of Ne residential structure or the land not exceeding one (1) acre thai immetli .e surtounds at sVUC[ure is used to pmduce income, describe the use aM portion of
the prope�ty uliiized to protluce income.
-�3 - - o - Cn . � S- ��
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Couniy Township Counry Township
Si t e of claimant
ereby certify ihe above statemenis are true, correct and complete. �
Ad ess (number antl stree(, ciry, stafe, ZIP coOeJ
R� 1 $ A� 6s'rz�ar U 4i b
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediatety �� �
sunounding residential improvements.
Otherland (2)
Total land (line 7 plus line 2) (3)
Dwelling (4) .
Residential improvements
Garage (5)
Other improvements (6) . I
Total improvements (line 4 fhrough line 6) (7)
Total value (line 3 plus line 7) (B)
I hereby Certify ihe above is true, cortect, and Sgnawre ot Assesor Date signed
complete.
Verifying acfion - Signature of Auditor Date signed
• STANDARD DEDUCTION ALLOWANCE
' 79_ Pay 19 _
Lesser of 1/2 Homestead e�
Valuation or 52,000
Signature ol Auditw Date signetl•I •^' Q7
� ` / � f