Homestead_Broshears SlAUE FORM stn.lR I fwd mFASURER FORM 75-IA
VPRQ'm fly STATE RMRO IKM'IXR'.ia.!nw PRINCRIBED BY THE(EPAR/VE.0'F LOCAL CMnRW,FnT FINANCE R VI.1-24.1
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 or this deduction becomes
Q_ more beneficial.there is more incentive than escr for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
® HEA 1341-2009 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information nemsary to allow county government to better monitor homestead
filings.This information will be kepi confidential and can only he accessed by authorised county officials.The Department of
_- Local Government finance will use this information to create owls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Broshears, Rodney/Jo Ann
Broshears
R3 13ox 309`
sat 47639
10870
Rodney Van/Jo Ann Broshears
492E 1200 S State Parcel Number Legal Description
HaubstadlIN 47639-8815
�r�rr��nt�t��nn��t�t�It�ui�t�n�nu��r�r�r�t�un�r��u�t� 26-23-07-400-000.177-024 004-00177-00 PT E SE 7410 1 A
D-9
X
Spouse First Middle /� n Last
JO itV� 6rbSh.CQ ✓J'
Mailing Address(Number and street,city,state,and ZIP code) as property address
yqa C taco r4sEacQt 3x1 y -2 (37
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.
•
POPM HC 10 7979
PiescribeE By State BW�tl al ia. Commissioners
CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 192`�
To Be Filen in Duplicate
SEE BACK FO FI G INSTRUCTIONS �
� �G
�,(We) � certify that on the tst day of
�harch, 19_� �, I, (We) I place of residence the followin described real property for
which a Homestead Property Tax Credit is hereby being claimed:
1 / �3-07- d-�6d/7�-�S�
I, (We) lYJ owned
❑ are buying under contract 4 D� �"' Q �/ 7�'" Qd
❑ have a beneficial interest i th`C�er
Property Description in y County Township
Taxing District (Gii� �ewn, Township): �-.a-�
Parcel Number � � � �". � � or legal description shown on tax statement:
Pt L-"a S� v 7' `/' /o /o-�,..�
If buying Ofl contract Owners name ��ee simpie ownep
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
� hereby certify the above statement is true, correct and complete.
� �C�� �e.e� z3„���-
% , �,�� ,�i�3�y
'Stgnature Sveet noeress .
Counry
Township
Ci:y. Scaie and Lp Cooe
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
� � � � . True Cash Assessed
Value Valuation
Land not exceeding _(on� acre immediately
surrounding residential improvement$ -, - (� ) .S a a / 7 0
Other Land •!��� ?' 1 �Qf� (2) — —
Total Land
Residential Improvem� �
�
Other Improvements
��welling
A
Garaqe
Total
Improvements - Line (6) plus (7) equals (8)
qy ceriify the above is true. correct. and complete. ,
Sigiam� ot Assessor
U
Approved:—
(3) .S o 0
(4) `�� /b
(s) �7/0
cs� i a .s'a o
(7 � �? !o n n
(8) /.� /�70
��.P■:��.�.�.�
0
Homestead
Valuation
�
�
�S-a/- 7
Da�e
Date: —��/- 7 9