Homestead_Brown •
'I IT FORM !!t IR:e`MI ttt•SIILER FORA 11a
.SrractED BYS•II.ED•tOOf nrv'x:.ns.9v PAFAIUBH BY Tiff DE/ inwr OF LOCAL DOVER SIFAT FINANCE IC•
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify That they are eligible to teethe the
benefit and to provide additional identifying information 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 Depanment of
Local Government Finance will use this information to create tools that will help eomty officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Brown, Jason F/Roberta A
R 2 Box 187a j
•
Haubstadt IN 47639
3443
Jason F Brown
R2 Box 187 A State Parcel Number Legal Description
HAUBSTADT IN 47639-8031
Illttllrttllllttttlltlllitlrtllll Ilrtttlllttlllattlllrtll 26-23-08-200-000.176-024 004-00176-00 PT NW NE 8410 .980 AC
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
Sa501 Faire /'/ Sroc
-tg Address(number and street,city,state,and ZIP code) I Same as property address
/( 7 E. 510 e "c90_,(71 C gQU b 5 4 oft r y 7639
Spouse pp First Middle Last
/tObe( f4 /�f; !J (cull
Mailing Address(Number and street city,state,and ZIP code) Q Same as property address
/ l 9 61 S¢Oite 4osd c b' u sic?el t, i✓ "/7637
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
unlawfidly,he or she may be liable for back taxes and substantial financial penalties.
Owner attire Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDR/STANDARD DEDUCTION
Slata Fam S173 (R6 / 4-03)
PreaWbed by Me Departrrierrt d Lxel Govemrtbnt Finance
� iNSrnucnoNS: s� �ew+a. rdo a.rarq �mu�
` FORM YE
�� � HC1r� � Q
1�� �1J
NOV 2 3 2005
I(We) .L� � U (,(� /LJ certl{y��het on the 1st da'y of March, 20_
I(We) occupi s our prindpal place of residence the following described real property for which a HomesleadRroperry�Tac�Ciedit is h reby daimed:
� I(We) o ed ❑ Are buying under contracf
, Have a benefidal interesl in the entity thal is liable for the property taxes on the pmperry and that owns the property or is buying under a wntract.
If buying on conirad. Fee Simple owners nama
Counry
County
ofice where conVad is remrded
7amship
C.�i/ "/(O c-C J IT"7 7��j �-
o/ the residential sW cture w Me lantl not axceeding o�e (1) aae ihat
y ulilaed tn produce incame.
�OS:J"FJO'
�`�-�<�-�����P, R
To.vnship
I hereby certify the above statements are We, correct and complete.
�Qress (number aM street cd}; sfafe, ZIP cade) ,, � � �
IRecord number I Page
ESCRIPTION�3�:,�'�j;��s,'��`'`w�iS�[7.,,�,- `�'-.����-`,-.°`�� '�w'���,r€' c--�
Tating district (�ry, fown, (ownship)
Is Ne OroceM inqueslion:
y surtounds Nat
�
County
Real property U blebile Homo (I.C. 6/.7-� .
ire is used to produce inmme, tlesaibe Me use antl portion
7' -T�� t ,..z-°,'.-"..�`��k '..i�.3 °F21- � L�.s" - v 5� � -<- r.. �+c� �
s
��� �A�_.SSESSOR�USEUNLYr�'c}i �UE;TA7C�t���3ASSESSE�VALUE�HOMESTEAD NON�2ESt�ENTIAL �
�:c;""`� .�, -�c.y,.�g�.� �-„r - �.�.�+�V_ALUE��,`�� ,ATq700%,OF�TTV� �'�,=_.,,VALUE,� ���,'o;�VALUE�rt�s���
Land nol exceeding 1(one) acre immediatety E� -�*�':"�53y�,�'x"' ��
surroundingresidentialimprovements. ��� �'',-.,,�''�"�r_��Y'x'����=Pc
' tS_. > �: �s. :�^
s.
Other land ��`�� � ��` ��
2 �'r«.�.:._ __:�x
� � �!'_:v�.,h�ih?��
Tdal land (line 1 plus line 2) (3)
l��� -[ � c 4� xr� 5 s���Zif �_t
� �Y` aKaJ. CA���
VWe��vi9 (4� 4 � ��Y.-
�ResiOentlal improvemenffi a MnuaOy , ��'� ��
M9esved hbb0e / ManufecNred Hame Garage (5) � � _ � �'� ��'`� �i
<'-.
�� �'x�^� _ �m,�C__�+�.�:
���" s f
Other improvements (6) ��'��"�' - �. ^��
�_w ��
TUai improvements (line 4 through line 6) (��
�1 value (line 3 phs line � (g�
I hereby teAify the above is We, corred, and ' SignaWre ofAssessor Date sgned
complele.
Verifying adion - Signature of PLAimr Date signed
.
� .`"���,"'�.�'�.��"�'����'�����:STANDARD:OEUUCTIONAL'LDWAIJCE�i%+'�;��r3�������.��,��.�..�-�^�;:
20 _ Pay 20
� Lesser of 12 Homestead
ValuaUOn or f35.000 5
SignaWre of Auditor " Date signed