Homestead_Conrey f:;.: .
RAE FORM 9'MIR ts4,t TREAMAER POEM 1A
AFERIT'EO BY MATE WRAP CI!Nf*tNIMY/w RRrniam BY Tiff DEPARTMENT OF LOCAL GOVERNMENT FINA\CE IC -I.1-24.I
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,there is more incentive than e'er for homestead fraud.I lonieslead fraud causes higher tax bills for all:therefore.
• HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept con idential 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 county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name ' opens'A 1
_ Conrey, Brett/Kathleen
R2Box 180
ett / /a11:112)47#4" Ilaubsmdt IN 47639
B
Brett Conrey
R2 Box 180 State Parcel Number Legal Description
HAUBSTADT IN 47639-8020
Iltlt IlluI IluliItt Ill Ilulrt lttlIll 11111111 lIllItrtr��� 26-19-34-300-000.945-024 004-00945-00 PT W SW 34310 1.911 AC
X
• " - .. m 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
l3 re,% (1.1110.k1 C om r edd
Ong Address(number and stEcet,city,state,and ZIP code) ' I _ I 0 Same as property address
?c(off C (leaS S tt� -oc11- T 4-Z(v39
Spouse First Middle Last
I (na.r� eon'r
Mailing Add ess(Number and street,city,state.and ZIP code) Same as property address
a�� E Uo s Rod) IN 97(0.19
--^ _ -
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.
l,yb.'L I. _ attire Date
• ,
L
�
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
1- s•,a� � ssre Rti i s-os>
P.�eviben by Ihe Departrnent d Laal Gwerrmerh Finanae
INSTRUCTIONS: See reverse side !or fdi� instrucfions.
FORM
�C HC10
�
YEAR
������ �� v�— I�[�+(/li/r v �iy i v wyr— �p M he 1 s� M� 2p—
/-1-- li '
I(We pied as aa pr'v�dpal place of residence Ihe foAowirg desaibed real popv for which a HaneslLaa c�ehr�s aaimea:
i�we� ��a ❑ lve buying unda contrad N 0 V 0 S 2006
J Have a benefidal interest in ihe en6ty that is liade for Me properly haxes m the poperty arM tliat owns the property or is buying urMer a contracl
- � CONTRACT-f�CC
It buyig on m�b'act Fee Sirt�le wnefs mme
F�mders dGce whare carMad is recaded
�-� - PROPERTYDESCR
Camly Toyrslup T�g
Recad numher � Pege
� � -04�4��00 I`��'� I�,�°�°�"'��I o
property Monfle Floma (LC. s,.,-n
n any paton ol the resideNia� sN,eiue a. me �am �wl mmeedirg one (1) ace niat unme3afey s,no�a� ue� a4uaiue fs uaed m pioe�ce nmme. describa u,e use and partion
d Uie praperty Wf�d b Gmd,ce inmme.
��a�-�9 ��3�.�.���,�
� riereby certiry ihe anove sha0ert,s,ts aie o-ue. correu ana crnrplete.
�trea_ (n�mbei� s6eet �: �.71Pi�) _ - I
� 1"�/ _ � ��^�
;�, w C 0���
� � •. /LSSESSOR USE ONLY . 7RUE TAX
� .. �� VAUIE .
Land nol esceedirg 1(one) aae irt�ately .
5turoiu�dinB residentialimprovernents. ��)
Otl�ar IaM
R� land (lure 1 ptus fine �
Residential vnprovertienls wMrwally �6�
Assessed Affile / Manuf�ued Flome
Garage
OU�a 6nproverr�ts
Tdal unprovemeMS (fine 4 fhraiqh Bne 6)
Tdal value (!"nre 3 pds Gne �
I hereby certiy tlre abwe's true, corted, and
mmplete.
20 _ Pay Zb _
Lesser af 12 Home4ead
V�uatian w 535,000
CWMANT Oi
(2)
(3)
(4)
(5)
(6)
(�
(8)
Signaeae of as�Q
f
C'�
COUN7ffS
���,jNON�2ESiDEJiT1AL-. � .
' . : VALUE -. •
Date si�etl
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