HomeMy WebLinkAboutHomestead_BrittinghamCLAIAA FOR HOAAESTEAD PROPERTY TAX
CREDIT/STAPlDARD DEDUCTION
sr�e ron„ srr.� �t� i sae�
Pra�bed by ihe Departrnent d Lorel GovermeN Fe�anoe
INS7RUCTIONS: See ieverse side fw filing instnxtions.
_ . ...:,, ��' ; Fa�►Ftcan
5 t • ' �
1 •± ; ''
'�� � _'
.' I1:
i c�^ie� � ( U ►�l-Ck/VL `-' v�y ina� o��n� i� aeY a�, 20_
I(We) oxupied as aa ptind of residence U�e 'rg desrnbed real property for which a Homestead Pmpaty Tm� Credt is haeby daimed:
�� M�) � ❑ �+WS under cantrad
Have a benefidal inmrc�st m me entiry tliat is liade tor the property t�es m the popaty ard Mat ams the properry or is Giyuig urder a mntracL
. • � � � . . - •. � CON'fRACT:.RECORDmi,';' .-'`"ei.v '"` :,•�4 } • i )^�� ° $s:
,rc., .���� ,. . ._ .. . . . � . _�. �.:_... ... .
GrynB Sirt�le a�+�efs rerte
F�mrdels olEm Wiere m@ad u remrded Remrd numher Pege
�h
ra.�amp
tdn�dup)
Parrel nariba � escripUOn � �� Is }he property n q�tion: �
� ❑ R�I poperry ❑ Mohile Home (LC. 6f.1-� '
x r vortion m u,e resideNial sm,ctae «ma �aid na mcme6rg ore (1) aae mal'anme�ly sl�,� d,# �,mre is u�d m p�oa,ce :wrie. des�be u,a iae ane pareim
e pioperty wf�d m promce c�mne.
��-n5- 33- ioo-oo�- ooy-c� a�
a
Counry
Tu�nship
co�ty
� nereny certify me anove sraoements are we. cared and oorrplem. I � y�'a
�ci
(n� aM s6eeC ary:�\e, 7JP ooCe) p
%%1 _��.n IJl,U� If,
` � -'ASSESSOR USE OtILY . � t� � i �:: ' � TRUE TAX ��. /LSSESSED VALUE ? �i. � �� r' x ;MON�tESlDB�IiIALf,�'i���
�
i '�-.: ....: �.•., : , . ., 'ta, .. ; VALUE;,. . .. ..AT;100XOFT7V� o ti',. V..ALl7E .. �.� .a rt� hii�"irnVAL.UEra?.`��k�.fy�-+�
,
Lard not e�e6ng t(one) ave irmie6ately .: S,���(tfi+*' -?,',sc 74a�,?rri' 1tf ��w�' �:;
xj�t �^.�
siaround'vg residential impro�emen�. ��� :t r5 o'`e��� e: �i N�${l.r.�1C ��?'�?�i
<°s
OlherlarW ..: � s � � �.; "
(21 r ,� � �:
TU� lard (I'v�e 1 pkrs 6re � i3)
�4 j{�i � �G. � } � r i�Ey-��!
Dwe�rlg (4) �'..s,..,.t,�s��•,.1����,��><.,s:.�.:.S7d��.�3�y
Resdential rtnprwertients or Mrwaly �`
A�dMohde/Alara�a�edFlane � � ltSS 7� '" .."�"', � �:1�
��yg (5) _ �`��a41:d..'ti, f4}�f` '�"r�z' t rzt �
.- _ ' .' �' -' _
...x6.Aa..:� q. .xrtw+�.,a
�1�18f rtflpfOYCrtIEfIfS �s� �'. 4
Tdal unprovemerrts (!vre 4 t/vw�r Bne 6) i7�
Tdal value (lire 3 pGs 6ne � �g)
I Aereby certify fhe above is true. �, and SiBrretl+e otASSassu Date sgied
comPlete.
Veifyirg aaim - Si�ame o1Pu?tw Daee signed
� . . � .ST/WDARDDEDUCTIOM/LLLOWAMCE �:'r.z' ^�::F Ja���.�'Sa .e.���`��7: ti•`r
Nl _ Pay 20 _
Lesser d 12 Homestead
Valuatim or E35.000 E
Si�ea dNdifn �e �
�
Gibson County Auditor
101 N Main
PRINCET0��7� �
1
gy
228
APR 2 0 �uiu
�� ��
GIBSON COUNTY AUDITO�
�tuemau.�wix:i.w�
.\�fPP'FDBY �I��E M1MOf Ml[i\T{. V.Y
nt�suau
Indi.�iduaL� auJ ma:riN rouples am Ivniud �o ore homeueaJ �andaN Acduniori. As du rtteip� oi ihi� dedun'wn beconm
more beneficfal, there is morc incmtne than ecer (or M1omes�cad (qud. Ilomrstead fawl causes hi�her ta� bills (or all: thereforr.
HEA 133�3-?IX!9 repuim ucpa�cn x�ho reccire the hanevcad sundud JNu<�ion �o .erily tlui ehey ye elieible to mcene �he
brneF� aM ro p�p�ide aWillo�ul idennirin_ infurmanon mc�s'vn� to allox� counn� go.'emment w Nner moniror IwmeseyJ
filint.y. This inlorma�ion will be Atpt mnlidrntial and can oN}' h aace�uJ b. awhomed rounq ofT¢inis. Thr Ikpanmem of
Local Gmcrrunem Fi`unce .vill u.e �his iniormarion tu crcau wois �hm will hclp counn� official. climiv�e homes�<aJ fraud.
• � �
Taxoarer Name Prn
Brittingham, Craig E �
R� C
Prince�on IN 47670 .
Craig E Brittingham �/�
R3 Box 51 K �
PRINCETON IN 47670.8630
���n��ni����u�ni����n�n�n��in������u���n��in�i�i�i�
State Parcel Number
2E05-33-100- 04.004-027
Lesal Descrip�ion
RICHARDSON EST Lot 1 C-1
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.
�
Onna First \ MidNe I Lu�
�a �` ��J/✓�ov� � � r � -}-�-, v� hR �
�ilme Add�s (numbcr and strcr4 ��ty, sute, and ZIP code) � Sumc ac pmperty oddres;
I j� -J `7 � r I°� � t��✓-e f.� L�� U�k 7
Socel
Spouu First Middlc Latt
� �
Mailin� AQdreSS (Number and sUttl, cil)', state, and "LIP code) � Same as pmpem ad�¢
Social Stturity Number (last 5 digirs) Drivds License/State ID Niunber (lazt 5 digits) Oeher (please specify in Part C bclow)
svz
� —
Each undersi�med certi6es, under penalty of perjury, [hat the above and foregoing infortnation is trve and wrrect and that he or she is elieible to
receive the homesiead siandard deduction on this property. 6ach undersigned al>o understands that, by claimine additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
Owna I Si nue Date 7'elephone ��
'� iZ ��—:.. �$(
SpouseSignam�e p,�e Telephonc
\ /
1 1 • �' �