Homestead_Bell (3) %lin 1 FIRM 535(.0C/1.4.1 IRFASAIFII PORN T3-la
APPRMrED BY STATE MMRD Of AM PUNTS.9M PILMUTIFD BY nIr OFPMri4Y1 OF LOCAL r vE NMr1.T FINANCE K 1.t-r-f.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 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 receive the
benefit and to provide additional identifying infornuuon nemsery"to allow county government to better monitor homesead
filings.this nment mm�will be Lept this iinformation l and can only 1w s that wl by authorined County oelimi s.The Depead fraud.of
V�
Local Government Finance vi ill we this inor to create tools that will help counts'officials eliminate homestead fra
\O PART 1: PROPERTY INFORMATION
6 - �-� Taxpayer Name Pro erty Address
PQR Bell, Richard E/Marjorie /967 /
1496 x,004 U®\ P — )\ Princeton IN 47670
005 am`
Richard E/Marjorie Bell
1901 Keystone Dr State Parcel Number Legal Description
Princeton IN 47670-1050
hill jj311 llljlt lint jlj Iljllrtn In In Minn,• Illn Intl X26-11-12-103-000.154-028 019-0O154-0O TOWER HGTS 155
PART 2: TAXPAYER INFORMATION
Owner I / First Middle Last
g.Address fnuhnber mid street;city,state;and ZIP code)— -- — . -- -- - - Same w property address- - -- — - ---
/9D/ /l rs7i/de 417/vr' / 14.1CZT6t" i-✓ 47�:d
Spouse, First Middle Last
/614te✓0%/C ,L/,v,✓ et--z. L
Mailing Address(Number and street,city,state.and ZIP code) Li Same as property address
/90/ /4 xsye 'r i ,?? ✓c A) r Teak/ /A./ 4747o
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.
Owner "Si '��ttire I6/ Date
•
POPM HC 10 19i9
Pres[ri�eG By Slate Bw�O of iax Commissfoners
io Be FileE in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 191� ,/
SEE BACK FOR FIIING INSTRUCTIONS �9� GiD�S�-�O
�(We) �t-K-�"-o-"�-� �'° '� • �°� certify that on the 1st day of
March, 19��. I, (We) occupied as our principa lace f residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) �owned
❑ are buying under contract
❑ have a beneficial inte�est in the taxpayer
S�-! � i
Property Description
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name �+� sim�ie owner�
��^-�� Township
or legal description shown on tax statement:
�,�e.L. ���"-� /S�'
Contract recorded in Recorders Office - Record
If any portion of the residential structure or ihe 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: County
�hereby certify the above statement is true, correct and complete.
�/% /1 _ �i n /I
� r_
S��eet AOdre55
Township
N �N C.f �
City. Slate anE Zip CoCe
' 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 -
Land not exceeding 1(one) i edi�ely ��
surrounding residential impro�en� �
Other Land
Total Land
Residential Improvements
�tUN 111979_
� �'.. , ;'.
� �! •�
Other Improvements
T�Improvements - Line (6) plus (7) equals (8)
I....zby certify the above is true. c�6i�rect. and co
5lgnawre o1 nssessor
- ACTION BY
True Cash
Value
(�) o�l0 0-O
(2) — o —
�s� 3 G o-0
(41 �'4�/a
(S� �Z ��
(6) -��
(�) �—�,���—�,��
(8) �
Assessed
Valuation
/a 6-0
�O �
/a�
Homestead
Valuation
� " i i : .
' ��jj�j�
; i jjj�j�jj�/
.
Approved: "^ ' �-1�-•J Date: —�-��' � �_
/ _ _ — — �