Homestead_Caniff (4) SIMIE IORM SW,ttCf YNI TREASURLR?ORM 31A
APPROVED by SIAM"WO Or mrouNTS._n. PRFYRIBIDDT 11W DFPARIME.ITOF LMAL CASrRNMITT FINANCE MG-id-rat
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS t,
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 ever for homestead fraud.Homestead 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 recebe the
benefit and to provide additional identifying information necessary to allow county gosrmment to better monitor homestead
filings.This infntmatinn will he kept conlidemial and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Caniff, Jack/
1218 Darwin Ave
Princeton IN 47670
1758
Jack/ Caniff
1218 Darwin AVE State Parcel Number Legal Description
Princeton IN 47670-2814
Illlllllllllllllllllill I lllllrlllllllrrletrlllrrltrlI II k' 26-11-13-204-001.872-028 019-01872-00MCKAW SUM 76f77178
•
•PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
JRek Cif,vIFf
f6 Address(number and strcn.city,state.-tool ZIP code)_— _ __ _ -._ __ _._1v1 Same as propert:addrt s _—. -.- - _-—
/al8 OHRw,,) 4-v, �1
•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 1 Signature Date
•
F00M HC 10 1979
Prescri�eG By Siate BoarE ol Tar Cammissioners
To Be FiltO in WDIica4
CLAIM FOA HOMESTEAD PROPERTY TAX CREDIT FOH YEAR 19�� ✓
SEE BACK FOR fILING INSTRUCTIONS ��q- o�87a•��
�(We) � certify that on the 1st day of
. arch, �, I, (We) plac f residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) Q'owned
❑ are buying under contract
❑ have a beneficial int�e/rest in the taxpayer
Property Description in �C/A -�-rd--�� , County �n� Township
Taxing District (City, Town, Township): `7'"�-��--�.�-�+—� (f�+-N/-- g
Parcel Number or. legal description shown on tax statement:
YYzr ,�.c,J s.t,[ir,,.,n.�'. hPa�� �16
If buying Ofl contract: Owners name ��� simv�e owneq
Contract recorded in Recorders Office - Record
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.
Sveet naaress
County Township
ciry, Scate ana
1'AltJ.
' 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) a� ir�nedi�y ��
surrounding residential improv'�ments , ,�.
otner �and ��N 7197g I�f�
Total Land
Residential Improvements � /�
Y
A9�[�q�,
To t��U
Other Improvemenls � ��TOR
To�°' Improvements - Line (6) plus (7) equals (8)
I,��y certity the above is true. correct. and complete.
HSSCSSOf
Approved:
True Cash
Value
(1) .S�
(2) �
Assessed
Valuation
��/o
�j � o �
Homestead
Valuation
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- ACTION BY AUDITOR -
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Dare
Date: