Homestead_McClellan SLIME FORM 5350110/aWl 1RFASDAFA FOAM TS-IA
APPM/VW DV 51■L DCIARDOF fro-rm.-47,3'7n PtISRIBm BY Fur DEPARTMENT OF LOCAL COVE LYMrAT F1N.1VCE inLir_-LI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead sundand 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.
• LEA 1344-200c requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings this information will he kepi confidential and ran only he 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 Property Address
McClellan, Mitchell M
815 SStout ST
Princeton IN 47670
3838
Mitchell M McClellan
815 S Stout ST State Parcel Number Legal Description
Princeton IN 47670-2740
Itittll 26-12-18-202-000.292-028 019-00292-0085 ADD 359
Ptt�t��rr�ttt��� ��Itt�t�tt��� ��r�t�r�rrr��
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
7 /7LCCs4EZL /f. /IC (EL C--L ✓
ig Address(number and street,city,state,and ZIP code) --_. —-- - — - aS me as property address —
37 5 SSr S7TuI S
Spouse First Middle Last
Vi c r` k /31c CI- Lt,k,✓
Mailing Address(Number and street,city,stale.and ZIP cork) teas properly address
,FCC' S.. S 0 47'
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
7
e�f n�l�
���°, CLAIM FOR HOMESTEAD PROPERTY TAX
�; CREDIT/STANDARD DEDUCTION
.�,;;• State Form 5473 (R2 / S92)
INSTRUCTIONS: See reverse side 7or liling instructians.
� � � -
L� ; i :!1 ;�I�
I �� 3 _f
�4�.
1�We) 1 I ��n�.�{ �7�. � 1 I 1 � L.e4Y�^' � certify tFie'�f�d�Ma�tt i9�
.�) occupied as our principal place of residence the following described real property for which a Homestead Property T ii is e eby daimed:
�' (We) owned .❑ Are buying under contract
❑ Have a beneticial interest in the entiry that is liable for the property taxes on the property and that owns the property or is buying under a coMract.
CONTRACT RECORDED
It buyinq on contract, Fee Simple owner's name • � -
Recorder's oHice where mmraci is remr0ed " Record numher Page
PROPERTY
Couniy � _
(pry. mwq rownshrp)
Parcel number I Legal descFip�on(\ /� _ �� �
O�q- o��9a- oo <z jsu i A�r,a�
II any portion of the residential strucmre or the land not exceeding one (7 � aae ihat immediatety surrounds ihat siructure is used to produce income, desaibe Ihe use and ponion
of the propeny utilized to produce income.
PROPERTY OWNED BY
Counry � Township
�eby certify the above statements are true, correct and complete.
Address (number and sfreet, ciry, stale,
Y Ris s �X-
IN OTHER
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VAIUE VALUE VALUE VALUE
land not exceeding 1(one) acre immediately
surrounding residential improvements. (�)
Otherland (p) � �
Total land (line 7 plus line 2� (3�
Dwelling (4)
Residentiai improvements
Garage (5) �
Other improvements (6)
Total improvemenis (line 4 through lina � (7) � I
Total value (line 3 p�s line � (g)
I hereby cenify the above is true, correct, and Si9namre of Assessor Date signed
complete.
����rying aciion - Sgna:ure ot Audiror - Da;e syned
��:
'