Homestead_McClelland Stilt FORM!.1".Ifel wll WARM FORM 73-1A
.ArrESLO BY 5141111UVIDOt Al .513`9?' PIIISC IBm By THE DEPARMEYT OF LOCAL C VttNMEFt FINANCE IC 6-1.1-1:41 •
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 ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
® HEA 344--200e 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 kept confidential and can only h accessed by authorized county officials.The Department of
Local Government Finance will twc this information to create touts that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ McClelland, Daniel J/Kelley
1105 S WASHINGTON
- - - — -- - — - -- . . _ PRINCETON IN 47670
1564 _ _
Daniel J McClelland
1105 S Washington State Parcel Number Legal Description
PRINCETON IN 47670-2704
I I II I II I I!I III III I III I I ! I I 26-12-18-204-004.200-028 019-04200.00 SS ADD 329/330
t ii rtt i ii Ire titti i rte irit ti ttii i i ti r.
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.
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last file-i //dc- 7-677Qn09
�g Address and-street,city,state,and ZIP code) Some as property address r
/l c s S- WQ �i ie4�'�, �t f)n)iceithe1 ,,TA) 6/7 O 70
Spouse First. Middle Last
Mailing Address(Number and street,city,state,and ZIP code) El Same as property address ,
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
. see
PART 3:CERTIFICATION _--'' -- --~� -—
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.
Owne are - Dare
. -- - -- - - -^ -- - - - - - _ __, .
CLAIM FOR HOMESTEAD PROPERTY TAX
- ' CREDIT/STANDARD DEDUCTION
t � Slafe Fortn Si73 (RS / 10-01)
�� Presuibed Dy Ne Departrnerrt d Local Govemment Finance
INSTRUCTIONS: See reverse side �or filing instnictions.
FORM
HC70
YEAR
� (Vye) �/(.V. M�p
certiry �hat on the 1sUeeT o�lv�rc�_
I(We) occupied as our principa ce of residence the follo desaibed real property for which a Homestead Prope Sac Credit is hereby, daimed:
❑ I(We) owned ❑ Are buying under contraU
�
' Have a benefidal interest in ihe entity that is liabie for ihe property taxes on Ihe property and ihal owns the prope t��wyir�V r�Wer� wS4 �
If biying on contracl, Fee Simpie ownefs name
Remrdefs ofice where conVaC is reoorded
Caunty
Township
Legal
Record number
disVict (dty, town. townshiP)
Is Ne properry in question:
❑ Real property ❑ MoCile Homo (I.C.
If any pwlbn of the residential sW cWre or Ne land not axceeding one (1 � aae Nat immetliatety wrtounds ihat sWCNre is used b produca inmma,
of the propeAy uL7aed W protluce income.
Page
use antl portbn
20 _ Pay 20
Lesser of tf2 Homestead
Valuation or $6,000
SignaNre of Aud'rtor
`_I
Ti� lT F ��-1 P� ��.