Homestead_McConnell (7) trxaE FORM!)HIB_I ,*b TRrAsU na FOAM 73-IA
...FIRMED BYSIITF[MAW*?MS Sic.!wv rtlfllIBm BY fir DFFARNIE TOF LOCAL GOVZP-NMItta FINANCE IC 1i-I.1_-1.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc 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.
10 HEA 1344-2000 requires taxpayers who receise the homestead standard deduction to verity that they are eligible to receive the
benefit and to provide additional identifying infomiatwn necessary to allow county government to better monitor homestead
filings.This inibrnullon will be kept cemnfdentinl and can only be accessed by authorized county officials.The Depannent of
Local Government Finance will use this infonnanon to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ McConnell, Michael Y/Jan M
1401 Mary Lee DR
Princeton IN 47670
3227
Michael Y/Jan M McConnell
1401 Mary Lee DR State Parcel Number Legal Description
Princeton IN 47670-3115
1r1rr11rr t1r11rl1rrrillrrirrilrrttllttt11rIl lull Iltltlll 26-12-08-104-002.418-028 019-02418-00 EAST HILL 6
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
/11, CAA EL \/ nit COO NE 1-1-
- -®ig Address(number end sueCCig,rem,and ZIP code) -9_1-Same as property.address_ _ __ _-- _ — _-__ ___LEE re, riruvce..-ripu, :LA
4310 10
Spouse First Middle Last
Td M• Mc(ON/UEkL
Mailing Address(Number and street,city,state,and ZIP code) En Same as property address
/1401 MAR•( 4 t (Xt 14z[NCETO.I) , (4161()
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 I Signature Date
t
CLAIh1 FOR HUmESTEAU PRUPENTY TAX CIIEUIf FUI{ YEAII 19�
SEE BACK FOR FILING INSIRUClIONS p/�—Day�g"po/.
d � ii (i _ � iln%/' � i/1 ✓
I, (yye) 11 I ' P/ /� � cr.ilily Ih:il rni Ih� tsl day ol
�March, 19 , I, (We) oc�upie� as our principal place ol residence lhe folluwiny desc�ibed ieal properly lor
hich a Homestead Property Tax Credit is hereby being claimed:
I, (We) � owned
❑ are buying under contract .
❑ have a beneficial interest in the laxpayer
Property Description in County Township
Taxing District (Cily, Town, Township):_ _ /Y>
Parcel f�tamber; ,�� . or legal description shown on lax slatement
���:���a-J �' ��N (.�.D S�r--/,�9�,U-' Lo --
I( buying Jp,No�r �ait:�Owners name �1ee s��+oie ow�rerl _ __
U �`
Contract recorded in Recorders 011ice - Record No. __Page _
If any��6Ctiort,oi the:�eside9[_ial struclure or the land, not exceediny one (1) acre that immedialely surrounds that
structure is used itoF' ro�duce income, describe the use and
p portion of the property ulilized lo produce i�icome
Any other counties in which individual owns or is buying real properly:
I hereby cerii(y the above slalement is lrue, correct and comple�e.
C
Sv¢¢� AaO�ezs
Counly -I�otvnship
c:fq�. 5bir aun Z�n Gwo
` Individual either owns or is buying under a conlract that provides he is to pay the property laxes
on the residence, or has a beneticial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvemenls
Other Land
Total Land
Residential Improvements
.Dwelliny
Garaye
Tolal
Other Improvements
Tc improvements - Line (6) plus (7) equals (S)
I L,,,zby certity the above is true. correct. and complete.
S�gnaiwe ol nssesso�
Tiue Cash
Value
l�)
(2)
(3)
l4)
IS)
(6)
(�1
- ACTION BY AUDIIOII -
nnuioved:._._ "' " --
����ZZ�v�-e//�_-- �/ --� _ ---_.
�ssessed
Valuation
-- ;,:,..
Homestead
Valualion
�,:��,. lo� ��- ��/