Homestead_McConnell (9) - •
MATE FORM 5556•012/SAM nnrASUEuA FORM 11A
.A TROVEO BY STATE B/NPO(f ArrOUN'rs.94 PEFARIhm BY Tilt DEPARTED."'CC LOCAL carar:rA'T FBMANCE M41.1.2-4.1
Gibson County Auditor
101 N Main u IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead saandanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead(corm Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
IIIF I L !, benefit and to provide additional identifying informnwn necesan•to allow county government to better monitor homestead
i filings.This information will be kept con:dentinl and on only be accessed by authorized county officials.The Depannent of
; Local Government Finance mill use this information to create wols that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR 1 2 ZU1U Taxpayer Name Property Address
McConnell, Robert R
` 31 /,(!,_ 1806 F Broadway
�/( Nv"ViJ Princeton IN 47670
Glti$9 4 COUNTY AUDITQR
Robert R McConnell
1806E Broadway State Parcel Number Leal Description
Princeton IN 47670-3121
2612-08-203-001.918-028 019-01918-00 DIKE SUB DIV#1 VII PT
Ott I I uFIt II I tit III I I un I I nrI tit l l I l I I IIF I
N
•
Spouse First Middle Last
T11*ll fee n/ FA je Mc CcA) Ne, l
Mailing Address(Number and street,city,state,and ZIP code) <ame as property address
IS/o4, t 2j .,LA (A AY ?Rat nee--1- D11 ) 4/747c .
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
wwM xc �o �en
PreuriGeO By Sute BoarE of Taa Cammissioners
To & FileE in WD���ate
CLAIM FOA HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19�_ �
SEE BACK FOR FIIING INSTRUCTIONS Qr9 � �I qI g- O�O
��We)
, I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby�being claimed:
I, (We) C3'owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer n
Property Description in �� bSOn County �'"a-'���- Township
Taxing District (City, Town, Township): P/l.'1L�1.:n 1�'�n c x /a
Parcel Number or legal description shown on tax statement:
�ik2 � �iJ �� ��1L �.
If buying on contract: Owners
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: County Township
�hereby certify the above statement is true, correct and complete.
G � ,-
, - � �
'Signamre heel Aaar ss Cit State ana Zip CoGe
' 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) .acre immediately
surrounding residential improvements
Other Land ,_ �
Total Land � �
Residential Imp�vem�ts Dwelling
.'�UN ! � j9i9 Garage
Total
Other Improveme�
T�' ' Improveme'rtts`-' e 6) plusA(�j,�ceals (8)
I�by certify the ove is true. correct. and complete.
OI FSS¢SSOt
True Cash Assessed Homestead
Value Valuation Valuation
(t) 3 73� //9c
(2) —
(3) .� 7Sz'
(a�
�s>
�s�
(�)
($)
�' "�
/�F¢g-
�jjj/jjjj/
��j��j/�j�
- ACTION BY AUDITOR -