HomeMy WebLinkAboutHomestead_McConnell (8) STATE FOAM 53%.IR:r YNI TREASURES FORM fl-IA
APPROVED BY crttL BOMO Or ATIA.TS.2Vrx PtIYAIBEW BY PR DEPARTMEVTOFL(Mt C-0YERYNOR F ScE:C,l.l-:'4.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead nundard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 13-14-20(8)requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying infonnauon necessary to allow county government to better monitor homestead
filing.This information will be Lepi confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
McConnell, William/Jesse
318 S Stormont
Princeton IN 47670
1096
William/Jesse McConnell
318 S Stormont State Parcel Number Legal Description
Princeton IN 47670-2232
I I t t I,t t t't I I r 1 I 1 1 1 I l l t t t t t l l l t l l l l l l l l t 11 I I I I I I I I I11 I I I I I I I I 26-12-07-402-001.943-028 019-01943-00 PT SE 7-2-10.196 AC
_- - - _ --
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 -
Owmer I , ) First Middle Last
�1;1liaM� lkn Marten 114e_ 0onoell
®ig Address(number and street,city,stele,and ZIP code) P Same as property address
812 . storm°nt s2 • Pronc&fon,=IJ 4'74'ro
Spouse First r Middle Last
Jessie Mauve Me Connell
Mailing Address(Number and street,city,stale,and ZIP code) it t Same as property address
a
3iS Sr Stermorrt Sta Frinttbon, .7.44 '!'7670
'
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 t ague Date
0
4� Si�iF 4
���.,, CLAIM FOR HOMESTEAD PROPERTY TAX
` ° CREDIT/STANDARD DEDUCTION
.;.
� � � State Fo`m 5473 (R2 / S92) -
'i'�.�7<''�'
fi INSTRUCTIONS: See reverse side /or (iling instructions.
—FORM
HC10
�� �� :�,�.p��
YEAR
��� ERTIFICATION STATEMENT ' �
I(VJe) � �ert�hat on e 1 ay of March, 79_
I�(W,�e) occupied as our principal place of r i ence the following described real property for W"cSr.a Ho�eaG�p ^ C dit is hereby claimed:
V�I (We) owned ❑Are buying undercontract /� � � ��' ������/7V ��UDI?On
❑ Have a beneficial interest in the entity that is Iiabie for the property taxes on the property and that owns ihe property or is buying under a coniract.
CONTRACTRECORDED -
If buying on contraq. Fre S'unple ownefs name
Recordefs oHice where convact is recortletl Record number - Page
- PROPERTY DESCRIPTIO
County Township � Ta�tin ist' t'ry, town, township)
POarcel number -� L al nplion — / �
I( any portion of Ne re'dential structure or the land noi xceetling one (1 j acre that immedwtey surtounds ihai stmcture is used to protluce income, tlescnDe Ne use antl poNOn of
ihe properry utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
Sig re ot i t
�ereby certify the above statements are We, correct and complete. ' '
Atltlress (number and st2e(, pry, sfa(e, ZIP oode)
ASSESSOR USE ONIY TRUE TAX ASSESSED HOMESTEAD NON• IDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(oneJ acre immediatety �� �
surtounding residential improvemenis.
Otherland (2)
Total land (line 7 plus line 2) (3)
Dwelling (4)
Residential improvemenis
Garage (5)
Oiher impmvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true, covect, and Signamre oi Assesor Date signed
complete.
Veritying action - Signamre of Autlitor Date signetl
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead $
Valuation or 52.000
S' ature ot Audiror Date signed