Homestead_McGillem (12) von tURM•) •IR:I YrvI MEASURER FORM 3-IA
.SRRIW'EO BY'IAIE annRo FAorot Low PRE RThfl BY nit oEPMheFnct LOCAL CAYERYMrNr FahrE IC
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 Manion becomes
more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills For all:therefore.
HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verily that they are elicible to receive the
benefit and to provide additional identifying. information necessary to allow county government to better monitor homestead
tilings.'Ibis information will he kepi confidential and can only be accessed by authori,ed county officials.The Dapannaan of
Local Government Finance yy ill use this information to create nub that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
McGillem, Nancy Kaye
810 E Water S'1'
Princeton IN 47670
3046
- Nancy Kaye McGillem _ - - — -- -- - - - — - _ _ _ _ _
810 E Water State Parcel Number Leval Description
PRINCETON IN 47670-2246
liiilIIItIIIIIIIIIIFIIi 26-12-07-402-000.060-028 019-00060-00 HIGHLAND HOME 11 PT/12
rrrll1111111111111111 ���� ���
• PART 2:TAXPAYER INFORMATION
Owner I First I/ Middle Last
_ /VAN(-y J1AyZ Iflc - IiLenn
�Ig Addte s(number and strcct.city;state,and AP code) -_ — — _. ,�}Q_Same as pmnerty address.
Spouse First Middle Last
N/A
Mailing Address(Number and street,oily,stale,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(plcLse specify in Part 4 below)
sex
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foregoing infonnation 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
0
� � CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Siate Form Sd73 (R6/4-03;
Pres�ibed by Ihe Department of Local Govemment Finance
INSTRUCTIONS: See reverse side lor liling insfructions
FORM
HC70
YEAR
[ �- g �,�
I(We) '�= � certi(y lhat on the..i shdANof March, 20
�uu�
I(VJe) occupied as our princip ace of resid e the following descnbed real property for which a Homestead Pr�rty T�Credit is hereby dnaimed:
❑ I(We) owned ❑!ve buying under coniract /1 1I
%� / (�/
' Have a benefidal interest in the entity that is liable for the pmperty taxes on ihe property and fhat ownsijhe prope��.isJ _ yfn' ug"nder.a conVaU.
If buying on conVad, Fee Simple ownefs name
RecorCels ofice where contracl is recorAed
County
rw,nsniP
CJ�'�-V �1 I
1/ any portion of the residenllal aW qure w Me land not exceeding o e(7 ) aae
of the property utilaeC to produce income.
Record number
7a�ing tlislrict (nry, fown, townshiP)
Page
I Is the propeM in quesUon:
❑ Real Droperty ❑ Mobile Homo (I.C. Gf. f-n
surtounds Nat sWCture is used b Droduce income, describe Na use and portbn