Homestead_McKee STATE FORM,M.I R•14N1 TgEASUILI FORM 79-IA
.APPROVED BY RUE BOARD Of NYr*NIS.yes PRCIRIBR)BY TIDE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC 41.1-L4.I
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 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to pros-ide additional identifying information necessary to allow county government to better monitor homestead
filims.This information will he kepi contdcntiai and can only be accessed by authorized county officials The Depanncnt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
McKee, Bart W/Jenni D
801 E Evans
Princeton IN 47670
1112
Bart W McKee
801 E Evans State Parcel Number Legal Description
PRINCETON IN 47670-2211
tttt tIt III ItITtrllttrilll 11111111 26-12-07-402-003.799-028 019-03799-00 PTE SE 7210.51573 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
Owner I First Middle Last
'c2DVIcA' . \ G4QQH
ing Address(number and street,city,state,and ZIP code) ❑ Same as property address
SO � • �/KFn . nc(2.441 - 4-) 0
Spouse First Middle Last
e n n t Y`C-f<f f
Mailing Address(Number and street,city,state,and ZIP code) ® Same as property address
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
•
...
,� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD OEDUCTION
� Siate Fortn 5473 (RB / 1-03)
Prescnbed by the Department of Local Govemment Finance
INSTRUCTIONS: See revcrse side /or liling inslmcfions.
FORM YEAR
HC10
r ,' � � ��1 �
��
I(VJe) certify lhat on the 1st day of March, 20�.
I(We) upied as our principal place of r i nce the following descnbed real propeAy for which a Homestead.P�operty�Tai Credit is heretiy daimed:
i (We) owned ❑ Are buying u er contract ��Gl6SOF: C"� � �� 7-
' Have a benefidal interest in the entity Nat is liable for the propeAy taxes on Ihe property and that owns the property or is buying under a wntract.
I( buying om m�uaa, fee SimDle ownefs name
Remfders ofice where contrad is recorded
' �_' _ ��� 2���c� „' '-�.ir:i � ��. ��:. �.�
Counry Tamship
:Jl7-UJ /`17' YJ
N eny portion of the residentlel sW cWre w
ot the property util¢ed b produce i�ome.
County
Record number
Tating districl (city, fown, fownshiP)
o� �_ o,� �99- �O
Page
tlesc}�p•tion �f Is Ue pmperry in eSUOn:
' ( � / ��' �Q � Real property ❑ AAobila Hwno (I.C. 6f.1-n .
not exceedi� one (1) aae that immetliatey surrounds lhat sWCtura is used b produce income, describe the use antl portion
. 5/S7
Tavnship
I hereby cenify the above statements are We, correct and complete.
a�M street, ciry; atate,
20 _ Pay 20 _
Lesser ot 1Y2 Homestead
vauauon w E35.000
Signatura of Auditor
S
Date signed
�� � � a