Homestead_McKee (5) SPOT FORM!!!NIR_(?.O t TREASURER IT Mfl-IA
APPROVED BY MAT!ML■RD OFMYT R t•Yln%M PRGYIUOED BY nir DEPARTMENT OF LOYAL CA1 ctNMnn'T FRi&YCEtC<I.I r4I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead randard deduction.As the receipt of this deduction becomes
gg i more beneficial,there is more incentive than ner for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• N E i, HEA 1344-26x10 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to me se the
I benefit and to provide additional identifying information t cv sary to allow county grummet! to better monitor homestead
filings.This information will be kepi confidential and can only M accessed by authorized county officials.The I)epannsent of
Local Government Finance sill Inc this information to create tools that will hap county officials eliminate homestead fraud.
APR 2 o Zulu PART 1: PROPERTY INFORMATION
Taxpayer Name ' opertv Address
1d 4 McKee, Chester W/Linda A
GIBSON COUNTY AUDITOR R4 Box 112
. Princeton IN 47670
1438
Chester W/Linda A McKee
307 S White Church Rd State Parcel Number Legal Description
Princeton IN 47670-8116
IIII IIIillllll 111 lll�IIIIIIII IIIIIIIIIIIIII II III111II IIIII II II 26-11-10-400-004.076-028 019-04076-00 PT NE SE 10211 1.03 AC
-
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Ch esfeR, Way ne /NI Kee,
tg Addi¢s trarinbcr and street,city,state;and ZIP code) ' - -_ErSamc Is proper:).nddrea- - - - - -
307 5. whit&Chwrch Rol I ✓1uwA-on Tod Ao '/ 7170
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) uI✓r cane as propeny add eis
307 S. ht'{& ehurch . fir/nt&ton)Z-n1ein--ti4
PART 3:CERTIFICATION
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 Sigma � I Dale
•
WflM HC 10 1979
fiesCriDeE By State Baard af Tax Commiuioners
To Be FIeO in Wplicate
CLAIM FOR HOMESTEAD PAOPERTY TAX CREUIT FOR YEAR 19 ��
SEE BACK FOR FILING INSTRUCTIONS
�(We) '/%� �-�-��r ���-/��• �//�-��-�+�-- w• certify that on the 1st day of
�arch, 19�`L, 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: O' � y O��� �
I, (We) Cd owned
❑ are buying under contract . ��
❑ have a beneficial interest in the taxpayer
Property Description in � County ��^- Township
Taxing District (Cii�ewa, Township): ���
Parcel Number or legal description shown on tax statement:
�i.o3i?�
= Q� �il/E �is� SF �s� io -�-.�
If buying Ofl contract: Owners name ��� simv�e ownep
Contraci 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.
n n � n . _ /1 I .
I!¢ /� ".11lCE� HUQ!¢SS lilty, J�d(Q dnd Llp Cpd2
� dividual ei er 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 � � n � �
Total Land u
Residential Improvements
�:; ;I � , !9%9
Dwelling
Garage
� /�� Total
i
Other Imp�ovemenE � �
r Improvements - Line (6) plus �j eqn�ls (8)
eby certity the above is true. correct. and complete.
Si9nawre ol Assesmr
True Cash
Value
(1) J'ao
(2)
(3) 6J-c�
�a� /i a � o
(5)
�6� i�a �o
(�) —
�g� //�70
- ACTION BY AUDITOR -
Assessed
Valuation
/ �o
j�j/�jj/��
���������
E1�Sf:�
Homestead
Valuation
j�j�j�j�j
j�j�jjj/�/
jj�jjjjjjj
������
.
- �
L- ii- �
Date
Approved: /�- • Q" �-���-�- Date: ��-.�-- a Y i979