Homestead_Mitchell. snit TORSI!Mat IR:rtinl TREASURER FORM 11A
.,rrwwEn BY ST ATE BOARD Or AITTR:•TA,111N PR/SCRIBED THE DEPARTMENT Or LOCAL rAvELNMrTr MPAW'E In-IA-224A
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 Luumes
more beneficial.there is more incentive than escr for homestead franc Homestead fraud causes higher lax bills for all:therefore.
,, HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.Ibis information will he kept confidential and can only be acce.sed by authorized county officials.The Depanment of
Local Goverment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Mitchell, Cheryl L/Helen C
307 F Munroe
Princeton IN 47670
3114
Cheryl L/Helen C Mitchell
_�-
307.E.Monroe_ _ •_ _ - State•Parcel-Number— - -Legal Description-- —
Princeton IN 47670-2411
I I I nI oIII III I I I I I I I I I III 26-12-07-403-001.819-028 019-01819-00 CLARKSVILLE 3 PT/4 PT
o n
t t t t rut h u nt nt nt tit nt
Spouse First Middle Last
N s./e M Ca-Rog.i Na M TctVC
Mailing Address(Number and street,city,state,and ZIP code) R.S•mle as property address
- - .307 ku-S! �NO,1IKoe• S%. PR1;vet%aN)XN gU7a-- ' ---- —
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
unlaufitlly,he or she may be liable for back taxes and substantial financial penalties.
•
FOflM HC 10 1979
Prescri�ed By Sta;e Bw�a ol iaM Cammissfoners
7o Be FileO fn Duplicate
CLAIM FOR HOMESTEAU PROPERTY TAX CREUIT FOR YEAR 191� �
SEE BACK FOR FILING INSTRUCTIONS Q�q — Q� g� q. tpa
.
�(We) ��"`��`-s'��� � ��e� certify that on the tst day of
�vlarch, 191�, I, (We) cupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
(We) �i,owned
fi7 are buying under contract
❑ have a beneficial interest ;n the taxpayer
SN
P;operty Description
lJ �r-
Township
Taxing District (City, Town, Township): �
Parcel Number or legal description shown on tax statement:
_�,..��.�.e.e� �,� `�
If buying on contract: Owners
Contract recorded in Recorders Office - Record No. Page
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:
�hereby certify the above statement is true, correct and complete.
��.�.�������/ �r� � �°_ ��,'�
•Sig. ture Street nooress
�
County Township
ciry. sia�e ana zio LoEI
Individual either owns or is buying under a contract that provides he is to pay the property laxes
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 Improvements
„,,i �L �qiBwelling
JJi': :_ �
Garage
T
Other Improvements �� �
T Improvements - Line (6) plu (7) equals ��ITOR
I�by certify the above is true. �rect. and comp�te.
Signature ol Assesso�
True Cash
Value
�,� /a7o
��, —o —
(3) /2 70
Assessed
Valuation
�o
Homestead
Valuation
5La o
Approved:
�J � y�� Ci.n��� Date: _CA � -zi - G�--