Homestead_Mitchell (7) al■E rrIRM•!'MtRuP+B1 • , TEL5St2LE r6Y:11A
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Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standanl deduction.As the receipt of this deduction become,
• more beneficial.there is more incentive dun met'for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
HEA 1344-21106 requires taxpaxera who receive the homestead standard deduction to verity that they arc eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filinto.This information will he kepi confidential and can only he accessed by authorized county officials.The Depannaent of
Local Government Finance will use this information to create awls that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Mitchell, William/Kyla M/William B
IIO8S Ilan
Princeton IN 47670
3661 • - a
William Mitchell
1108 S Hart State Parcel Number Legal Description
PRINCETON IN 47670-2340
26-12-18-101-001.821-028 019-01821-00 PT NW 18-2"10.18 AC
lrtrl
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�iltr�r�t /fi r+hw� nip Ie he//
g
Address(number and inter,city,state,and ZIP code) -- _. _®-Same as propchV address - — --" - ---
,ln ' S. i-IAe Pr/tke /kl IL ,l, ;l,J,9 v7e70
Spouse First Middle Last
Li 514 Atie /V/ic%e//
Mailing Address(Number and street,city,stale,and ZIP code) (4 Same as propeny 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 . r.stantial financial penalties.
Owner I .'gnature / Date
FOPM HC 10 1979
HescriDeO By State BoarE of Tax Commissioners
CLAIM FOA HOMESTEAD PROPERTY
SEE BACK
�(wP� G a�. �; �-
arch, 19��, I, (W oc utJ pied a�
which a Homestead Property Tax C
I, (We) �owned �
❑ are buying under contract
❑ have a beneficial intere t in the taxpayer
Property Description in �
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name �'� ""'we °""e`�
To & FileO in Duplicate
!
q-_. _
. O/8a1-oo
-�tr-.+.� � . � . �
certify that 1st day of
r , property for
claimed: �
:
i-
?�y O� Township
or legal description shown on tax statement:
�X . / /�7.(i �i.F �8 -� -/O i ���c�.to
Contract 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:
hereby certify the abov tatement is true, correct and complete.
�L,,�� %- ���' ,,.
\� _�_,,. _ /� � Sveet Aaaress
IY �SY�+=� l�
County Township
Giry. State aAa Zio �e
' Individual either 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 -
True Cash Assessed
Value Valuation
Land not exceeding 1(one) acre immediately
surrounding residential improvements (� ) /� a O ��O
Other Land (2) — �'— — o —
Total Land �
Residential Improvements
� � � �
�U� 2 9 1979
�// 7otal
Other Improvemenis�� , �'��c�k'_ �iU
T Improvements - Li (6) plus (7}11E+�I�iS? (8)
I�by certify the above is true. qi�rrect. and comp
Siqriawre of ASSPS50�
Homestead
Valuation
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Date
Date: � 9