Homestead_Naas MATE FORM 53,•••• ,N1 THE Sutra FORM 175-IA
APPROVED BY STVE bran*or Am mM:tow PRGY ruarn BY ME DEPARENErT(w LOCALraWRNMENT FINANCE le 6-1.1-2:24.1
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 nee for homestead fraud.Ilorneslead fraud causes higher tax hills for alt therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings_This information will he kept confidential and can only be accessed by authorized county officials.The Depannlent of
Local Government Finance will wt this information to create awls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Properly Address
Naas, Clarence J/Charlotte A
913 S JclTeeson
Princeton IN 47670
3600
Clarence J/Charlotte A Naas
913 S Jefferson State Parcel Number Legal Description
Princeton IN 47670-2709
ltlnllu tltllnlntill Ilntlllnrirl nnt��u 26-12-17-101-002.000-028 019-02000-00 KUNKEL ADD 43
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
tg Address(number and street,city,state,and ZIP code) — -- Same as property
Spouse First Middle Last
Mailing AdAAdjdreis(Number and street,city,state nd ZIP code) El Same as pmpeny 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 Si arches Date
•
FORM HC 10 1979
ReuriDeO By State Board oi Taa Commissioners
To & FileG in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOH YEAR 19� �
SEE BACK FOR FILIf� IN$�T� IONS Q(Q ��a��� ' OO
�arch, 19��, I, (We) occupied as our p`(ncipal place of
which a Homestead Property Tax Credit is hereby being
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial intereQst,� in �t�he taxpayer
Property Description in /`l�`-'`"-'"^ /�C-ounty
Taxing District Township): ��
certify that on the 1st day of
the following described real property for
Township
Parcel Number or legal description shown on tax statement:
�d. Nc<.���v• i�-a -�o �� y3<" 1�4.s�
If buying on contract: Owners name u� simole ow�e,i
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential struclure 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.
� � 3 � !� � ���
, 'SgnaNre Street ss ' Giry, 5tale and Zip Coae
' 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 .-
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land � � � � �
F!
Total Land
Residential Improvements �; � �; ;
� �,v � .� -s-s
True Cash
Value
(t) /�/o
(2) —
�3� /3 �o
�
Dwelling (4)
Garage
����%������ Total
Other Improvements AUDITOR
T Improvements - Line (6) plus (7) equals (8)
I�by certiiy the above is true. correct. and complete.
SionaWre ol Asseisoe
�11
cs,
(6)
(�)
(g)
Assessed Homestead
Valuation Valuation
b�
Dace
Date:
C--�-79