Homestead_Scott SIAIE FORM!!t IR_r trssur$FORM 73-1A
.ArrMTED BY trsTLWARD OF"TN N'rt Zorn PLFYIIarD BY Tilt DEP:JUMP:`rr OF LOCAL r(NERYMET7 FINANCE live 4.I.1-r
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this dedtrrtion becomes
more beneficial.there is more incentive than ever for homestead fraud Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to remise the
benefit and to prside additional identifvme information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authori,ed county officials.The Department of
Local Government Finance will use this information to create tools that will help count'official.eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Properly Address
Scott, Anita L
531 W Oak
Princeton IN 47670
2419
Anita L Scott
531 W Oak State Parcel Number Legal Description
Princeton IN 47670-1238
26-12-07-101-002.516-028 019-02516-00 CUSHMAN ADD 31
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
AA// TA 1- • SCorr
u Addrev Q utt&e mid saeet,city;state;and ZIP code) — — -- — - — - Same as propertynddr -- -- --—,- - _ -. _ _
53/ w . o4/{2 ,4e/NC''& TON, /,v 5/7670
Spouse First Middle Last
/00NE
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's Liccnsc/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sox
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 I Signature Date
•
FORM HC t� 79i9 � 7o Be Filea in Duplicaie
PreSCriDeO By $la�e Boartl of ia. Cammissioners �
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�� ✓
,
SEE BACK FOR FILING INSTRUCTIONS Q(L�— OaS��' d O
�(We)—� , ���-��� � certify that on the 1st day of
March, 19 I, (We) .occupied as our principal place of residence the following described real property tor
which a Homestead Property Tax Credit is hereby being claimed: '
I, (VJe) ❑ owned .
❑ are buying under contract
O have a beneficial inter st in the taxpayer
Property Description in County � �2� Township
Taxing District (City, Town, Township):
Parcel Number or legal description shown on tax statement:
CLa� � �
If buying on contract: Owners name u� simple owneq
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:
�iereby certify the above statement is true, correct and complete.
s 3 / �. O�.
Sveet Aaaress
County Township
Ciry. Scate ana Zip
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(onej acre i{g�gdiately
surrounding residential ffn�r�O�merit§
Other Land �
�,Q.�3
Total Land pt1DITOR
Residential Improvements
Dwelling
Garage
Total
Other Improvements
I�Improvements - Line (6) plus (7) equals, (8)
I by certify the above is true. correct. and complete.
$igOdN�P pi HSSCSSO!
True Cash
Value
f�) �
(2)
�s� (��O
(4) _�_
(5)
Assessed
Valuation
F�
.�ao
Homestead
Valuation
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- ACTION BY AUDITOR -
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Approved: Date:
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