Homestead_McDowell (2) 515TE DAM ADM IA_/!APO 77EASURLR FORM 3IA
APPROVED DT SLATE&ORD OFAMAnri9+ WARMED BY nu DEPARTME TOF LOYAL IXwsRYMrfl DT%SCEML4I`'4,1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS-N.,_
PRINCETON IN 47670 Individuals and married couples are limited to one homestead wandanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud cause higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verifv that they are eligible to recebe the
benefit and to provide additional identifying informarwn necessary to allow county government to better monitor homestead
filings.Ibis information will be kept conlidemial and can only he accessed by amhnrinel county officials.The Ikpanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Properly Address
McDowell, Tony/Carol //4/(c a,C, i ekweet-
Oakland,City IN 47
4284 .
Tony/Carol McDowell
11462 E Base Rd State Parcel Number Legal Description
Oakland City IN 47660-8471
26-13-12-200-000.599-006 003-00599-00 PT SE NE 12 2 9 1.4524 AC
L n toIII tat I I I I I I I I I r I nr I I r I I nn I t I I r I u I
y/ C-1
5
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
_ yj'�// !. /r1�QU �.
/rg Address(number and street,city,state,and ZIP code) - _ — [ Same as property address _ —. — — - __ —
y69P E. 80 Se La — oekof► )d e / 144 ,_7i) Li766
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) r61'Same as property address
//W �a , clse 12cQ . _ Oc�lcC ►A fv d L fj (4 -2 c0-(CD
%),
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�b/aackkJtaxes and substantial financial penalties.
Owner I Signature ����L`LJ��� O Date
• _
FORM HE 10 1979
Prescribed By Slate Board of ia. Commissioners
To Be Filed in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 8
SEE BACK FOR FILING INSTRUCTIONS O
003 - ID
Parcel Number
If buying on contract: Owners
or legal description shown on tax statement:
5E %/ &/E //,, is - z -'7 /.00V3Q..
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: County Township
hereby certify the above statement is true, correct and complete.
® &-k4-C `7fi
Sigratur Street Andreae City. State anrp Cone
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) acitltnle atel}�
surrounding residential improver�tt JD
Other Land
Total Land
Residential Improvements
Other Improvements
MAY 11 1Q" 411,
)AS o.0 t welling
Garage
Total
Total Improvements - Line (6) plus (7) equals (8)
1 Oy certify the above is true. correct. and complete.
/7
Signature of Assessor
True Cash
`—� certify that on
the 1st day of
�(We)
rch,
19 s I I, (We) occupied as our prin8
al place of residence the following described real
property for
which
a Homestead Property Tax Credit is
hereby being claimed:
S o 0
I, (We)
❑ owned
�CO —�� ��o� -a�i� -ate. J 51
odG
❑ are buying under contract
❑ have a beneficial interest in the
taxpayer
Property
Description in �+
a J County
Township
Taxing
District (Gity; Tewn, Township):—
Parcel Number
If buying on contract: Owners
or legal description shown on tax statement:
5E %/ &/E //,, is - z -'7 /.00V3Q..
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: County Township
hereby certify the above statement is true, correct and complete.
® &-k4-C `7fi
Sigratur Street Andreae City. State anrp Cone
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) acitltnle atel}�
surrounding residential improver�tt JD
Other Land
Total Land
Residential Improvements
Other Improvements
MAY 11 1Q" 411,
)AS o.0 t welling
Garage
Total
Total Improvements - Line (6) plus (7) equals (8)
1 Oy certify the above is true. correct. and complete.
/7
Signature of Assessor
(5) —
(6) IS-5-60
(7)
(8) ) SS & 0
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
Date
Date:
I loo
o
a
0
�
f
True Cash
Value
(1)
So 0
(2)
—
(3)
S o 0
(a)
/SS & o
(5) —
(6) IS-5-60
(7)
(8) ) SS & 0
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
Date
Date:
I loo
o
a
0
�
f