Homestead_Scheller SATE rotM S3!1.910./fool IAFASUEFR FORM in-IA
.KP0.m'ED BY Sr TI DOAAD Of ArryxNA.lam PALAATWRY nIr DEPARMLYTIFLocn CA524YNFM FINANCE ICH.1-1:-l.1
Gibson County Auditor
101 N Main u IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead raandagl deduction.As the receipt of this deduction becomes
mere beneficial.there is more incentive than e'er for homenead fraud.homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayer who receive the homestead standard deduction to verify that they am eligible to teethe the
benefit and to provide additional identifying information necessary to allow county govemment to better monitor homestead
filings.laic inlnrnulinn will he kepi confidential and can only be acre:Ned by authorized county officials.The Department of
Local Goverment Finance will use this information to create tools that will hrlp county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Scheller, Douglas H/Tammy S
701 F Strain
Fort Branch IN 47648
7901
Douglas H/Tammy S Scheller
701 E Strain State Parcel Number Lezal Description
Fort Branch IN 47648-1426
26-19-19-102-000.703-02; 011-00703-00 PT NW19-3-10.29 AC
lrinllnr1t��nr�n��n�nu��t�n�n lrltllnll 11111111
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
tc Address Omtk3,\C suite,arid ZIP code) er Same as pro doss\ - _ _._. ..
1c C\.c\ r� \ tSis . c dl. l.a � LA8
Spouse - (\`may�\ First Middle Last
Mailing Address(Number street,kity,state,and ZIP code) �u property \�
10 \ C a\� ? cam �.�-c i \ 8
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
CLI41f�1 FOR fIC���SIEAJ Pf;O°ERi'f TAY, CIZllII FOR 1`i1�,ft ��
SEE IIACK FOR FILlt•JG 1(lS7FiUCTIOi�S
� � � CL'T�Lf}' �1dt OI7 i�l°_ l�t C�clJ
j� �'���7=� . .
•t-��}�, 19 , I, t9e) ec imi�1 as our rincioal olace oi rasiden� the follo.,ir.g describ_d r_al
����.=_rty rer �•;hi a ilo�mstA� �o�.sty Ta�c �edit is hAseb}' b°.inq clai.n�i:
I, (i�e) �c:mcs3
� are buyinq wxier crontract
� have a b�.�°iicial iiiterest in `1i_ taxoayer
Proc�rty D�scription. in �2�AC/Y �
'1'ti:inq District iCiby, Toc,n, 'ibw�s}tip):
D// 60 7a �3 -a�
�unty �f'.(�"/ i Tv„r.sl
Pzscel tiun:er or legal d�scription s}�wn on ta}c statorent:
��.�rf���y /�l-3 /a
Z= bu.'ina om m�tract: O:,-ners n�r� (`A° s��l� o�•rns) i��
Contract r�orcied in P°ard�r�s Office - R-�cord t•b. Fage
IL d11j' L:OI—i.10I] Of i}?°_ L°_S1C3°_71`1d1 5`SUC�llT° OL i�l° Id71d� ROi. °''�°_-�1R� OP.°_ (1% aQ? tl7ut
liill:�SLd�°_I}' SUI7'�OLLITL�S �leit Sf'Sll��UIb 1S ll5_°3 tD FJTDQllC°_ 171CQi1°_� C!°_Sil�'? �'.°_ US°_ d7Y� COr�1Cil
tile oro�rty utilized to prnduc° ir�or�
;:n.� other c�i:nties in w}iich individual a,� or is buying real prom.st��
her�y c:ru.fy the a�ow statarent is true, mrrect ard ecr��lete.
Street
Cbun�; Tc:.�isluo
, Stvte atx] Zif� Ci
* ndividual °it}'n_r a.7u or is iuying tm°-r a c�ntract tYti1t pro': ides li° is :n oay `•li_
proF°stj' ta.ies on ��° resid�nce, or has a M.�°Licial interest in th_ t3.`:oay°-r.
- FOR ASSESS(Nt � 5 USE 01•JLY -
True Czsh
Va1L�
L�r3 not er.��u�a 1(ons) acre �irtur�iately .
surrourr3iuig residenti�l iur�rovm�ts (1) `) o �
Ot1�er I,arul �2�
To�al Lsn3 (3)
P°S1G°.Ilt.ldl ZTiTJiJC�iL.71tS Q.�'°111T1Cj (`��
Garaae
Total
�5�
(6) (0 8 I O
oJ��,- Imaro�JC-n,�nts (7) _
1�c � Irc»rw��ts - Lins (6) plus (7) eaua]s (8) (8) _
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1�:SAL%J CPSl.12}� �11i� d�JQC� 1.5 LLL�/ COST�I.�-I
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Assess�3
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