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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) _ �{. j y� �L � W1"'��-�'� 1�:SAL%J CPSl.12}� �11i� d�JQC� 1.5 LLL�/ COST�I.�-I �1Qil�l�lli° OL n55°SSOi i`^;`�D': ^;I: — ACTI(11d P,1' �UDITnR — Assess�3 �ja] ��ticn � ''% // %%% � � L\7 t° f k���^s �� Valuat.i �oo ��%-,-- �� .�;; ';'��/�j/i;< %�� %� /�' i �,�/,/� . � // ' 1 aa�o % �/�/%�� � �; ��,%�/�i ; . . ii. cl��: � V ` U Y/ -