Homestead_Scheller (5) stAlE FOtSt'35 tE!WI. TREASURER FORM 73-IA
.APPROVED DT SI■TE:b1RO Or ArenCNrS C., PtI4l1IBFD nY PIE DEPARTMENT OF LIML COVERVNITT FD:ANCE let-LI-na.l
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 e'er for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
• HE.\ 1344-21/09 requires tax pavers who receive the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tilintw.This information will be kepi confideruial and can only he accessed by authorized county officials.The DepaMmnn of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Scheller, Scott A/Kimberly A
805 L Strain
Eon Branch IN 47648
1179
Scott A/Kimberly A Scheller
805E Strain State Parcel Number Legal Description
Fort Branch IN 47648-1428
lrlltIlinlrllnllItilttltntllthnlnlrllnitliurFlt�trnlli --—26-19-19-102-000.560-02 ' 011-00560-00 PT NW 19310.30 AC
PART 2: TAXPAYER 1NFORNIATION
Owner I First Middle Last
Sco'kk A\an SC-he\de r
�ig Address(number and street,city,state,and ZiP code) al Same m property uddre --
si 05 E. Skraim S-4 - V\ . Branch, I1\1 (-1-/ bye
Spouse � First Middle C Ghe 11 Last
l \\m r\y P's nn J e '
Mailing Address(Number and street,city,state,and ZIP code) El Same as propeny address
S arAt ____ -
-
_. .
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
•
eE �'? g CLAIM fOR HOMESTEAD PROPERTY TAX
a��'� CREDIT/STANDARD DEDUCTION
`�,,
,;� State�Form5a73(R2/5-92�-
�•T
INSTRUCTIONS: See reveise side lor /iling instructions.
/ ' YEAR
FORM �
HC10
� • RTIFlCATION STATEMENL . ' " �
� e) . certity that on the 7 st day of March, 19_
��e) occupied as our principal ace of residence e ollowing described real property tor which a Homestead Property Tax Credit is hereby claimed:
❑ I(We) owned ❑ Are buying under contract , .
❑ Have a beneficial inierest in the entity ihai is liable for the pmperty taxes on ihe pmperty and thai owns the property or is buying under a contract.
CONTRACTRECORDED � . .
tl buying on contracL Fee Simple ownefs name
Recorder's oflice where contrect is recorded
PROPERTY
County Township
P cel u ber //_ Legal description
WO� O�
I( any portion of the resitlential stmcwre or the lantl noi exceeding one (7) acre that
ot the property uGlized m protluce income.
�
Record number
fown,
that structure is used to produce income, deuribe �he use antl portion
� PROPERTY OWNED BY CLAIMANT IN OTHER COUN'fIES � -
County Townshi Townshi
��reby certify the above statements are tme, correct and complete. Sign of claiman� �
Address (numberandstreeG ciry, state, Z/Pwde) '•
�`�O 5 E. S u.'. �. �� . rc�.n c� -�1—� �17 Co
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL �
VALUE VALUE VALUE VALUE
Land noi exceeding t(one) acre immediatery
surrounding residential improvemenis. (�)
Oiherland (p)
Total land (line 1 plus line � (3) �
Dwelling (4)
Residential improvemenis
Garage (5) .
Other improvements (6)
Total improvements (line 4 through lina � (7)
Total value (line 3 p�s line 7� (g)
I hereby certify ihe above is true, correcL and Signature of Assessor oa�e signed �
wmplete. i�
�{ng aaion - Signature of Auditor Date signetl ;
�
19_Pay19_
Lesser of 1/2 Homesiead
Valuation or 52.000
STANDARD DEDUCTION
S
�t� ��'s.'�.3��r�� Alm.r��
Date signed �
3-a/ ,