Homestead_Mason (3)d���;., CLAIM FOR HOMESTEAD PROPEFiTY TAX FORM
;�'`, •, � CREDIT/STANDARD DEDUCTION Hc10
`��' State Form 5473 (R2/1-90)
INSTRUCTIONS: See r side for liling instructions.
�J� � �E.\��(�`\��TIFICATION STATEMENT � C I I —�o =��
YEAR
b
\ 1 _._ V -- —1 � �� -
. �, ; certify that on the t st day of March , 19 '�
I I `�:
, pied as our principal place f residence t,�he, fol�lowing described real property for which a Homestead
Tax Credit is he�eby claimed: LLl�"(We) oWned ❑ Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
If buvina on coniract, Fee
CONTRACT RECORDED
Name
office where contract is recorded
,;,.
;• PROPERTY DESCRIPTION
� Tp�v�ship � Taxing QisNyc
Record Number
township)
�v�Nll7�1`��-�C7I ��Y�f-U�Oc.n I�rl I- I� �(nl� �� � C�- �-��' �a
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion oi the property utilized to produce income.
, i'
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
ASSESSOR USE ONLY- ;! TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON•RESIDENTIAL
VALUE
Land not exceeding t(one) acre immediately
surroundin �(�y i 9(��lt1 is (�)
Oiher land� (� _��) (21
�� �-�y
Total land - line (t ) plus ling (3)
Residentialim�Op$ments 1�9�Dwelling (4)
Garage (5)
Oiher im��,Sl �T %R%(l�cfS (6)
r��i�BQ4f � 9
Total improveme throu h line (6) (7)
Total value - line (3) plus line (7) (B)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete .
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 I 1991 Pay 1992 19—Pay 19—
lesser of 1/2 Homestead Lesser of ti2 Homesteed Le�e9r of 1/2 F16rF1aetand
Valuation or $2,000 Valuation or �7,500 Valuation or $1,500
Signature of A or .• �n I�`t:'_
(�V�> - 1 " 1 \ nl�-
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
888
Michael J/ Ginger E Mason
2789 N SR 65
PatokalN 47666
t�VEfORN�!H1�/fwl
InJieiduals and m�rrieJ coupko arc IimiiN to onc homc�eaJ �andaN Jalunion. As Ne rempi of �hi� dNunion Mcmre�
morc beneficial, thrrc is morc incencnx than e�nr (or homesrcml fnud. Ilamnttad fraud causes higher iac bills (ur all: Ihereforr.
HEA 13�f-4-30(79 requim uipapm who remivr ihe hanesicaJ s�andard Jnluc�ion m.cri(v ihm they am diciMc w mceiec �he
brnefii ani �o p�m'idr aUUiiional iJentiirine iniurmarun �xcexv�rc to aliw� oounn� guemmenl ro Wtrci muniror homesrcael
filit�-. This inl'ormatiw xill be Aryq con�idemial anA on nnly h: acttcsed Fy amMr¢N rnunry o17mials�. �I'he Ury+anmem nf
�
Local Gw<rtvnem Fieu�rc< will u.e this iniomw[ion ro create �wls �Iwt will he:n ramn' officials eliminae IwmesrcaJ (mud.
T•rxpa�•er \ame
Mason, Michael J/ Ginger E
I h'irst
y,'���/ so��
y AddFas (num"der und iuret ciry.—stam: anuZi7 cudej . --
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ilin¢ Address (Number and rireel cii}', sWk, unJ'LIP cotk)
�7 � q ti, s�e �s P fk4
ial
Patoka IN
State Parcel Number Le�al Des
26-OS-40.107-003.181-027 Oo6-o3181-0oPT
C-1-D-12
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a; Nn,per,� �azr�; — —
�U
� /��.� -�
� $nme as ptopeny addres.-.
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mc (pleuc spcci(y in Pan 4 bclow)
707 1 10 .66 AC
Each undersi�med certifies, under penalry of perjury, that the above and foregoing infurtnation is we and correct and that he or sh'e is elieible to
receive �he homestead standard deduction on this property. Fach undersicned also undzrstands that, by claiming additional homes�ead deductions
unlau-fully, he or she may be liable (or back taxes and substantial financial penalties. I
pwn<r 1$ignnturc Untc l'dephonc
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