Homestead_Mason (4)�;� CLAIM FOR HOMESTEAD PROPERTY TAX
a���a,[ '� CREDIT/STANDARD DEDUCTION
�,°�NN,aa� State Portn 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side /or7iling instructions.
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FORM YEAR
HC70
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��e) �..wMJ�CC�' � �l �Sdv il/�.C�.�.t/� ��,L�-s�-v/L_ certity that on the 7st day of March�19L1
Ve) oceupied as our principal place of residence the following described real property for which a Homestead Property.Tax Credit is hereby�claimed:
❑ I(We�owned ❑ Arebuyingundercomract %� °��� �� ����Y' ��� -^? `'
❑ Have a beneficial interest in the entiry ihat is liable for the property ta�ces on the property and that owns the property or is buying under a contract.
- - . - ' - -..:CONTRACTRECORDED�':�' "-,s-.?•��' - i�''r:: ` '"^�r2F�"'
. .,,..-.. _ . .e:__ . �. . ... ,��.-.. _ . ... .
If buying on contract, Fee Simple owner's name
Recortler's office where contract is recorded Fecord number Page
Township
Ta�cing
,.. '.:.C.;;i.:..:: . -
Parcel number Legal np n � �
2��a�S/-� f`S k� 9- a—/0 /�"
It any ponion of �he residential structure or the land not exceeding one (1) acre Nat immetliatety surmunds ihat sirucNre is used to produce income, describe the use and ponion
ot the Droperry utilized m protluce income.
° � - � ' PROPEHTY OWNED BY CLAIMANT IN OTHER COUNTtES �. '
Counry Township Counry Township
�reby certify the above statements are irue, correct and complete. Sig mre f claimant
Address (numberandso-eeG ciry, state, ZlPmde) '
(Z $ CE %%
_ .� ASSESSOR USE ONLY `o �" TRUE TAX� ASSESSED � HOMESTEAD � � NON-flESI0EMIAL��,
- . , . . . ... _ . VALUE � � YALUE�: VALUE ,. � �.. VALUE .A �
Land not exceeding 1(one) acre immediately , _': '.- -�
surrounding resideNial improvements. (�) F� :�,- _ °" � �
�::' -
Oiherland (2) ,� `_.
� 4
7otal land (line 1 plus line Z� �3)
°; . �
Dwelling (4) � ' - � "
� :
Residential improvements . . . _ "
Garage (g) . . .. � �
Other improvements (6) � �
Total improvements (line 4 Ihrough line � (7)
Total value (line 3 p�s line � (g)
I hereby certify the abOVe is irue, corr2Ct, and Signature of Assessor Date signed
complete.
�ing aaion - SignaNre of Audibr Date signetl
19 Pay 19 _
Lesser of 1/2 Homesiead
Valuation or 52.000
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5
s
Gibson County Auditor
101 N Main
PRINCETON IN 47670
InJiriduals auJ marriN couplc are IimimJ to orc homeueaJ uandaN J�rluaion..4s the �ecetipi ol' ihi:� deduaion Mcomes
mo�e beneficfal. thrre is morc incenme than r�er for homesmsl GdW. Homeinal frauJ causc hi�her �ac bills for all: therefae.
HEA 1:Ai-?O(19 requires uaprers r.ho recei.c the hanes�ead siandud deJunion �u v<ril4 tha� �6e} me dieiNe io mcene �he
benefii anl to pnxiJe :kWi�io�ul identiirin_ infurmatwn mcn'vn� to allw' counry garmment m Nn:i moniror Iromrsrc:xl
filin�;c Thic info�m.uion will M Aryv contidenlial anA n, n nnly h• acre: �ed F)' aulhn�ireJ mumy n(Ikialc�. "1'he Ikpanmrnt o(
Loc�l Gmernnrn� PimM'c ��ill u�c thfs infoana:ion m crea:c LLols that �rill h:ln camn' uificiaL+' diminim krtnes�cad haud.
T�xpacer Name
Mason, Randall K/ Lanna L
Prinrno�
3431
Randall K/ Lanna L Mason
248 S 180 E State Parcel Number Lesal Desc
Princeton IN 47670-8963
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�oer I First GIBSON GUUi
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ig Address (number and ->tmt, ciN, state, and ZIP cade)
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:ul $ccurity Numbcr Qast 5 dieiLS) Dmcr's Licc��e/Statc ID Nmnbcr (last d
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iline Addrtss (Number anJ a'utt4 ��}', sule, and "LIP cak)
z�-S S. ISo E. N��'�N -
�ial Security Numbcr (lazc 5 digi�s) Drivcrs LiccnsMS�atc ID N�unbcr (las� 5 d
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spccify in Pan 4 bdow)
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�'Sun� as pmpmy ad�LCv
in Pan 3 bcloa�)
1 AC.
undersiLmed certifies, undzr penalty of perjury, that the aboae and foregoing infortnation is we and wrtzct and that he or she is elieible to
:e the homes�ead siandard deduction on �his propeny. Each undersiened al;o understands that, by claiming additional homeitead deductions
,�fully, he or she may be liable for back taxes and substantial financial penalties.
1 Sicnature Ihte l'cicphcx�c
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