HomeMy WebLinkAboutHomestead_Mason (5)y��n 4� CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
��� J Sfate Form 5473 (RS / 70-0t )
Pres�ribed �y the Departmeni ot Local Govemment Finance
INSTRUCTIONS: See reverse side !or �ling instructions.
FORM
HC10
YEAR
, �,e� � MAY 18 ZUUZ
certify that on the 1st day of March, 20_
�
I(We) occupied as our principal place o( residence t e following described real propeAy for which a Homeste roperty T�c re i is here6y da ed:
❑ I(We) owned ❑ Are buying under wntract g rn'I
' Have a benefidal interest in the en6ty that is liable for the property taxes on the property and ihat owns the pri�BrtyNo�3 Buying undei a contract.
If buying on contraG. Fee Simple awners name
wnVad is recorded
Tamship
I1 any porUon af �he residenUal sW cture w the Wnd nW
of the property utilaed tn produce incartre.
mwn.
the
(1) acre ihat immeEiatety surtountls ihat
Rewrd number
iquestion: '
Real praperry ❑ Mobile Homo (I.C.
Page
is used to protluca income, tlesfribe tha use and ponion
'�- i �i'��""���~3``�'�`����� TRUETAX�i�'�'+ ASSESSEDVALUE 3+ - n �`�� �� S"
��ASSESSOR USE ONLY �+^�� � r.�' � HOAAESTEAD NON=RESI�ENTIAL � 1�
'� , � wVALl1E�-a,y.yi,y} :AT.t100%OF�T7V ���VALUE�. ���,.VALUE��`9' �
{, "`' :�. .,L�'� .�-sr�`,�^�' _..�� ���� �
Land not exceeding 1(one) acre immediatety � �h+"�p�.,Y�" �r*',��r -�� a w,'',@
suvoundingresidentialimprovemenls. (�� L .5�,`'���,�`�.�',��_Y}
Oiher land (p) -+`� � s� y
rS'a'F� z''�v
Tdal land (line 7 plus line 2) (3�
"'�. ,,,4 w i� � ..�1 +`;:s.3
Dwellin9 (4) � � �zM`�' F� ,E.r�z:
Residential imprwements �F�� � �" �`°���v'w'-�'�
.dA+.�.a,'�'.a
Garage 5 ,•� � #� i y ��
sT y � {�$� F
( ) �`.�%a�+�F-�,;_"'`` . r,a,�'.-��'s�,i
�
Other improvements (6) c ��3r�"1 `�`�
� z...�°Y�a"���
Tclal improvements (line 4 through line 6) (7)
TUaI value (line 3 pl's line n (g�
I hereby tertify Ute above is We, coved, and Signature of Assessor Date signed
complete.
Verifyirg action - Signature oflwditor Date signed
�c��.'.'��?s�."�_�_r��'r�^•'{����STANDARD'DEDUCTION�AL'L'OWANCE �.�'�;f''.'.�'+�},�„y;�s'`:��-, ,y�`�sn=�E.��.`�,x�".`a�r3;°.
20 Pay 20 _ /
Lesser of 1Y1 Homestead �
Valualion or 56,000 S V/
Sgnatura of AuOrior Date signed
u
Gibson County Auditor
101 N Main
PRINCETON IN 47670
isoi
STAIE F(IR\I!� W IR'( YNI
InJiviJuals and imrtiN couplra are limi�nl io one home�eaJ �randaN dcrlucuon. A. the receipi of Nie dedunion become ,
merc beneneial, thrrc is more mcrmfcr ihan rcer (or homoxaJ $aud. Home>reaei faud causen hfgher �ac bfll> for all: therefae.
HEA lit+-?IX!9 requim uxpa.ers n�ho recei.�e ihe hanestead siandard JNuaion m ceri(y dut ihey are�eligiMe to mcei�e �M1e
benefii ani w pmeide aJditional identii��in� inWrmatiun �xcniarc ro allw� counp� gmemment to bart�r monitur honrsre:ei
tilin��. Thfs in(nmubnn xill M Aept ronfidential anA ran nnly 6e acresvxJ hy au�harized counp� oliicia`s. Thr Uepanmem nf
Lxal Gm'emmrnt Fimntt ��ill u e this iniormaM1On W crea[c 0.wle �hat x'i0 hdn countv uffirials dimmarc fromeaeaJ (mud.
Richard B Mason
1803 W Cambridge Place
PRINCETON IN 47670-9331
I�I��II���I�II��I���III���I�I����II���II����IIII�����II�I���II
��? iCN9 ��
:
Taxpa��er Name
Mason, Richard B/Margaret Trust
103 Cambridse Place
1'rincclon 1\1 d7670
State Parcel Number Le�
2fr11-14-101-000250-027 �croa250-o0
✓
g Addresti (numbcr end'ettmL cicy, sta[c; and ZIF�codc)— —— --� — --
I
��3 vV Ccc.mbrid9� �L, �li�,•�oe.f��.
I$
/✓� ,3 Q c A a c-r
F�
g.4ddress (Numbrr anJ atree4 cii)', s�ale, and "LIP cple)
/ P�3 �� CR �, b� , d e�'L
Securiry Number (lazc 5 digi�s) Driver's License/Sta�e ID Number (las� 5
IN
/V1 Aso�
VILLAGE SEC 3
�mu� ai Pwpe��a�id.,�, _�_ _- _
�1 7 L 7�0
Maso..�
� Sune as p'openy az1Jx�s;
�i i nGe �° h f-'� �f 7 1 J�
ligits) Oeher (plcasc spccify in Part 4 below)
undersiened certifies, under penalry of perjury•, that the abovz and foregoing infortnation is we and wlrect anJ that he or sFie is eligible to
:e the homestead standard deduction on this property. Each undersiened al>o undemands that, by claiming additional homestead deductions
,fully, he or she may be liable for back taees and substantixl financial penalties. I
1 Si eWrc Date Tcle honc
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