HomeMy WebLinkAboutHomestead_MassaroCLAIM FOR HOMESTEAD PROPERTY TAX FORM YE'°`R
CREDIT/STANDARD DEDUCTION HCio
` S State Fortn 5673 (R8/7-07) �
Prescribed by lhe Deparlmeni of Loral Govemment Finance
INSTRUCTIONS: See rewrse side /or filing insWctions. � ���4
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�I (We) � -�ll1QJ certry m��/n/� Ihe ist t March, 26_
�I e) oocu ied as our prindpal of residence the following described real pmperty fw which a Homestead PmpeA�'1`���ereby daimed:
I (We) owned ❑ Are buying under oontract GIBSON COUNTY AUDITOR
� Have a benefidal interest in the enGry ihat is liable fw the property faxes on the property and that rnms the property or is buying under a contrad.
If buy"vig om m�irec4 Fee Simple ownefa name
wnVad is recortled
Paicd number
TamBNp
Is the
�/lCc, /�f— � —�� �
11 arry pwUon of " rNal sWCture w ihe Wnd nd exceedirg one (1) acre th immediatery wrrounds
aFNe prqiery ' Pmdute income. � ��
��� //-�/ao- oo/ 2�a oa�
Township
I hereby certify Me above shatements are We, correct and complete.
and sUae4 a1: shate. and ZIP crode)
/N
�b
Counly
Record number � Page
Real property ❑ Mobile Fbme (IC 6/.7-�
ire is used lo produce inwme, describe Ure use and poNon
Tv.vnship
�_ � � • .� � �
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Land not exceedirg 1(orre) aae immediatety � � '`-
surtoundingresidentialimprovements. ��� c,;. , � �
: � �, ..
OtherWrM '`�,"��*jO` .
iz) . �: '`''
Tdai IaIM (line 1 plus I'rne 2) (g)
Residential improvements orMnualty �Ilirg (4) - ��-�� s .� � .��- -.
Assesscd Mobile I ManufacNred Home � . . . .
Garage (5� >. ., . •
Other improvements (6) � . , �
Tdal improvements (fine 4 through Gne 6) (��
Total value (line 3 phs lirre � �g�
I heteby ceftity Me abOV¢ i5 W8, cotrecl, atM Signature ofAssessa Date signed (manth, day. year)
complete.
Verifyirq adion - SignaWre of Putlitnr Dale signed (monih, day, yea�
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"� —�Y Z� — 45.000 for 2007 pay 2008 42.000 for 2010 pay 2011
Lesser of 12 qq.000 for 2008 pay 2009 41.000 for 2011 pay 2012
Homestead Valuation $
« 43,000 for 2009 pay 2070 40,000 payable after 2012
Signatura of Puditor Date signed (manfh. day, yea�
- o e
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
492
.!'Mlti/wMl
PR£YTIBFDpYTiC
1RfAt�AERfOR411n
Indiriduals and nu;riN coupks arc limited m onc homa.v' e�J �andaN J�uniort As �he �eceipt ol th�s dMuction becomes
nwrc beneficial. thrre is morc incrnti�x ihan emr for humestead (rduJ. I Iomesread frvuJ cauxs higher Iax bills fur all: therefwe.
HEA I34:-?009 rcquires taipa�ers .cho receirc ihe hanestead sunda�d deduction io veri(y that thq� srt clieiNe io reaene �he
benefit aN ro prw�ide additiowl identiirin_ iniomu�iun nem'virv �o allw� counn• grn'emmem m b:ver monimr homrnesl
fiii�.�. This informaiim will 6e {.ryu ronFde+uial mA e�n only 6e acre. uJ by awhor"ved anuntc otficial,. The Ihpannrm of
I.ocal Gm'emm<m Fifunce ��ill ¢ e �his intormation W vrwe< UulS iha� o'ill help cnunry' officia� dimii�atc homeshttl traud.
Tnaparer Name
Massaro, Mark S/Cynthia R
Mark S Massaro
2099 W 50 S State Parcel Number
PRINCETON IN 47670-9330
I�I��II���I�II��I���III�„I�I����II,��II�II���I�I��I�I����II�I zs-ii-ia-�oaoo�.ss2-o2�
__ . . _. _ , _ _ _ _ — _ _ _ _—_ � _
Prnpert�� Address
R I Hu��B?a
Princetan I \�47670
�
Leeal Descriirtion
006-01832-00 PT NW 14 2 11 4.50 AC
D-1
"___—_ '. _—. �. --__.-.
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
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Owner I First MidNe � Lazt
� O� r IL � S� � 2 v� �i a S S G v- p
�e Address (number ond street, ciry, smte, and Z(P code) � Sam< ns pmpem oddrecs '
20�1 � W SO .S
$ocial Smurity Numbcr (last 5 diei6) Ihiver's License/$tate IU Nmnbcr (Ib-,t 5 digits) Other (pleuc specify in Part 4 below) '
Spou;e � ' First Middlc Last
���-1.��c� ��-1-�.-. /��SJarp �
,
MailinL Address (t�umber and stree4 ��y, s�alc, and "LIP cude) � li $ame u5 pmpeny addie�s ,
�b
Swial
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Each undersitmed cenifies, under penalty of pequry, that the above and foregoing infortnation is we and wrreci and that he or sFie is elieible to
receive the homes�ead standard deduction on this propeny. Each undersicned also understands that, by claiming addiiional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties. '
Owner 1 $iEi�ehue n p Ua1c Telepfrone
�i'v��Y-� .,0 � 7'1'�i.a.dAu.o y%iy i o (
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