Homestead_Bassett (3) MATE FORM fl5a E FORM--I
APPROVED BY SIAM ackaRD MHYY \i x211,H PAE9LAIpnpY Mr DEPARTMENT OF LOLLC�a4MAT rE&sCEIc 41_r-\I
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.homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requites taxpayers who receive the homestead standard deduction to verify that they are eligible to rerehe the
benefit and to provide additional identifcine information necesary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accesud by authorized county officials.The Derailment of
Local Goverment Emmet will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Bassett, Martha E& Deborah G
301 Central AVE
Princeton IN 47670
1592
Martha E& Deborah G Bassett
301 Central AVE State Parcel Number Legal Description
Princeton IN 47670-3425
•t•tt••ttt•t••tt•ttt••• ••rt•rt•ttit•t•r•t•• Omni is 26-12-18-304-001.619-028 019-01619-00 BROADLEIGH PARK 131
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.
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZII'code) l] Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sore
PART 3:CERTIFICATION
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 Si nature Date
•
9
..�R•�. � CLAIM FOR HOMESTEAD PROPERTY TAX -.
:a� yq: CREDIT/STANDARD DEDUCTION ' -
���' State Form 5473 (R2/1-90) •• j �
'°�• INSTRUCTIONS: See reverse side lo� (iling instructions.
CERTIFICATION
claimed: � '' I(We) owned � Are buying under contract
• Have a beneficial interest in the entity that is liable for the property taxes on the property an�t.owns the
0: �property or is buying it under a con(ract.: _ �
-.-. _� � ..;
u . o q< wuv.v�--
if buying on contract. Fee Simple"Owner's Name
Recorder's office where contract is
County
ECORDED
. : -...
. .
. ��t
� ,
, TownsY(p/. �/�; I Taxing Distr'�t jQitr, towp; township)
1I -r 7 -f-u•��
POI el Numpbrl I Legal Descripti �� 13 /
� • OI 9 �_
If any portion of the residential structure or the land not exce ding one (7 ) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized.to produce income.
' � ,_ PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township . - County
reby certify the atiove statemenis are true, correct and � ��re�.J
� - complete. ' � .,. . . . �LG�-ei' � . ' tq.O2
Address (Street, number, city, siate and ZIP code) •
• ' ASSESSOR USE ONLY �� � TRUE TAX VAL'UE� ASSESSED VALUE HOMESTEAD VALUE
Land not exceeding 7(6ne) acre immediately � � .
surrounding residential improvements ��)
Other land (2)
, Total land - line (7 ) plus line (2) (3)
Residential improvements. _ Dwelling. (4)
Garage (5)
Other improvements (6)
Tolal improvements - line (4) through line (6) (7)
Tolal value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature o( Auditor Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 1990 Pay 1991 1991 Pay 7 992 19 — Pay 19 —
sser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,500 Valuation or $2.000 Valuation or S1,500 Valuation or $7,500
Signature of Aud ,_,�y� Date Signed
m�.,, � , � ' �NAc,�.o 7 • �.3 =
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