Homestead_Mason dart Iat,ne , '5-d1 MEASURER 10LMT3-IA
.APPROVEDBY ctVE WARD°,ArCritNTS.Tw PtfltmED BY fill Dt?ARfleJT(w REAL CIwELYMTHT FINANCE ICLE.l-Z-kI
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 nu for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344--2009 requires taxpayers who receise the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necesary to allow county po:emment to better monitor homestead
filings.This information will he kept conlidemial and can only be accessed by authorized county officials.The Depauntrnt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Mason, Carol Jean
109 W Garfield
Princeton IN 47670
3923
Carol Jean Mason
109 W Garfield
PRINCETON IN 47670 State Parcel Number Leal Description
26-12-18-302-000.693-028 019-00693-00 PT SW NW 18-2-10.8730 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
.ig Address(number and street,city.state,and ZIP code) -- --- -- LJ/_I Same as property address - - - -- —--
101 1k- GPRrr Iri P2 ■,\; c.F Tn 0. -EN q nT 7d
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as properly address
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 Signat Date
•
..fi- � r:.
,� _��,
CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD/SUPPLEMENTALDEDUCTION
State Fortn 5473 (R73 / 12-09)
Presrnbed by the Departrnent of Local Gwemment Finaxe
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IIVOI RUIi IIVIVJ: JHH /tlVC/Jtl yUC IW II!(/MJ IIISIIOLIN/I5.
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I(We) C a � 0 1 Seo �� Q� n Y� . certiry that I(we) oc� ' D��P�
plare of residence w am (are) buying the following described real property fw which a Homestead Property Tax Standard Deduclion is imed
�r contraG on ihe date this applintion is filed, (date o(filing). I(We): GIBSON COUNTY AUDITOR
Own ❑ Am (are) buying under recorded contrect
Am (are) entilled to occupy as a tenant-stockholder of a cooperative housin9 corporatlon -�
❑ Have a benefidal interest in Me Wst or the righi to occupy the property under the tertns of a qualified personal residence Wst .
❑ Am (are) the shareholder, partner or member of the entity ihat owns ihe property.
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Name of daimant (kgal nama)
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Sodel Senaib
neme)� . — _" --'. ' � - - ' . .- . '
Sorlal SerLriry numbar o( daunanYS spouse (WSt fi✓e d'giCs) Om.ers 6r�nsa / Itlentlfiption / Other number Issuing Stata
of tla"unant's spouse (last �ive dgiGS)
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If huying om m�traG, Fee Sirt�ple owners �me
Remrdets oi5ca where contract is remNed Racord ruunter Page
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Counry TownshiP Ta�dng distritl (dty, town. fur'nship�
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Paimi number Legal tlevription �s the property in question:
- � � - 9 - a�' ��,� ❑ ��e�� �a � u� 6�.,-n
If arry portion of die iesidenlial structure or Ne taM not exceedin9 �e (1) aae that immediatey surtou ds lhat strucwre a used m pioduce income. tlesaibe the use and pMion
N Ihe poperty utilized lo protlum Income.
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Counry Township Counry ._TownsNp
I hereby cer5y ihe above stacements are we, correct and mmplete. 5y:a:u�e o° yaiman;
, .i �� /' 2/�i� �
AdEress (number en0 st2et, cdy: state, aM ZIP � e%' �/ /� � ✓ � �
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Land not ezceeding 1(orre) acre immedlately �s.��;i�`g �� �; -: F�°�i '�"'�-�.�'`.
surroumm� reamenUa� �m rovements. (�) ��,: �-- .. ,� �.--, �., -••�=`�'
Othar lana (2) �'� �c + ��.� .
Totel land (line 1 p/us line � (3)
_ i`." o+� `r, . � �
ResideMial improvements or Annuaity �Iling (4) ��+.>- a,;-r k i'��r�y'�,q�;�
Aaseased Mohtle I Manufactured Home Gara e () s�'}�rs�.� �� ����' �.
9 5 ��s „t �. -a: r =�_� �-•^�«`,
Other Improvemenb (6) ,„4 �'t,n``�+:.�'�.-��'
7otal improvemer� (line I throug� line 6) (7)
Total value (lina J plus llne n (8)
I hereby eerdry the above is true, correct, �"a�R °f �uOf �� g�9� (�nu, day yes�
and wmplete.
VuiNinB adbn - SS�ture otNitlimr Date signeA (monN. daY• Y��)
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20 _ pay 20 Lesser of 60% of the essessed value of ihe homestead or $45,000
NoMifnsfsnd4g any oMerprovision, the sum o!(he deducfiorns provitled in IC 61.1-12 m a mobJe home that a $
not essessed as real property a ro e menufaUUred home that is not assessed as 2al property may not exceed
one-hetl 72) W Ne essessed ralue o/the rtw6ile fame ormanWxwred fame.
SignaNre oflwditw Date signetl (monfh. daY. Yaa/)