Homestead_Mason (14) :xxiE FORM 53 taIR:Irwt TPtASURrR FORM IS-TA
.APPROVED DV MAIL WARD nrsenaINTSY.w PREARIDEIMV till DEPMTD]VT(W LeXiLCOVEtNstrAT FINANCE/C4-1.1-224.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple are limited to one homestead standanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.homestead fraud cause higher tax bills for all:therefore.
liF T DEA t am.!to p provide dit on l i who receive ion homestead standard to allow ion to verify that they sett eligible
monitor recces the
I[Y®1{.J, benefit and to')requires
additional identifying ie the hton necessary to allow county government to are better monitor seethe
et the
tiling.This information will be kepi confidential and can only be accessed by authorized county officials.the Ikpanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR 1 2 LOW Taxpayer Name Property Address
Mason, Charles H/Polly
3_7 W Pinkney
GIBSON COUNTY AUDITOR Princeton IN 47670
2918
Charles H/Polly Mason
327 W Pinkney State Parcel Number Legal Description
Princeton IN 47670-2351
26-12-07-303-003.415-028 HALLS 2ND 23 PT/31 PT PT SW 7
t o ut It II II'ur III out Illtillidelltillittlellsellilliti
210 .031 AC
N
PART 2:TAXPAYER 1NFOR)1ATION
Owner I First Middle Last
Chgrl e 5 June, a,son
--.,g Addren(numb'er and smart,-city,state,mid ZIP code) -- - —_ __. Same as property address _ .__ _- _
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 Signature Date
411.
eE �°a CLAIM FOR HOMESTEAD PROPERTY TAX
�,��� CREDIT/STANDARD DEDUCTION
�.;'� State Porm Sa73 (R2 / 5-92)
rao
INSTRUCTIONS: See reverse side /or7iling instructions.
j-�� .r�
. - , q . I` j�i
� �
i 1 i
1�
) �Y ((,ll�X�tL/ (_`� '
described real propeAy tor which a Homestead Property 7ax Credii is hereby Gaimed:
(We) owned ❑ Are buying under contract .
lave a bene(icial interesi in the eniiry that is liable for ihe property taxes on the pmperty and ihat o n�th�r�ert�s buying under a contract.
CONTRACT RECORDED
It buying on contraa, Fee Simple owner's name
Retortler's oflice where Contract is recorded
Recard
.� � �
Page
" � PROPERTY DESCRIPTION
Counry Township . Tacing district ( y, wn, townsry,;p) -
Parcel number Le al escripti n 'Q , C
q- O�iS-o� � .a "� a3�f 3� P�- �Sc.� 7-a-�o a,
If any portion ot the residential sirucmre or the la not exceeding one (7) acre iha� immed� ty surmunds that structure is used to produce income, describe t�e use and portion
oi the pmperty utilizetl to produce income.
PROPERTY OWNED BY CLAIMANT IN OTMEF COUNTIES
Township Caunry
��- �—_
certify the above siatements are true, correct and complete. �� §�ure oypiai^^ � O �
I I
ASSESSOR USE ONLY
Land not exceeding 7(one) acre immediately
surrounding residential improvemen[s.
Otherland
Total land (line 7 plus line �
Dwelling
Residential improvements
Garage
Oiher improvements
Total improvements (line 4 through lina �
Total value (line 3 p�s line 7�
I hereby certify ihe above is true, correct, and
�-+Plete.
ying aC�ion - Signature of Audibr
19_Pay19_
Lesser ot 112 Homestead
Valuation or 52.000
Sgnature oi Autlitor / r^ ^_ 0//
-• = " � i1�///t�Y
TRUETAX I ASSESSED�
VALUE VALUE
(U
(z)
(3)
(4)
(5)
(6)
PI
18)
Signature oi Assessor
DEDUCT70NAllOWANCE
S
HOMESTEAD I NON-RESIDENTIAL
VALUE VALUE
Date signed
Dare siqnetl