HomeMy WebLinkAboutHomestead_Mason (16) STATE FORM 33509 I to tPt lAr#StIta TORY TI-IA
ATMRPED BI CIVIL BOARD Of ACCOUNTS,`nM PaF3A(Bm BY TILE DEPAa .efr OF LOCAL CAYER.YMFTl FINANCE IC 61.1-r-s.1
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 Leconte,
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to creche the
benefit and to provide additional identifying information nece at).to allow county government to better monitor homestead
filinb.This information will be kept confidential and can only be accessed by authorized county officials.The nepattnlenl of
Local Govemanent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Mason, Gregory E/Penny G
0 (`/1'�/
Princeton IN 47670
423
•
Gregory E/Penny G Mason
1123 E Ohio State Parcel Number Legal Description
Princeton IN 47670-8702
I tlnllnt�rllnlnr111ru 1u 1r1ur111nurlrlu ltlu�lninll 26-12-17-104-002387-028 019-02387-00 PT NW 17-2-10.51 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
_
---•g Address- mbcr d street-city,state,ana LIP code - -- — - — -- i+me uss property add — — — -- — — -
IIZ3 6 o'147o
— _
Spouse POW First Middle Last
U f &�okGC /ei-Sci J
Mailing Address(Numbfr and street,city,state,and ZIP code) IaSme as property address
IIZ3 6 o k-h-o -
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is elieible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
• unlash.. • or she may be liable for back taxes and substantial financial penalties.
Owner
St / / Date/ I
0
M.^•n
aa 'r °a CLAIM FOR HOMESTEAD PROPERTY TAX
;; �: CREDIT/STANDARD DEDUCTION
;,�;�� State Form 5<73 (R2 / 5-92)
�iu
INSTRUCTIONS: See reverse side loi /iling instrucfions.
- FORM YEAR
HC10 4
� �, � J3�'J �
,�p .TLD � z n....
'') 1L9.pi6A�-� �� 0�. �/A/r..��. certify ihat on the 7st day of March, 19�
) occupied as pri cipal place of residence the Ilowing described.real property for which a Homestea o ert a�recj]�ii�@{�y Gaimed:
��We) owned � Are buying under contract . _ � AUD�TOR �
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and thai owns the property or is buying under a contract.
CONTRACT RECORDED .. -
If buying on contract. Fee Simple owner's name � � �
Recorder's oRice where comraci is recortletl Record number Page
Counry � - Town h'p
Parcel number Legal descriptio r. '
I �w
If any portion ot the residential SVUCture or ihe land not ezceeding one (11 acre ihat
of Ne property utilized m produce income.
town, rownship)
�-o(. 1 (,) .JI ft
iiatety surrounds that structure
produce i`xome, tlescribe Ne use and portion
ASSESSOR USE ONLY
Land noi exceeding 1(one) acre immediately
surrounding resideniial improvements.
Otherland
Total land (line 1 plus line �
Dwelling
Residential improvements
Garage
Other improvements
Total improvements (line 4 through line �
Total value (line 3 p�s line �
I hereby certify ihe above is true, correct, and
complete.
�ying action - Signature of Autlitor
79_Pay19_
Lesser of 1l2 �meste
Valuation or 2,000
I Signature of Audiror / � (`\
� �%Y�rn2 1�
TRUE TAX
VALUE
I�)
l2)
(3)
I4)
(5)
(6)
1�)
le)
Signature otASSessor
S
ASSESSED
VALUE
ALLOWANCE
HOMESTEAD
VALUE
NON-RESIDENTIAL
VALUE
Date siqned
Date signed