HomeMy WebLinkAboutHomestead_Mason (24) STATE HAM 5 T..IR'r ant ThZAAUFER FOAM,/-'A
APPROVED BY STATE MaltDOf Mend INTO.].N FRF-AATBED Or THE DEPARUO:Mf OF LOCAL OOVERNMrn'T Fa:AsCE IC 4-1.1-2:41
Gibson County Auditor PROPERTY OWNERS IMPORTANT NOTICE TO HOMESTEAD PR
101 N Main
PRINCETON IN 47670 Individuals and married couple.arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than mgr 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 am divide to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.this information will be kept confidential and can only be accessed by authorized county officials.The Depannan of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
\ PART 1: PROPERTY INFORMATION ,'
Taxpayer Narte Property Address
Mason, James L
1003 S Jefferson
Princeton IN 47670
523 — — —_
James L Mason
1003 S Jefferson State Parcel Number Legal Description
Princeton IN 47670-2711
itlttlltttltllttltttlll I Iltatltttlltttll'I litttitii 26-12-17-101-001.715-028 019-01715-00 KUNKEL ADD 39/40
N
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
J Oa Q.-S I-- a 04 So .
Ill ig Address(number and seen,coy,steti:,and GIP codej—-- --_ �(/ Same m prapem aidre5,. — —
003 S.,cje�'f'er Sot ?RING e1Mg' 72�P. w7G7o
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address
1'
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sme
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 eliuible 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 1 Signature `:. WT!—d_ ir,o x a! Dae
0
wRrn Hc io ism
Prescri�eA By Sla�e BaarO a� Tax Commiuioners
To Be FiIW in Du0liwte
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19� �
n SEE•BACK FOR FILING INSTRUCTIONS Q(CI� D�'7I S' �D
��We) �"'"'e°� • certify that on the 1st day of
arch, 19 I, e) occupied as our principal place of residence the following described real properiy for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial intere[s�t in the taxpayer
Property Description in ,�(„/-� -l� �- �
Taxing District (Ciry, Town, Township):
Parcel Number
It buying on contract: Owners name �!�
Township
or le al description showr� on tax statement:
l�'z �r � %� �7-a - io
��.�q� �o ,as�au� s,��s�
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
' hereby certify the above statement is true, correct and complete.
�'
�'" � �^ ^� Sireet A�aress
County
Township
Glty. $ute ana
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has.a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately �
surrounding residential improvements
T�otal Land � � � � �
Residential Improvement , �g
,��(� 2 • �Q Dwel�g
���/ //�`� Garage
� bl AUDITOR Total
/0I.� er Improvements
�/' 'mprovements - Line (6) plus (7) equals (8)
�y certify the above is true. c rect. and comp e
__'' Q.-t.pL �
Signawm oi Assesmr
True Cash
Value
(i � a2��10
(2) `� �
(s> � S s�o
(4) /�\
�5� _ o
(6) /�2:
(�) — /o — �
(8) �Z1Sa O
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
?o
Date
Date: G - � �- �J"�