HomeMy WebLinkAboutHomestead_Mason (15) %MAT(FORM:BB OW/41t mom&FORM rat\ ;A
.APPRI:EO BY STATE bMRnrw ACTT PUNTc.}ry PRESCRIBED BY THE DEPARTMENT(W UCAL GOVERNMENT MANGE 1C11.1.r-,.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 candard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than cer for homestead fraud.I loniesread fraud causes higher tax bills for all:therefore.
® HEA 1534-2009 requires taxpayers who receive the homestead standard deduction to verify that the) are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor home ead
flings.This inlhrmatinn will be kepi con[dentia)and can only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homesead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Mason, Scott L/Jacklyn S
1116 Carroll AVE
Princeton IN 47670
3754
Scott L/Jacklyn S Mason
1116 Carroll AVE Stale Parcel Number Legal Description
Princeton IN 47670-2806
1 11 11 1 1 m 1 1 1 1 1 1 1111 111 Ilulrllrurll !�t��nu��r� 26-12-18-103-003.453-028 019-03453-00 MCKAW SUM 38 PT/39/40
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
SCOTT LEE MASON
Tg Address(number and street,city,state,and ZIP code) E Same as property address -
1116 CAROL AVE. , PRINCETON IN 47670
Spouse First Middle Last
JACKLYN SUE MASON
Mailing Address(Number and street,city,state,and ZIP code) ® Same as property addres
1116 CAROL AVE. PRINCETON IN 47670
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
0
a/=�, CLAIM FOR HOMESTEAD PROPERTY TAX
���`° ^ CREDIT/STANDARD DEDUCTION
�:•,�� State Form 5473 (R2/1-90)
"^ `� INSTRUCTIONS: See reverse side (or /iling inslructions.
I (We)
CERTIFICATION STATEMENT
. - � _ i"iC�
T �
r� � I i- t,�
certify that on the 1 st day of Ma�r , 19
I(We) occupied as our principal place of residence the following described real property (or wl�ich a Ho,���ql�
��periy Tax Credit is hereby ciaimed: �X�We) owned ❑ Are buying under contract
� Have a bene(icial interest in lhe entity that is liable (or lhe property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
on contract, Fee Simple Owner's Name
where contract is recorded
Counry
PROPERTY DESCRIPTION
lown,
Page
Pnr�Ql Nu ��ry5� b� I Legal Description Nya � 3$ .(k1� 1/p,�� �,�,�,,,� .
sll 1 u i Tl
If any portion of the residential structure or ihe land not exceeding one (1) acre that immediately surrounds that slruc-
ture is used b produce income describe the use and portion of the property utilized to produce income.
Counry
PROPERTY OWNED BY CLAIMANT IN OTbfER COUNTIES
cerlify the above stalements are irue, correct and I�gnaWr�' � I„�
� � � ��,�
>(Street, number, city, state and ZIP e) / '
�/ �ABL �/�� n�l�oh �— �7L'�D
ASSESSOR USE ONLY TRUE TA% VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land nol exceeding 1(one) acre immedialely
surrounding residential improvemenls (�)
Otherland (2)
Tolal land - line (1) plus line (2) (3)
Residenlial improvements Dwelling (4)
Garage (5)
Other improvements (6)
To�al improvemen�s - line (4) lhrough line (6) (7)
Tolal vatue - line (3) plus Iine (7) (8)
I hereby certi(y the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Aciion - Signature of Auditor Da1e Signed
1989 Pay 1990
sser of 1/2 Homestead
Valuation or $2,500
Signalure of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser o( 1/2 Homestead
Vatualion or $2,000
li
1991 Pay 1992 19 — Pay 19 —
Lesser ol 1/2 Homestead Lesser ot 1/2 Homestead
Valuation or $1,500 Valuation or $1,500
Signed
�ID -i�,