Homestead_Massey atNE rnnnl!!",RU•In) RlAwntrR FOLSI Yea
.,Prwsto BY MELEE MOON.B-COOSTE.,9w PVSRIBFD BY THE DEPARTMENT OF UR'.LL(MnLNMnnT FINA'CEMLI.1 4:4.I .
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead uandanl deduction.As the receipt of This deduction becomes
more beneficial,there is more incentive than ner for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
. . HEA 1344-7009 requires tatpayers who receive the homestead standard deduction to verify the they are eligible to recebe the
benefit and to provide additional'identifying information necessary to allow county government to better monitor homestead
filings.fins infomution will he kept confidential and can only be accessed by authorized county officials.The Depanment of
Local Government Finance dill use this information to create tubas that will help county officials eliminate homestead fraud.
- PART 1: PROPERTY LNFORIMATION
. Taxpayer Name' - Property Address
Massey,Jacklyn S
215 1v Spruce
Princeton IN 47670
2468 _ _ __ - _ . ___ _— _ . - _ — _
Jacklyn S Massey
215 W Spruce State Parcel Number Legal Description
Princeton IN 47670-1425
lt�ullntltilt tltuill Iltlu lnit ltltlnn�itlrlttn ltl 26-12-07-102-002.326-028 019-02326-00 OLD PLAN 109 PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
j-(QCkLI.J Sue_ A Asset/
.e Address(number and street,city,rate,and ZIP code)-- - - ---- --- - - came as property address-- - _-___ __
j5L SpAuce_ 5 Pilivice ( aJ1 r�LI1 kc� 7Y 517 416
/
Spouse First Middle Last
Mail 479-Address(Number and street city,state,and ZIP code) ❑Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Syr
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 1 Signature Date
7 •
�� my
,��� CLAIM FOR HOMESTEAD PROPERTY TAX
s� ' CREDIT/STANDARD DEDUCTfON
l• Sute Form Sa73 (R2 / 5-92)
��� ��
INSTRUCTIONS: See reverse side for liling instructions.
. . . . . ,_ - . r - °=:-rFanoerer
FORM
HC70
YEAR
1�We) � � certifythaldi]h�133d��March,79
I(We) occupied our principal pl e of residence the tollowing ribed real property tor which a Homestead Properry Taz Credit is hereby daimed:
❑ I(We) owned ❑ Are buying under contract
�, Have a beneficial interest in the entity that is liable for the property taxes on the property and thai owns
' . . .- � _.�CONTRACTRECORDED` '<=-- .• -�.;^.
If Wying on convact. Fee Simple owner's name .
Recortler's oHice where mntract is recorded Recortl number Page
- . „. - PHOPERTYDESCRIPTION� ... .c"� . . _ .-�.°..�. . - -
Couni 7ownship Taxing di ri (own, lownshi
i
Parc u�r7D�r���/ `� legalde PI /D /1 ,
� y �o L 11i
Y"�/
If any portion ol ihe residential siructure or the WrW noi ezceeding one (1) aae that immediatety surrounds Nai s[rucNre is used ro produce income, describe ihe use arM
of the properry utilized ro produce income.
- ASSESSOR USE ONLY . �UE TAX ASSESSED HOMESTEAD NON-RESIDENTIAC -
� � VAWE VALUE VALUE VALUE
Land noi exceeding 1 (one) acre immediately _ . - . - � --
surrounding residential improvements. (�) -
Otherland (p) -� '��"�' ��
idy'
7otal land (line 7 pNs line 2� (3)
Dwelling (a) . - . � � `
Residential improvements _ _
Garage (5) . . .
Other improvements (6) �
Total improvements (line 4 through line � (7)
Total value (line 3 pbs line 7� (g)
I hereby certity ihe above is Irue. correct, and Signamre of Assessor Date signed
complete.
Veritying aaion - Sgnature of Autlitor Date signed
19_Pay79_
Lesser ot 1/2 Homestead
Valuation or $2,000
5
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