Homestead_Massey (3) MAIL OCI 3-00 zurAnJIrt rOKV Ts%A .T
APPRIWEn BY MATE enMM OrnrcvtNTS Yix PUIS1UDED BY nu'DEP.Mnen OF LOUL tOVERYMEKT FINANCE/C6-1.1-174.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
inure beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
HEA l3A 2009 requires taxpayers who receive the homestead standard deduction to verify that they art eligible to recite the
benefit and to provide additional identifbine information necessary to allow county government to better monitor homestead
tilint-v.This information will he leer cnnlidential and can only be accessed by authorized county officials.11w Deponent of
Local Government Finance still use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Massey, Shirley A
312 li Walnut
Princeton IN 47670
2646
Shirley A Massey
312 E Walnut State Parcel Number Legal Description
Princeton IN 47670-1766
11111e111 1111 26-12-07-201-001.739-028 019-01739-00 OLD PLAN 100 PT
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
.Shirty A-no Massey
cAddteas(nun'ba and>trect.city.rat.and ZlP code) _- ----. — — - Same as propertyaddrss— --
310_ 1a5rWq/Rarst. PErnctzron t.{7670
Spouse First Middle • Last
Mailine Address(Number and street,city,state.and ZIP code) [J 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)
sou
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 elieihle 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
.�•n••, CLAIM FOR HOMESTEAD PRO . A;
:�>- y : CREDIT/STANDARD DEDUCTION
:� State Form 5473 (R2/1-90) � - '
�' '°�° � INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEME
�
FORM
HC10
V
I(We ��Ql1�Q.� - cert y at on the 1st day of March , 19'�V
�Ne) occupied as ncipal place of �sidence the�ing described real property for which a Homestead
�operty Tax Credit is hereb'q claimed: (We) owned ❑�Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or isbuying it under a contract. , .
on contract.
contract
CONTRACT RECORDED
�
r
Taxing District (C�n, town'ship) �. .
P rcel Number Legal D ri i 1 �
� – � '�� / `J�
If any portion of the residential structure or the land not exce ding one (1) acre that imme i c
ture is used to produce income describe the use and portion of the property utilized fo prod
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township _ County
certify ihe above statemenis are true. correct and
Address (Street, number, city. state
ASSESSOR USE ONLY
' TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Landnotezceeding t(one)acreimmediately
surrounding residential improvemenis (�) �
. Otherland (2)
Total land - line (t) plus line (2) (3)
Residential improvements Dwelling_ (4)
Garage (5)
Oiher improvements (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (.7) (8)
I hereby certi(y the above is true. Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
7 989 Pay 1990
sser of 7/2 Homestead
Valuation or $2.500
of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1997 1991 Pay 1992 19—Pay 19—
Lesser of 1/2 Homestead Lesser o( 1/2 Homestead Lesser of 7/2 Homestead
Valuation or $2.000 Valuation or $1,500 Valuation or $1,500
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