Homestead_Beasley (2) MATE FORM'JIe IR'r,01 7RF Wlau FORM ZIA
re*rIMPORTANT NOTICE TO HOMESTEAD DEPARTMENT
P PROPERTY FOWNERS zr
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than escr for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
t HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying infomauon rice-sun.to allow county government to better monitor homestead
filings_This information will he kept ronlidentinl and can only he accessed by authorized county officials The Depannienl of
Local Government Finance will use this information to cream tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Beasley, Max E/Sherri L s'S' S ?Coe
RI Box 250 D
Oakland City IN 47660
4265
Max E/Sherri L Beasley
88 S 950E State Parcel Number Leal Description
Oakland City IN 47660-8457
I 1 I 11 II iti III II II ' I I 1111 II I I I I II 26-13-11-300-001.361-006 003-01361-00 PT NW SW 11295.00 AC
I III ti III II II II I I 1 111 ti 1 11 1 III C-1-D-6
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
I'Yl0-X C,I_geYter eaS1e� S
tg Address(number and street,city,state,and ZIP code) ❑ Same as property address —
fig$ s 95o C Oaseito.nci_ C.i , 1-r4 yU(.4 ( o
Spouse First Middle Last
Sherr n I- easke -c
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
5 950 E Oaix-Ca id- C:i-F1 , Di g1coc20
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 undersiened 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
•
CLAIM FOR HOMESTEAD PROPERTY TAX FO YEAR
CREDIT /STANDARD DEDUCTION
` State Form 5473 IRS / 7 -07)
Prescribed by the Department of Local Government Finance M MAR 2 0 2009
INSTRUCTIONS: See reverse side for filing instructions. 1 `
I (We) r 4 . . 7 . GIBSGN C�Uf TY fIU�IT
verb the on e 1 s y o arch, 20-
I (We) occupied as our principal place of resid ce the following described real property for whA a Homestead Property Tax Credit is hereby claimed:
(We) owned El 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 is buying under a contract.
CONTRACT •-D s
If buying on contract, Fee Simple ownefs name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County Tariship Taxing district Icily, lows, township)
Parcel number L al description % o Is the property in question:
itJ SW //- ❑ Real property ❑ Mobile tome (/C 6-1.1 -7)
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.
aG -i3 -/I- 3oo- ooh. 3
County I Township I County
I hereby certify the above statements are true, correct and complete. I Sig �7 �hn imam
&
—ress (number and street, My. state. and LP code) r
ASSESSOR USE ONLY
TRUE TAX'VALUE s VALUE1:
HOMESTEAD
NON-RESIDENTIA
pay 20 —
AT 100% OF TTV
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
44,000 for 2008 pay 2009
41,000 for 2011 pay 2012
;p"'3r " ..fin y `�i*•
3
surrounding residential improvements.
43,000 for 2009 pay 2010
40,000 payable after 2012
Other tand
Total [arid (lime 1 plus line 2)
(3)
VnGllln9
(4)yY
Residential improvements or Annually
Assessed Mobile / Manufactured Home
Garage
; r r ` 1 e'•- "' °" ;.
(5)
,,' �-•t
Other improvements
(6)
Total improvements (line 4 through fine 6)
(T)
Total value (line 3 plea fine 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day, year)
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STANDARD DEDUCTION
pay 20 —
45,000 for 2007 pay 2008
42,000 for 2010 pay 2011
Lesser of 12
Homestead Valuation
44,000 for 2008 pay 2009
41,000 for 2011 pay 2012
$
cr
43,000 for 2009 pay 2010
40,000 payable after 2012
Signature of Auditor
Data signed (month, day, year)
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