Homestead_MayseCLAIM FOR HOMESTEAD PROPERTY TAX YEAR
1 CREDIT /STANDARD DEDUCTION Q
State Farm 5473 (De Department 1Lt]
`
Prescribed by the Department of Local Government Finance IL
INSTRUCTIONS: INSTRUCTIONS: See reverse side for filing insfnictions.
I (We) cortify that on the 1st dayof March50
1 (W ) occupied as our principal place of resident g v;
a following described real property for which a Homestead. Property Tae,Credit is hereby,daimed:
,,:
ill-Have (We) owned ❑ Are buying under contract
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.
NTRACT.'RE_COR_DED"`k
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
:V t ` .;i` 44-A ''` ", PROPERTY DESCRIPTION - -%i ai'73'±R`< : , s- 4.�."r?{- .r`uss�[�. `,Y°zv"� "��ia' —'-
County `
Tormstup
County
Tadn is to w , rownshi
Township
I hereby certify the above statements are We, correct and complete.
.Siena[
\IT
/ci�ty �
ress (number end sheaf, city, state, ZIP code) - - --
l LhIto3z 4jt1I1.b5+aM
gal descrip on
Is the property i question:
CJf
Real property ❑ Mobile Homo (LC. 61.1 -7)
If any portion of the residential structure or the land not exceeding
a 1) acre that imm iately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
-.3 r-. ..._ _
.. .P,RORERTX;OWNEDBX:CL'AIMANTiN, OTHER "COUNTIES,_,'.,�;'a.
TRUE TAX '"``�
County Township
County
NON E IDENTIP.L )
MEMO-
Township
I hereby certify the above statements are We, correct and complete.
.Siena[
\IT
of clai nt
ress (number end sheaf, city, state, ZIP code) - - --
l LhIto3z 4jt1I1.b5+aM
Land not exceeding 1 (one) acre immediately
i f is
_%!P' �# s�. —IIAt a
ASSESSOR'USE ONLY 'fiss`4�-.£
TRUE TAX '"``�
ASSESSED VALUE
'r�,�j
=HOMESTEADS
NON E IDENTIP.L )
MEMO-
� .. .'
VALUE = •."AT,L00%,OFTf1/
Valuation w E35.000
sVALUEr�
iVAL.UE�
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
1
Other land
-
IS
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile / Manufactured Home
Garage
(5)
,� a __
M ,IN— :_,.
Other improvements
(6)
y TM
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line /)
(6)
I hereby certify the above is true, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
XZSTANDARD: DEDUCTION'ALLOWANCEYa
20 _ Pay 20 _
Lesser of V2 Homestead
Valuation w E35.000
'
Signature of Auditor
Date signed
•
SEAR[ORM JAN,P_i}.NI TPEAStt£A FORM 73-IA
.APPROVED BY MATE WOAD°MVY RL'eeS.9x PAESIUBED BY ME DEPARTMEN T(if LG-At r5TrRNMuTr FINANCE IC 41.1-2:4"
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction Inomes
MOM beneficial.there is more incentive than ever for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
Ili HEA 1344-2069 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to reeeue the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only hi accessed by authorized county officials_The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Mayse, Chad N/Julie
103 Hull
Haubstadt IN 47639-8119
2706
Chad N Mayse
103 Hull St State Parcel Number Legal Description
HAUBSTADT IN 47639-8119
ltltlllttrlrllrrttlltllltllttltrut111trilllltill lltltlttl 26-18-36-402-00(1441-009 013-00441-00 WEST HOTS 1ST ADD 25
. — - _— ____ _ _ — ° \ . .. — _
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Chad forrna.n ina i,S-e
IlLg Address(number and street,city,state,and ZIP code) 111./same as property address
\0 3 A' ASkcCt4 1IN0. JL\C&*( 3- ,- 1\ LIB 10;3 CI
Spouse First Middle Last
J UJif_, m\ c ne11c ill 0,\Ise
Mailing Address(Number and street,city,state,and ZIP code) It�i stun as prupenv address
103 V\£\\ Sctek- }\au�ksc(d zit ck-1Q u .
/: - ' --- - —
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
7 I all AsPS nddii-WnA I .1niorm n tie pleas c#Mfau- -Tacit Mcxt�CZ n-I- ern kla•1.71•(C441 or
h Q rS RI • 000t4