Homestead_Besing CLAIM FOR HaESTEfD PROPERTY TAX CREDIT FOR YEAR 1_974 `""/` / io 11
c ' SEE Eke FOR FILING INSTRUCTIONS . ' /�
I 4e) . A . . • a �;+Kias.■=ril%;!- L•, certify that on the 1st day o'
v - lel , , I, (We) occupied as our principal olac j of residence the following described real
41101k
for which a Homestead Prop= y Tax Credit is hereby being claimed:
I, (We) [tined .
Dare buying under contract
have a beneficial interest in the taxpayer _g
Property Description. in ) 3„311 U}L..cM County /3CIn TawTnshi:
Taxing District (City, Town, Township) : .
Parcel Number or legal description shown on tax s taunt:
. . ptaz: '
J I4 a- 3H (G P7
If buying on contract: Owners nacre (fee simple owner)
Contract rocorded in Record'er's Office - Record ib. Page
If any portion of the residential structure or the land, not exCe ding one (1) acre that
i, rnediately surrounds that structure is used to produce income, describe the use and portion of
the property utilized to produce irrono
Pny other counties in which individual awns or is buying real property: County . Township
et",y, certify the above statement is true, correct and complete.
A ��"� Street Address City, State and Zip Cod`-
*Individnal either owns or is buying uner a contract that provides he is to pay the
property taxes on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
True Cash Assessed Ilanestea:
Value Valuation Valuatio:
I and not exceeding 1 (one) acreurrediately / 70 4p
surrounding residential irr.pzovenents (1) r2SO
--0 %//%////////i%%2•
Total Land (3) afro //fQ�/ , 9GL/ ///_
Residential Irmroverrents C tilling (4) 3i o2r00 // �/////// /� /////��//�2
-I I k arage -(5) — 7///// / 1// �4
Total (6) c31 Ql O /DV 20 /0920_
APR 2 3 1°86 (�) /S`/D Sl D fin Other Improvanents p 7/%�%%/2
To Timpro•rne nts,-hr.insl(6). plus (7) equals (8) (8) 3;2 D C)r) .0930 //`/'
.`fc3 � and czrrmlete.
` seby certify the ab Re its true, correct,
Iv ' Date
SicnaEure Of Ass9sscr
l / - ACTION BY AUDITOR - r
%�-�p:-ove:::
1 0 - ( /l.l? � Date: H _ of 3- Sip
xlnlE FORM')W IB-I',MP nRFASIALR FORM:S IA
•
APPROVED BY 575E INOARDOF AU*M5._or FVSRIBFD BY rat OFFARnnC'T(E LOCAL CAYERYMrhF FINANCE IC 6-I.I_8.1
Gibson County Auditor
.101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud Homestead fraud causes higher tax bills for all;therefore.
OH HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi confidential 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 homestead (mud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Besing, Michael L/ Ruby L
Box 334 ((.�\`/
Somerville IN 47683 Vi
912
Michael L/Ruby L Besing
Box 334 State Parcel Number LeEnI Description
Somerville IN 47683-0334
I I I I I I I I I I I I I I I I I V I I I 26-20-02-402-000.052-003 001-00052-00 PT E SE 2-3-9 8.267 AC
h n uh h n n uh h ut a hh n u u h h t
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
rci-r4 F1- /F5 895
g
41
.Address(nnumber and street,city,state,and ZIP cater/
ode) —— -- - -— -a-Scone as output),uddrur ' --
-- - -----
t� iSox 3 3"� )O o - Er Tl L�NOLS SOmEP V�J LF/ Inl l {74
•
Spouse First Middle Last
R J 6 Y 4 g E's r n1 Cr
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address
p. a . SOX 33 , Ioa_oa E. r1-1-TNOL5 Som EAVZ!_L.E, TN g7e9g3
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 homcstead'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_ y` xe k�/lf'—l0 ( )
PART 4:ADDITIONAL INFORMATION