Homestead_Besing (2) 51515 IOtM!!wiR l!+nl TAESSUI 1 PORN 73-IA
.ArrRrwEo DT CITE BOARD Of ARTR,:TS.Zen PRISCPJBW BY PIE DEPARTMENT O LOCAL tAWCR'MFIR FIANCE M 6-I.I-r4-I
Gibson County Auditor
1014N 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 escr for homestead fraud Homestead fraud causes higher tae bills for all:therefore.
• 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 information nemnry to allow county government to better monitor homestead
filings.this information will he Lep confidential and can only he accessed by authnriied county officials.The Depanntent of
Local Goverment Finance will use this information to create twls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Besing, Keith A/Patricia K
8690 S 950 F
Elberfeld IN 47613
8754
Keith Besing
8690 S 950E State Parcel Number Legal Description
Elberfeld IN 47613-8418
Itirtilttritll II tt Ilt lttlttl 11 Illtlll tt'tltl ttl'tt tlt lttl 26-20-26-100-001.707-001 001-01707-00 PT NW NW 26-3-91.00 AC
FILE, X
APR 2 7 2UlU
PART 2:TAXPAYER INFORMATION
Owner 1 First •r • • r PT'EMiddte Last
lee,4 \-\ A I I4.N Ill;Address(number and street,city,start,and ZIP code) S as propeess
S() 0 S 950 c Eitek' i r1mA:SWA (17613
)
Spouse First Middle Last
IPA-tat c ;A EA`-1 es;A� 3
Mailing Address(Number and street,city,state,and ZIP code) I (Same as property address
$6 9C S 950 E E)Bef2re0, i&t.4fv4 1 (1761 Z
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
PART 4:ADDITIONAL INFORMATION
i
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5.473 (R2I 5-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
CERTIF TION STATEMENT
A
I (We) certify that on the st day of March, 19_
�ll
1 (We) occupied as our principal place of residence the following described real property f ich a Homestead Property raxµfre4t 4 h2@0q claimed:
❑ I (We) owned ❑ Are buying under contract
"oris � ❑ Have a beneficia l interest in the entity that is liable for the property taxes on the property and that owns the u er a co ct. COtoi I I irnp
- CONTRACT RECORDED '
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
Coun
Township
Taxing district (ci m, township)
P rcel num r
00 - o o
Legal description ^ —� —�
O I f-7
It any portion of the residential structure or the land not exceeding one (1) acre that immedialety surrounds that structure is used to produce income, describe the use and portion of
the property utilized to produce income.
/��� /
C7 s+' Qj 0 �oo � Wl
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
®ereby certify the above statements are true, correct and complete.
Sere imant
`
d n bbaa1r. ar ttmef, city, state,, ZIP code)
l��/�
r v�r1 !Y '� I /-
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON- RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assesor
Date signed
complete.
Verifying action - Signature of Auditor Date signed
• STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
S
Valuation or 52,000
Si tura of Aud or
Date signed r /
/
J"