HomeMy WebLinkAboutHomestead_Masters (2)R
dr. CLAIM FOR HOMESTEAD PROPERTY TAX roRM
UCREDIT /STANDARD DEDUCTION Hc10
Slate Form 5473 (R2/1 -90)
' INSTRUCTIONS: See reverse side for filing instructions.
CEIll I If-ICA I IUN 51 A
I (We) d cel ify thal on the I s t day of March, 19�
I (We) occupied as r principal place of residence the I owing described real property for which a Homestead
'Werty Tax Credit is hereby claimed: ❑ (We) owned ❑ Are buying under contract
❑ Have a beneficial interest in the entity that is liable for the property taxes on the properly and that owns lire
property or is buying it under a contract. "Tg T 171%
CONTRACT RECORDED
If buying on contract, Fee Simple Owner's Name MAY I 1 i992
Recorder's office where contract is recorded Record i%N" rl rbW P g c
e l I ITOR_U_
oonocrarV nCCrnIDTInN
T
Legal Description
Taxing District
vv � — I I —
If any portion of the residential structure or the land riot exceeding one (1) acre that inimedialely Burro nds that slZf
lure is used to produce income describe the use and portion of the properly utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
wnsl ri
(2)
.e y cer r y 1he above statements are Ime, correct and
rplele.
Signa e
Address (Street, number, city, state and ZIP code)
3u 600 tlrJ �710�0
ASSEsson USE ONLY TnUE TAX VALUE ASSESSED VALUE IIOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land riot exceeding I (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
Lesser of 1/2 f lomestead
Valuation or $1,500
19 —Pay 19-
Lesser of 112 Homestead
Valuation or $1,500
(2)
Signature A dilor
(3)
(4)
(5)
(6)
(7)
(8)
I hereby certify the above is true,
correct, and complete
Signature of Assesor
Dale Signed
Verifying Action - Signature of Auditor
Dale Signed
CTAmnnnn nFTrnCTlr]Td At 1 nVJANCF
1989 Pay 1990
-esser of 112 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 112 Homestead
Valuation or $2,000
1991 Pay 1992
Lesser of 1/2 f lomestead
Valuation or $1,500
19 —Pay 19-
Lesser of 112 Homestead
Valuation or $1,500
Signature A dilor
le S' ne
Ft -7�-
• "Ann FIMAt nys'IC'r 4N1 lflAN[FA m EN T31A
A1,rI0111II BY STATEBtW)Of ACM L.vrc_ii+ PltESX1Ia1D By fir DEPARTMENT GC LOCAL COx2RNMESl FINANCE M 1-11`74.1
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 oer for homestead fraud Homestead fraud causes higher tax bills for all;therefore.
•. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc elicible to receive the
benefit and to provide additional identifying information necessan al allow county government to better monitor homestead
filings.This information will he kept conlidemial and can only he accessed by authorized county officials.111e 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
Masters, Billy& Beverly Bradshaw
,g01 VINE ST
llazleton IN 47640
221
Billy& Beverly Masters
P 0 Box 124 State Parcel Number Legal Description
Hazleton IN 47640-0124
I I I III I III I I I I III I I I III I 26-02-59-017-000.125-019 014-00125-00 BR 2ND ADD 29PT/32PT
t o tat t tat a tat n t t n n t t n t u
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
5//I}/ • ldsyne 4,9sTERS •
to Address(number and street,city,stare,and ZIP code) " � Lf Same as property address
307 Junta S-E /9084x 6a' /241 V74zIF-Lon) Tn) 47&4o
Spouse QQ First 2 Middle, Last
I2EtiEAI�/ 6�RADSHPW /219.5-7E R5
Mailing Address(Number and street,city,stale,and ZIP code) 0 Same as properly address
Po to c I{zc} 307 Volt 1-1AzIE-014,_rf tin 1,40
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
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