Homestead_Mason (7) STATE FORM 58564(R3/8-10) TREASURER FORM TS-IA
I NW EP GI.
- APPROVED BY STATE BOARD OF ACCOUNTS, FRESCRIBID BY THE OF LOCAL FINANCE LI
RC6- -U-ti
' • 'Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher lax bills for all;therefore,
III bne 1344-2009 and p wide a additional identifying who receive n or homestead n necessary standard flow county to verify that they are eligible monitor receive the
benefit and to provide additional information necessary standard
allow county gmfv that to are better mble to homestead
filings.This information will be kept confidential and can only be 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.
APR 1 1 2011 PART 1: PROPERTY INFORMATION
Taxpayer Name Location Address
C. .f y Mason, James K/Deborah K
`V\ 169E795S
GIBSON COUNTY AUDITOR
FT BRANCH IN 47648
2632 I II II II I II II II
James K/Deborah K Mason • I Ilul ul l l DIII til l I�0111 til l I�.II I�I11111_�II�IFTII1�Ilul I II I�III_�11011 I�IIID III
169E795S
Fort Branch IN 47648-8007
1II III I111111 'IIIIII1" 1 1111 11I 1111ltllll'IIIIIIII III State Parcel Number Legal Description
26-19-19-203-001.265-026 INDIAN HILLS 8
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.
I. ) PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
;lame S `yJA-Sod
Mailing Address(number and street.city.state,and ZIP code) - - - ...0 Same as property address
a9E 71r 5' Ad- 3rak1 3 v 4 1 A
Spouse
/- First j/ Middle /�,/- Last
�Pk ra-k f� /i// Y) •
—
mg Address(Number and street,city,state,and-ZIP code) Jame as property address
Each 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.
>�r I Signature Dat
'.•
�
..�_ � CLAIM FOR HOMESTEAD PROPERTY TAX
dr. �' CREDIT/STANDARD DEDUCTION �
�--r .. ":
iII .-"' i . .x •
� State Form 5473 (R2/1-90)
`' '°�• �� INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
i �
f , ,.
„ • i i � t�.
�� ' � f �,�
JUN 2 4199�
I(We) (_L�,f/YIWJ f'1 •°� �F" � c�t y hat on the 1st day of March�l9o�.
1' (We) occ ied as our principal place of residence the following described real property for which a Homestead
�Property Tax Credit is hereby ctaimed: � I(We) owned ❑ Are buying under contract
� Have a beneficial interest in 4he entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract..
CONTRACT RECORDED-
If buying on contract. Fee Simple Owner's Name
Recorder's office where coniract
RROPERTY DESCRIPTION
Taxing District (City, town, township)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of ihe property utilized to produce income.
�/ / .
PROPERTY. OWNED BY CLAIMANT IN OTHER
Township
I hereby certify ihe above statements are true. correct and
City,
ASSESSOR USE ONLY
a
County
Township
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 1(one) acre immediately
surrounding resideniial improvements (� 1
Otherland (2)
Total land - line (7) plus line (2) (3)
Residential improvemenis Dwelling� - -(4) - � - - - - - -
Garage (5)
Oiher improvements (6)
Total improvemenis - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 1990 Pay 1991 7991 Pay 1992
Lesser of 7/2 Homestead Lesser of 1/2 Homestead �esser of 1/2 Homestead
Valuation or $2,500 Valuation or $2,000 Valuation or $7.500
Signature of Auditor
19—Pay 79—
Lesser of 1/2 Homestead
Vafuation or $1,500