Homestead_Beasley (2) £TAIL I ORM Af •gIC MASURER Po0.4 73-IA
.AnwW'Eo BY MATE&MRnrwMRRLTS.OM PREYWBFD BY THE DEPAWx1EYr OF LOALCAx2RNMrRT EP.ICE ICH.1-II-ll
Gibson County Auditor
101,N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than exer for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• FIEA 1344-20cc requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receive the
benefit and to provide additional identifying informmwn necessary to allow county government to better monitor homestead
filings.This information will he kept rrnfdential 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 fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Beasley, Jackie L/Karen A
Francisco IN 47649
4815
Jackie UKaren A Beasley
6995 E 250 S State Parcel Number Legal Description
Francisco IN 47649-9056
III I III I I I I I I I I I I I I III 26-13-29-100-001.326-004 002-01326-00 PT NE NW 29 2 9 3.00 AC
r u tut ur u t u r u nuts ra t ur t o a C-1-D-7
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
3—o-CAC...1E Lynn fae.asle
Ilitg Address(number and street,city,sate,and ZIP code)— -- - - - — —�-Snore as property address— - -- -- — —
IC1 95E a 6 5 f ca 'cc c k{ 7 Y-I-9
Spouse First Middle Last
VNGS \ a o n e- *C ti' e_0 5l �y
Mailing Address(Number and street,city,state,and ZIP code) ® Same as property address
(49\5E ao 5 Tro. Rc;s co =N h47619
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is ttve 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.
nee I Si ature Date
•
t
ems. g CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/5-9i)
rsu -
INSTRUCTIONS: See reverse side for filing instructions.
FORM
HC10
RTfFICATION STATEMENT if
I (We) - certify that on the is day of March, 19_
�) pied as our p incipal place of residence the following described real property f w ich a Homestead Property Tax Credit is hereby claimed:
I (We) owned ❑ Are buying under contract
❑ Have 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.
. !. _ - , - CONTRACT RECORDED
It buying on contract, Fee Simple owner's name' - - APR 1998
Recorder's office where contract is recorded R number /Page
1l�ll��•ITV �'�IfIIT/1O
"'
- PROPERTY DESCRIPTION
County
Township
County ,
Taxing di rict.I ry. town,
(1)
: -I i
Adtlru tuber andstre city's ZlP g7 AIC I S
beiC)
I
3X _
egal description
It any portion of the residential structure or the land not exceeding one (1) arse that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
(3)
PROPERTY OWNED BY CLAIMANT
IN OTHER COUNTIES
County
Township
County ,
jWy certify the above statements are true, correct and complete.
(1)
na ure of clai ant
Adtlru tuber andstre city's ZlP g7 AIC I S
i /
M
ASSESSOR USE ONLY
-
TRUE TAX
-VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Signature of Auditor 1 Date
W J i
Otherland
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plrs line 7)
(R)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
T
- STANDARD DEDUCTION ALLOWANCE
19_Pay 19
Lesser of 1/2 Homestead
Valuation or $2,000
$ '
Signature of Auditor 1 Date
W J i
F