Homestead_Kohlmeyer •
tl VE FORM I VW.In-'/S.-•I rAG'lW lfA fORV 73-tA
.rrwwrfIBTVVfN WARM.-Mie.Ta_9u PIFYA®m BY illy OEPMLHEVT OFtOMAL C LYTEKT FINAYCE rr.-I.t-r4 I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PICINCETON 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 eter for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requhes tatpayers who receive the homestead standard deduction to verify that they are eligible to receie the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.ibis inhumation will he kepi confidential and can only be arer-seed by authorized county official..The Ilepanment of
Local Government Finance will use this information to create wuls that will help county officials eliminate homestead fraud.
• PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Kohlmeyer, James A/Toni D
•
Francisco IN 47649
4097
James A/Toni D Kohlmeyer
2763 S 450 E State Parcel Number Lezal Description
Francisco IN 47649-9100
26-12-26-200-000.358-004 002-00358-00 PT NE 26 2 10 2.00 AC
Its tuI t I I toI ll III I I MI ama /
D-10
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
1A/'4 e5 AT 1-*)H /31 ey-c2
•tg Address(number and street,city,state,and ZIP code) — Sane as property oddr¢s — - —
%3 S 9- o f 1/UAfC,S(o IN If 7G
Spouse Fits: Middle Last
N I Q /92o/t en et(
Mailing Address(Number and street,city.state,and ZIP code) [] Same as progeny address
29 S 4r5o T 1A94 C,sCo 'N -Q- 76 4 .7
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 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
•
Form HC 10 Supplement
Worksheet for March 1,
1989 Assessed Valuation
00 z-0o 3SP -00
J.
® HOMESTEAD CREDIT CALCULATION FOR 19890
County .Township Taxing District
Name of Taxpayer / \�� -m��•� A I �O�"
Parcel No. or Legal Description v` rN C o /04
OLW
ASSESSORS CALCULATION
True Tax Assessed R NR
Value Value Resid. Non -Res.
D
Amount of Dei
1989 pay 1990 1990 pay 1991
lesser of:'1 /2 lesser of 1/2
"R" A/V or "R" A/V or
$2i506 $2,000
Signatu MNCWM Auditor =
auction Allowed
1991 pay 1992 Years after
lesser of 1/2 1991 (same
"R" A/V or as.1991)
$1,500
Land (1 acre maximum) (1).�
S O p
93c
XXXXXXXX
(2)
XXXXXXXX
o o -
�{y
Other Land:
. 5�
Land (�)
Total Land
Residence (Dwelling) (4)
XXXXXXXX
(5)
a a 63 O
XXXXXXXX
®
Garage
XXXXXXXX`
� � OO
Other Improvements (b)
Total Improvements (�)
a
Total Land.and
..
`
Improvements: (8)
I hereby tify the abov„
s true,
correct, and complete.
Signa re of As sor
`'STANDARD-DEDUCT30N
CALCULATION '
IC 6-1.1 -12-37 provides that a person who is entitled
to a Home-
stead Credit is entitled a
Standard
Deduction. . .
D
Amount of Dei
1989 pay 1990 1990 pay 1991
lesser of:'1 /2 lesser of 1/2
"R" A/V or "R" A/V or
$2i506 $2,000
Signatu MNCWM Auditor =
auction Allowed
1991 pay 1992 Years after
lesser of 1/2 1991 (same
"R" A/V or as.1991)
$1,500