Homestead_Heldt (2) STATE FORM 52169(0.314.10) TREASURER FORM TS.IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 • PRESCRIBED B?THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.1-2222-S.I
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS _ ''
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
"duction becomes more beneficial, there is more incentive than ever 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 are eligible to receive the benefit and to provide additional identifying
information necessary to allow county government to better monitor 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. : /
rr= PARTI PROPERTY INFORMATION -. - ;i l-_r4
Taspaver Name Property Address State Parcel Number Leas)Description:
Rodger D/Amy L Heldt 7152 E SR 64 • 26-13-20-200-000.736-004 PT NE 20-2-9.791 AC
FRANCISCO IN 47649 C-1
Complete and return to: _ _ ; HhIHH 3llHHHIHCIHIIIHINIERE11ff8
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
_t-
PART 2: TAXPAYER INFORMATION ,
0 100( r First 0 ct A Middle \l e: d Last
t 35k.
Mailing mares ber and street city,state and ZIP code V
Dyne as property address
1162- G$- 0,01 (94 eCYOn&i SC1O) {/) (4) (Q
Spouse First Middle Last
19m • 1 . iJ n I iJLc1�
Mailing Address(n r and sleot city,state and ZIP code) y L 1 Same as property address
7&c?. C ;�'c Q,-,f 0 £ron(it 5 cfo Di 67(4
L. kill..
3. _.':' _ C xAc_ .PARTS: CERTIFICATION: r a':. . __:w . _.t o:. . -eenii:"r.: t 171114
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 1 Signature Date
• FILED
• DEC 27 2012
Do•Z - 0073 - "
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation J
®HOMESTEAD CREDIT CALCULATION FOR 1989
County Township Taxing District (o 0
Name of Taxpayer
U
f�/-�- 9 79iA
Parcel No. or Leoal Description ' -j q- g- a-�
a� -/3 -tea -moo -660. %36 - oo
ASSESSORS CALCULATION
True Tax Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre maximum)
Other Land.
Total Land
Residence (Dwelling)
Garage
Other Improvements
Total Improvements
4
Total Land -and
Improvements:
r
I hereby tify the abovti, true, correct, and complete.
Sig
na re of As sor
(1)- XXXXXXXX
(2) XXXXXXXX
STANDARD DEDUCT -ION ,CALCULATIDN
IC 6- 1.1 -12 -Z7 provides that a person who is entitled to a Home-
stead Credit is entitled a Standard Deduction. . .
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
$2i50O $2,000
LLgY#a! �' • �`R3H�
Signa ti r
GMN of�UAM
auction Allowed
1991 pay 1992 Years after
lesser. of 1/2 1991 (same
"R" A/V or as.1991)
$1,500