Homestead_Beasley (2) FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAXI CREDIT FOR YEAR 19M_
SEE BACK FOR FILING INSTRUCTIONS
• (We) "� ' certify that on the 1st day of
ti arch, 19 _7_.., I, ( occupied s our print al lace of residence t, following described real property for
which a Homestead Property.Tax Credit is hereby being claimed: -
I, (We) ❑ owned
❑ are buying under contract - - - - -
- • ❑ have a beneficial inter st in® the taxpayer
Property Description in 2/_2 _ .B-jam County Township
Taxing District (City, Town, Township)•
Parcel Number or legal description shown on tax statement:
t • 4-.."J . 10-C /of
If buying on contract: Owners name flee simple owner)
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in-which individual owns or is buying real property: County Township
illhereby certify the above statement is true, correct and complete.
Q /1 ` �/nJ� /Z/!a o // �/ cf
C 6'r-�-zr��dC
D. /_2.i✓-a-ai s� ! ee_. .0
Signature f/A^ freer Ad/ress City. State and Zip Code
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
F - FOR ASSESSOR'S USE ONLY -
® True Cash Assessed Homestead
MAY 2. , tom Value Valuation Valuation
Land not exceeding (one) acre immediately
surrounding resi i rats (1) 6 0 02 6--O a 0.0
Other Land _ (2) — 0— —10--
Total Land A (3) 620-0 e,20-10 ////////
AUDIT Dwelling 9 B-
•
Residential Improvements (4)
Garage (5) — O — �e ��
Total (6) �, fifi ^ - t
Other Improvements (7) —0` 0— ,
T•mprovements - Line (6) plus (7) equals (8) (8) E /57-a$40—
1� ,- y certify the ve is, corr and complete.
Signature of Assessor Dare
/// - ACTION BY AUDITOR -
Approved: 62�l c 4QQ/`�f//- Date: A ot 5 /?7 f
SIATEFORM2(5,Milet.U.1 TAE151:LER FORM:11A
.ArrRnvEo BY 44E arw(DOUArxTR'NTR 9n MFAMPmBY lilt DEPARneJflP U%AL CwTRYMEHT FocA.scEMbl.11:-iI
Gibson County Auditor HOMESTEAD PROPERTY OWNERS IMPORTANT NOTICE TO HOM
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction tlecontes
more beneficial.there is more incentive than met 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 prm'ide additional identifying information necexmry to allow count'government to better monitor homestead
filings.This information will be Led confidential and can only be accessed by authorized county officials.The Depanmem of
Local Goverment Finance will use this information to create bads that will help roomy officials eliminate homestead fraud.
. PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Beasley, H Duane/ Mary) e3 Oa s. CCµfcr s4
Hox 135
___._ - � --_ - _ - Francisco lN 47049 _ _ _
4604
H Duane/Mary J Beasley
Box 135 State Parcel Number Legal Description
Francisco IN 47649-0135
t�l��nt�n��l�n�� ��n��u�l�nl��n�r�rn��r� 26-13-20-103-000.016-005 012-00016-00W&M ADD "'OPT ltlulln
X .
•
PART 2:TAXPAYER INFORMATION 1
Owner I First Middle - Last
id TasiRrer '0004 P— 4 10 .
Img Address(number and street.city,state,and ZIP code) 'SEme as p r o p e rt y-cry-ill—— -- -—— "- - -
P-o. Bo Y 135 3002 S, e i - cr ice,rd '/7(W
Spouse First Middle Last
MArq 12 e, /ez
Mailing Address(N bet and street,city,state,and ZIP code) El Same as property ad
p. 0 . &X / ,30.25: i7 -& Frdl7/'ASCD, Td • 974 �9
•
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 O
HOMESTEAD CREDIT CALCULATION FOR 1989
County Township
Taxing District
Name of Taxpayer /c)
Parcel No. or Legal
t.
� /�Q^
Description /�' ,L -yn a-J—% /0
ASSESSORS
CALCULATION
True Tax Assessed
R
NR
"
Value Value
Resid.
Non -Res.
Land (1 acre maximum)
(1)
XXXXXXXX
Other Land.
(2)
XXXXXXXX
Total .Land
Residence (Dwelling)
(4)
XXXXXXXX
Garage
(5)
XXXXXXXX
Other Improvements
(6)
XXXXXXXX
Total Improvements
(7)
3 �7 o
Total Land and
Improvements
(s)
I hereby tify the above, true, correct, and complete.
Signa re ofi As -sor
STANDARD- DEDUCTION CALCULATION
IC 6- 1.1 -12 -37 provides that a person who is entitled to a Home-
stead Credit is entitled a Standard Deduction. .
Amount of Deduction Allowed
1989 pay 1990 1990 pay 1991 1991 pay 1992 Years after
lesser of 1/2 lesser of 1/2 lesser of 1/2 1991 (same
"R" A/V or "R" A/V or "R" A/V or as 1991)
$2,500 $2,000 $1,500
Signature of AuditoT-
GWON AWTTCQ