Homestead_Blaize CLAIM FOR HOMESTEAD -PRO°ETY TAX CREDIT FOR YEAR 19 g
SEE BACK FOR FILING INSTRUCTIONS
I, e) _ , )J. '� certify that on the 1st day o
' rch, 19 , I, le) occimied as our rincipal Place of r idence the following described real
t )perty £or writ a Homestead Pro y Tax Credit is hereby being clamed:
I, (We) VI owned
Dare buying under contract
have a beneficial int in the taxmaYerCoun
Property Description. in .C� �_______ Tosshi
Taxing District (City, Ta:•n, Township) :
Parcel number I I 1 I i • 1 l
or legal description showr. on tax statement:
If buying on contract: Owners naive (fee simple owner)
Contract recorded in Recorder's Office - Record Db. Page
If any portion of the residential structure or the land, not exceeding one (1) acre that
inmeiiately surrounds that structure is used to produce inane, describe the use and portion of
the property utilized to produce intone
Any other counties in which individual owns or is buying real property: County . Township
hereby certify the above statarent is true, correct and complete.
0d� � ie . c2 ..i. c £- .
*Sic, e Street Address City, State and Zip Cod:
*Individual either owns or is buying uner a contract that provides he is to pay the
property taxes on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
True rrch Assessed Hares tea:
Value Valuation Valuatio:
Lard not exceeding 1 (one) acre immediately 2oV
surrounding residential improvaients (1) ‘ O O VS/(2)Land
Total Land (3) /1/ 'fl%/,
Residential Irmrovenents Dwelling (4) •
/ ///Ijf// 9' /f //1
Garage (5) � S' �/// / ,
Total (6) 77so a5Zc
Other Improvements (7) // /.
To Improverrents - Line (6) plus (7) equals (8) (8) // ' 4
I h°SeLTj' certify the above is true, correct,
and caplets.
4,
Date_
Signature of Assessor
- ACTION BY AUDITOR -
3- .5- l 6 Date: �N•g . !/ a2
!MILIOR.N!)vwllt_'/SIN) TREA91tAI FOAM:11A
• ArrROVEnnY MATE BMW Of AM RMS.V•x pRnS[RIBM BY TIE DEPARTMENT. OF!ICU WOVERNMP2 FP:ANCE rLI.I_a.1
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 aser for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeene the
benefit and to provide additional identifying infomunlon necessary to allow county government to better monitor homestead
filirp.s.this information will be kept confidential 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 I: PROPERTY INFORMATION
Taxpayer Nance Property Address
Blaize, Bradford W/Teresa R
102 S Center
Francisco IN 47649
4561
Bradford W/Teresa R Blaize
PO Box 225 State Parcel Number Legal Description
Francisco IN 47649-0225
I flniltulf lltuluilflnllnurltlnitttlfin Llf ititln iuil 26-13-20-101-000.026-005 012-00026-00 PT NW NW 20-2-9.30 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
1' 'act-ocA kiJaa e Tiai ?
-_•mddr (number-g Address(numb and street s.city,state,and ZIP code) - - -- — Same as property address - — - --
Spouse First %Q Middle (),_ Last
Mailing Address(Number and street.city,state.and ZIP code) 1y 1 Same as propene address
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 nature " � Date
PART 4:ADDITIONAL INFORMATION
11
r�
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation
pia -000 0,0
HOMESTEAD HOMESTEAD CREDIT CALCULATION FOR 1989
cos
County Township Taxing District
Name of Taxpayer
Parcel No. or Le
ASSESSORS CALCULATION
True Tar, Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre maximum) (1) XXXXXXXX
Other Land. (2) XXXXXXXX
Total .Land
Residence (Dwelling)
Garage
Other Improvements
Total Improvements
Total Land and
Improvements
(q) XXXXXXXX
(5) XXXXXXXX
(6) XXXXXXXX
(7) 230
($ )
I hereby c rtify the above true', correct, and complete.
Signa +re of As ;or ✓
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
Signatu f AtWIM
Wp
q 9q