Homestead_Burns {IAIL I ORM!I!N eat_'/fwl TPLA A[ER FORM SIA
• AMI 'En 81.STATE wwMRO(K AOY,iNT.21ln rLFARNFD BY TIE DEPARMLNT Of LrEAL GOVERNMENT FINANCE If 64.1-2]4.1
Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead simian]deduction.As the receipt of this deduction becomes
• more beneficial.there is more incentive than ever for homestead fraud.homestead raud causes higher in 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.'Ibis information will he Lept confidential and ran only be accessed by authori,ed county officials [he Depannent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
-- --
Taxpayer Name Property Address
Bums, James L
2036 S 650 E
Francisco IN 47649
4618
James L Bums
2036 S 650E State Parcel Number Legal Description
FRANCISCO IN 47649-9205
I ll IIItIIlIIlItlnlll'n II III n1lIIIllrlll'III III IIIIIr VIII 26-13-20-103-000.330-005 012-00330-00 W&M ADD 20 PT/25
n
X
PART 2:TAXPAYER INFORMATION
I First Middle Last
�mg Adduss(number and stmt,city,state,and ZIP code) - - ❑Same as property address- ..- —--- - --- -
:6(U S 1,5-10 r 7.-A-43-441-erd. 341-) 4L-7,"
/
Spouse �� First Middle Last
�� p
Mailing Address(Number and Nat,city state,and ZIP code) El Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sow
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.
cr I Signature n Date
_.
III
•
•
FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By Slate Board of Tax Commissioners _
• CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19,?9 .
• SEE BACK FOR FILING INSTRUCTIONS
0(We) `._ I ...
of residence the following described real property for
' which a Homestead -roperty Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract -
❑ have'a beneficial interest n the taxpayer
Property Description in 4._./00--z-f.--. County Township
Taxing District (-Grty,—Tewe Township):
Parcel Number or legal description shown on tax statement:
•
W<1.9°,7 &d.( a 0--;071.• 4
If buying on contract: Owners name (fee 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
oher. .y certify the�above statement is true, correct and complete. -&AAA i
-nature Str t Gress ay. State and Zip Code
CCC ���
Ir-bill eit r owPsts_or . ying under a contract that provides he is to pay the property taxes
{6{6��� n ttT?resldence, or has a beneficial interest in the taxpayer.
JUN 6 1979_ - FOR ASSESSOR'S USE ONLY - --
-
True Cash Assessed Homestead
7 Value Valuation Valuation
Land not excee Ing ' one) acre gupely
surrounding residents I improvements (1) s5 00 / 70 / 20
Other Land (2) 19 — — 25-0
Total Land (3) .5-0 0 / 7 O �
Residential Improvements Dwelling (4) & 7 Vt /77777/
.Garage (5) — ���
Total (6) rP 7 '/0 °•F_°—' v et.19'`a.
Other Improvements (7) /gyp
To' Improvements - Line (6) plus (7) equals (8) (8) & 7 y0 47'O
' y certify the above is true. correct. and complete.ve
Signatu of Assessor 00 Date
- ACTION BY AUDITOR -
Approved: i / _ - : Date: C r /775
Total Land and
Improvements (8)
I hereby c rtify the above, true, correct, and complete.
Signa ire of As sor ✓
Form HC 10 Supplement
CALCULATION " "'
Valuation
IC 6- 1.1- 12 -:37 provides that a person who is entitled
Worksheet for March 1,
1989
Assessed
(1- 003)AD -O�
®
Amount of Deduction Allowed
1969 pay 1990 1990 pay 1991
HOMESTEAD
CREDIT CALCULATION FOR
1989
lesser of 1/2 lesser of 1/2
lesser of 1/2
1991 (same
a�� -/.3 �o - sa
� - ��• a33 � - oo �
"R" A/V or
as 1991)
$2, 5i )0 $2, 000
$1.500
County Township
Taxing District
Name of Taxpayer�t'^"
�-
Signature f
AtMM
Parcel No. or Legal Description
ASSESSORS
CALCULATION
True
Tar, Assessed
R NR
Value Value
Resid. Non -Res.
Land (1 acre Maximum)
(1)
XXXXXXXX
Other Land
(2)
XXXXXXXX
Total .Land
(= )
3 D
Residence (Dwelling)
(4)
XXXXXXXX
Garage
(5)
XXXXXXXX
Other Improvements
(6)
XXXXXXXX
Total Improvements
(7)
�, / 00
Total Land and
Improvements (8)
I hereby c rtify the above, true, correct, and complete.
Signa ire of 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
1969 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, 5i )0 $2, 000
$1.500
Signature f
AtMM