HomeMy WebLinkAboutHomestead_Clark (2) FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By State Beard o1 Tax Commissioners
. CLAIM FOR HOMESTEAD PROPERTY TAT CREDIT FOR YEAR 191
SEE BACK FOR FILING INSTRUCTIONS
We) c,
�n`-c id-- 1 &LA-4J certify that on the 1st day of
arch, 19 79 , I, (We) occupied as our principal place of residence the 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] J in the taxpayer ) -
Property Description in �` County Township
Taxing District (City, Town, Township)• 7
Parcel Number or legal description shown on tax statement:
9 ¢' ° . 11/-2 . oeo-z /A
If buying on contract: Owners name (lee simple owner) . •
Contract recorded in Recorders Office - Record Na 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
javaereby certify the above statement is true, correct and complete. -
A ..e r10. / c, _O On A.,,v de7Gv9
'Signature Street Address ?Ivy. 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.
- FOR ASSESSOR'S USE ONLY -
•
True Cash Assessed Homestead
Value Valuation Valuation _
Land not exceeding 1 (one) acre immediately
surrounding residen T me (1) l0 o-0 �D d�
o�
Other Land. \, (2) —0— a6Q-0—
ri
Total Land (3) (0 d'fl o24-6 jjjjjtS'
Residential ImprovementsiUL 3 1979 Dwelling (4) a - ,D 7777����
(�.�uLQ
Total ge (6) I q^ ��j�jj//���
a 7�a
ter
AUDITOR '
r-��Ot�rhpe�r�Improvements (7) . I =: •
I i `ypce`methe above i6)trlus (7)correct. (8)
complete. (8) ' r J /e.,J
„If Signature of Assess Daze•
ACTION BY AUDITOR -
�/ G
Approved: • 0) Date: //3//l/
• MIL FOOS!MP.,R_I s,Ye TRFASTALER FSJLM DS-IA
.ArrR(T'rn BY,PTE MNn OF ACCOUNTS.9.v PRfJ(Nam BY Till DFPARMEVT(W LOCAL CmLYMFXT FirANCEM 6-1.1=4.1
Gibson County Auditor
(01 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to orn homestead Standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344--2009 requires taxpayers who rceise the homestead standard deduction to verify that they are eligible to recche the
benefit and to provide additional identifying information necessary to allow county poverrmment to better monitor homestead
filings.This information will he kept confidential and can only h•accessed by authorized county officials.The Depenment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Clark, Paula Life Est Etal
Po Box 232
Francisco IN 47649
4562
Paula Clark
PO Box 232 State Parcel Number Legal Description
FRANCISCO IN 47649-0232
26-13-20-101-000.049-005 012-00049-00 W&M ADD 6
ttt tt
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
PACA IA
ig Address(number and street.city.state,and ZIP code) - ._ Same as property addess .— - -
'.o sox aRa FRAmcI'sro - r° 476'4{9
Spouse First Middle Last
Ma dirty Address(Number and street,city,stale,and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sole
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 1 Signature Date
9
•
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation
HOMESTEAD CREDIT CALCULATION FOR 1989
County Township
Name of Taxpayer (2_t h-
Parcel No. or Legal Description ,w
istrict 'l/18�,urtit o
ASSESSORS CALCULATION
True Tar. Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre maximum) (1) _
Other Land (2)
Total Land (3)
Residence (Dwelling) (4)
Garage (5)
® Other Improvements (6)
Total Improvements (7)
Total Land and
Improvements ('8 )
XXXXXXXX
XXXXXXXX
_
//70-
XXXXXXXX
XXXXXXXX
XXXXXXXX
1 C'7 n
I hereby c rtify the ab0vE;,,eqs 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
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
Signaturf� i t AUDITOR
V
"010