HomeMy WebLinkAboutHomestead_Coburn FORM HC 10 1979 To Be Filed in Duplicate
I Prescribed By State Board 01 Tax Commissioners - '
CLAIM FOR HOMESTEAD PROPW'FY TAX CREDIT FOR YEAR 19_79 •
SEE BACK FOR FILING INSTRUCTIONS
O(We) �. �%t�intki k t' 2• de-"-"" 't;ertify that on•the 1st day of
arch, 19 77, 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) Erowned
❑ are buying .under contract .
❑ have a• beneficial inte t in the taxpayer -
Property Description in County 0,--'^-t-C) Township
Taxing District (City, Town, Township):
Parcel Number - or legal description shown on tax statement:
If buying on contract: Owners name 1'ee 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
hereby certify the above statement is true, correct and complete. --
A.' „. zC%/�'1 / /. 40 /O ` ti Chi GCii'� Y/1""y
'Signature Street Address 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.
•
- FOR ASSESSOR'S USE ONLY -
True Cash Assessed Homestead
Value Valuation Valuation
surrounding x residential( mpl em nit edia'E i (1) 4, 0--0 02 c-0 o20--O
Other Land (2) —0 — —0—
Total Land ,11.11 13 1979 (3) !o/t o a /1-,9
Residential Improvements r we ling
AUDITORarage
(5)
r` /
Total (6) 6 10 v° r2 /YrO Oro -a-No
Other Improvements (7) d 1 A D" �ci 4ir.
T ' Improvements - Line (6) plus (7) equals (8) (8) " t5e6U__
_ by certify the ove is true. co ect. and complete. •
Signature of Assessor ' // pate
4/are (/- ACTION BY AUDITOR - / / ? 7G Approved: J Date: (9 //3/! /
0 VOTE TORSI'3 W IR:/A■ol TREASURER FORM TAIA
.ArTRm'ED BY MIL HOARD Of-*COB NTS BO r PRESCRIBED BY Olt DFPA A1SCST OF LOCAL GOVERNMENT FY:ASCE IC 61.1t4.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead siandanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ester for homestead fraud.Homestead fraud 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
1111• benefit and to provide additional identin'ing information necessary to allow county government to better monitor homestead
filings.'Ibis information will be kept confidential and can only be accessed by authorized county officials.The Depanment 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 Prnpertv Address
_ Cobum, Frieda
209 S 3rd ST
Francisco IN 47649
4509
Frieda Cobum
P O BOX 254 State Parcel Number Legal Description
FRANCISCO IN 47649-0254
26-13-19.202-000050-005 012-00050-00 OLD PLAN 71
Iflffllnrlf11t1111111111111 nnu llltltlttlt X1-11tt .
lttlll till —-— -- -
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
ng/ Address(number and street city,state,and ZIP code) - — [<me as property address ---- -- -' — "—
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) I j5ame as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sac
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 I Signature Date Telephone
( )
Spouse Sigmamre Date
$
PART 4:ADDITIONAL INFORMATION _
—
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation
® HOMESTEAD CREDIT CALCULATION FOR 1989
County Township
Name of Tax ayer 0-0--
Parcel No. or Legal
Taxing District l
01�" 040$0 -0�
Description / 71
ASSESSORS CALCULATION
True Tax Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre maximum)
(1)
XXXXXXXX
Other Land
(2)
XXXXXXXX
?30
Total.Land
(3)
Residence (Dwelling)
(4)
XXXXXXXX
Garage
(5)
S 8 3 0
XXXXXXXX
'7 �D
Other Improvements
(6)
XXXXXXXX
Total Improvements
(7)
5 O
Total Land and
Improvements
(�)
I hereby .53 rtify the abov,, true, correct, and complete.
Signa ,re 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
Signatu fCM i AWffM