Homestead_Gray (3) •
• 3t tE FORM L•m,Ct'-., lSEA9R(APoRV 31A
APPROVED BY ATE Bfwan(W arCOU%fl'nn r&InThm BY 711E DEMMML4ft1r LOCAL rKwrts.Y.R.'r FINANCE )
Gibson County Auditor
' 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married coupls are limited to one homestead sandani deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than net.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 provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept corddential and can only be accessed by authorized county officials.The Ikpanment of
Local Gmemmenl Finance will use this information to create tools that will help county officials eliminate homcacad fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
• Gray, Mary E
Box 32
Francisco IN 47649
4568
O Box 32 State Parcel Number Legal Description
Francisco IN 47649-0032
�r�tl��trr�t��l rr�t r��r�rr��rrrl� Ilttr1r 1rt 11rrrilillt rrl 26-13-20-101-000.092-005 M C ADD 1/2 NW 20-2-9 .71ac
Spouse First Middle Last
M l y EGTJLE 6IAy
Mailing Address(Number and street,city,state,and'LIP code) Same as property address
�. 01 /3el .32 /o3 C. C4'0c5 F/ n/t/g 6o --7-71/1 7/ y7
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.
• 91420/0
PART 4:ADDITIONAL INFORMATION
FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By Slate Board of Tan Commissioners
• CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 192
principal ,1!ce of residence t 1 following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) D owned
❑ are buying under contract
❑ have a beneficial inte t in' the taxpayer
Property Description in .z County Township
Taxing District (City, Town, Township)• ---7:,4---)t .c��_c.-43
Parcel Number or legal description shown on tax statement:
�h 4— c 4 A6/ Jo--t'
If buying on contract: Owners name Itee simple owner) i 1. ■faceref eyLy,.r7a):Ittlalicari 11t 3311
- Contract recorded in Recorders Office - Record No. •'.••-■ =
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.
J el -7Z Y f C f rs C N- X417
/ 'Signature Street Address y. State and Zip code
tin 9,
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. •
r
- FOR ASSESSOR'S USE ONLY -
True Cash Assessed Homestead
Value Valuation Valuation
Land not exceeding 1 (o�aqr�e m�*?�e
surrounding residential itt rovlm is M D (1) a .262_0 0261_0
Other Land $$; �a J� (2)1 1- — D— > -0—
Total Land JUN 1 9 1979 (3) t LW ••?o-O
Residential Improvements (4) O
/ eylti�ng �— / Si
4/ rdge (5) Dr)
/�/{-I AUDITOR Total (6) 74/CO yk° 01 r4L,5°__-°'t_ v
Other Improvements (7) —'J01; \o .01
*Improvements Line (6) plus (7) equals (8) (8) 741 0 of . go
I.Oby certify the bove is true. co rect. and complete.
Tom, t 6=/o - 77
Signature of Assessor f Date
- ACTION BY AUDITOR -
Approved: R' g . " `- - l/p
Date: 6— — 7?
\J
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation
County Township
Name of Taxpayer
ola oUo9'a -ov
CREDIT CALCULATION FOR 1989
Taxing District
Parcel No. or Legal Description o< <-i___ / �C
ASSESSORS CALCULATION
True Tar, Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre maximum) (1) XXXXXXXX
Other Land. (2) XXXXXXXX
Total .Land (C ) °170
Residence (Dwelling) (4) XXXXXXXX
Garage (5) XXXXXXXX
® Other Improvements (6) XXXXXXXX
Total Improvements (7) 02 /3a
Total Land and
Improvements (13)
I hereby rtify the abova„ true, correct, and complete.
Signa ire ofi As sor ✓
DEDUCT ION "CALCULATI.ON --
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 fears 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 C0UWAWr=