Homestead_Jenkins •
FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By Slate Board al Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY.-VAX -CREDIT FOR YEAR 19 if
,SEE BAOP( FOR FILING I TRUCTIONS •
�(We) }n , �J certify that on the 1st day of
march, 19_74_, I, (We) occupied as our principal place of sidence 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 inte est in the taxpayer .
Property Description in ,� ounty Township
Taxing District (City, Town, Township): 21-�---r 42-o
Parcel Number or legal description shown on tax statement: .
0- Q /4, airt-igeb_r-?_9,06 3,r
If buying on contract: Owners name llee simple °Vane') /5/P7,7"9/0 /
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
here y certify the above statement is true, correct and complete.
��
j
i
A c fj . //S. ._ ' : x/31- y , ....... . I'Signature Street A. aSS City. State and Zip Code //szf
' 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 residential improvements (1) loop .3 0-0 0 l o o
Other Land (2) —0 — — 0- 0
Total Land ����'�°°°'�999ii (3) 60-0
Residential Improvements i I LED in� (4) 51/ p
Garage (5) ` '
JUN 1 �T3&79 (6) '� 0 ^ 0 /.o !��'
Other Improvements � (7) _Q \t n , " —
T Improvements Line (6) pltS�i7} ua� (8) ��/ \ /an)
„by certify the ve is true. coy ct. and r
` .oJ S---/7- 79
Signature of Assessor • Date
�/� /� - ACTION BY AUDITOR.
Approved: `/ ' 2- . )C -c-ce_ Date: o /9- 79
•
RATE FORM!)w11C/WO TREASURER FORM:SIA
APPROVED BY ST%TL vu Rnrt Mnajvrs_nr, FtIY11BED BY 11W DEYMIMN.TOE LOCAL r'.IWERYV,R.t FA YCE M.I.1_J.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 vandanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever 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 cnntidenlial and can only he accessed by authorized county officials.The Department of
local Gmcnunent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Jenkins, Clarence M/ Donna M
P O Box 145
Francisco IN 47649
4515
Clarence M/Donna M Jenkins
-P-O-Box-145------ -- - — - —State Parcel Number -LeearDescriution - ---- - -
Francisco IN 47649-0145
III III I III III 26-13-19-202-00(1136-005 012-00136-00 OLD PLAN
1111,111111111m11111111111 I II I I II tI I I Iltl 14PT/15PT/29/30PT
PART 2:TAXPAYER INFORMATION •
Owner 1 First Middle Last
ig Address(number and street,city.state,and ZIP code) Same as property address
/
l O� N SecoNb, %4N&c o . 47d3 � nn-- T"o Box / 5
Spouse First Middle Last
Mailing Address(Number and street,city,state,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 Pan 4 below)
seat
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
unlau lly,he or1 she'may be liable for back taxes and substantial financial penalties.
Ovxntt i stare `-�/� i�,rG!//�.Ci AC.! Date
PART 4:ADDITIONAL INFORMATION
01/141 h f aasa.st . y2.1.4c,t, as( j O o 4
Form HC 10 Supplement /
Worksheet for March 1, 1989 Assessed Valuation
® HOMESTEAD CREDIT CALCULATION FOR 1989 .: 0I�_ CO ('31a- AO
County Township Taxing District
Name of Taxpayer �i �`�`�^�� `'�i` �^`�' � � " r '� �•
U�
Parcel No. or Legal Description
c
ASSESSORS CALCULATION
True Tax Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre maximum) (1) xxxxxxxx
Other Land (2) xxxxxxxx
Total Land (3 ) _�_30
Residence (Dwelling)
Garage
® Other Improvements
Total Improvements
Total Land and
Improvements
(q) xxxxxxxx
(5) xxxxxxxx
(6) xxxxxxxx
(7) x800
I hereby c tIfy the above true, correct, and complete.
Signa gyre 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
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
1
dmoy ho.
SignatUre of -
�i AWTM