HomeMy WebLinkAboutHomestead_Keith FORM RC 1D 1979 To Be Filed in Duplicate
Prescribed By State Board at Tax Commissioners
CLAIFOR{�HOOMESTEAD PROPERTY-'4% _-CREDIT FOR -YEAR 19 79
•
'�0Z-LC SEE BACK FOR FILING INSTRUCTIONS •
ave) —i asane1/ . _ • • _ - a certify that on the 1st day of
March, 19 I, (We) occupied as our principal/alace o 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 interest in the taxpayer
ficii
Property Description in ' O-"J County Township
Taxing District (City, Town, Township):
Parcel Number or legal description shown on tax statement:
l QJ i 6I frt.
If buying on contract: Owners name (fee simple owner) I
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
•ereby certify the above statement is true, correct and complete.
'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 -
t,; True Cash Assessed Homestead
_ Fl LE Value Valuation Valuation
Land not exceeding 1 (one) acre immediately
-- surrounding residential 'fl?oy:@e tt79 (1) 4/0-0 Ai 0 LSD
Other Land - (2) —0 - — 0 -
Total Land 424t,
Resi dential Impro e1y y
(4) =d
AUDITOR Dwelling
Garlg (5) ,jjj�jj
• Total (6) auto �q\. • 0 \��P • _ 0
Other Improvements (7) jJ • 9, jj
T
c>.
.a 'n ro ements - Line
(6)true (7)correct. (8)
complete. (8) i St9-0 /1 . 01•
te /O ` j-
Signature of Assessor Date
- ACTION BY AUDITOR -
Approved: &/ / Date: 77°2k-7 3 jl F
•
MATE FORM WB't+IR'/,WI TREASURER FORM 71-1A
APPROVED BY[POI B w DOFAnYR.TS.alur PRfYA1PtD BY nits DrPARTYCYr(w LQALL m ERYMF5T FINANCE IC
Gibson County Auditor
'101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS .
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er 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 receve the
benefit and to provide additional idemuyine information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Ikpanntent of
Local Government Finance"ill use this information to create nests that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Keith, Lee Roy v
RI (
Francisco IN 476-449•dc�
4516
Lee Roy Keith
PO BOX 141 State Parcel Number Legal Description
Francisco IN 47649-0141
III11IIrllI lllrrlrr'llI II II III II111III IrtlrtlI t' I I 26-13-19-202-000.144-005 012-00144-00 OLD PLAN 61PT
PART 2: TAXPAYER INFORMATION
•Owner I First Middle Last
g Address(number end street,city,state,and ZlP code) / — - — -— -
44112--
as pmperry addnTss
Spouse ,���1 First Middle Last
Mailing Address(crafter am4stree4 city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Drivels License/Sate ID Number (last 5 digits) Other(please specify in Part 4 below)
sew
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 r l
Spouse Signature Date Telephone r l
PART 4:ADDITIONAL INFORMATION
(r
• j
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation OQt'L11 p 0
HOMESTEAD CREDIT CALCULATION FOR 1989 :
County Township Taxing District
Name of Taxpayer
q
Parcel No. or Legal Description 'd- 9-
v
„
- STANDARD -DEDUCTION
ASSESSORS CALCULATION
" " "" : � "
True Tar,
Assessed R
NR
Value
Value Resid.
Non -Res.
Land (1 acre maximum)
(1)
XXXXXXXX
Other Land.
(2)
XXXXXXXX
lesser of 1/2 lesser of 1/2
lesser of 1/2
(OHO
Total .Land
(2 +)
as 1991)
Residence (Dwelling)
(4)
XXXXXXXX
Garage
(5)
�a00
XXXXXXXX
Other Improvements
(6)
XXXXXXXX
/00
Total Improvements
(7)
a 3 0 0
Total Land and
Improvements
(8)
I hereby -58 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
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
®
Signature fCOMMA oDMM