Homestead_Lloyd FORM RC 10 1979 To Be Filed in Duplicate .
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 77 -
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SEE BACK FOR FILING INSTRUCTIONS
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We) �- 14--- ,— - — - ' -/ certify that on the 1st day of
arch, 1924 I, (We) occupied as o I principal plate of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) Downed
❑ are buying under contract
❑ have a beneficial inte tin the taxpayer
7
Property Description in County P.C1 Township
Taxing District (City, Town, Township):
Parcel Number or legal description shown on tax statement:
at . 97.(741
/9-J - 9 , IZei-ca_gai
If buying on contract: Owners name (lee simple owner) FI Me Adz, // Pk/S R, .
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.
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'Signature \J 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 -
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True Cash Assessed Homestead
Value Valuation Valuation
Land not exceeding 1 (one) acre immediately
surrounding residential improvements (1) _ .0"--e) 0.20-0 ,,,1 e-ci
Other Land (2) —6 _ .001.1 — 0 —
Total Land t! ,�2 (3) 4 to ;
Residential Improvements JUN 2 8 1979 Dwelling (4) 25 9
G age (s) 1O /
L/ (6) 472 * O %%O 4L .7 –� —
Other Improvements
at���1�k�� (7) �D `� l — '-
AUDITOR
'1 mprov meths - Line
i6)tplus (7)correct. (8)
complete. (8) 1 77' ,
o-- — .5--A9 - 79
Signature of Assessor _ Daze
Pr jACT N BY AUDITOR -
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j /__
Approved: •• a 4 . - f� Date:
Sint£TORSO'e•IR:0-001 TRFASUL D PORN 3.tA
Anxmtn BY 510EOCIA.ROOF Mn*1\T3,m.'n PRI!RRlnmor TIM DEPARTMENT OF LOCAL rovarhvMrTT nDA'YE I r-IA.221U
Gibson County Auditor
101 N•Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard 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 1544-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receixe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filintp This information will be kept confidential and can only be accessed by authorized county officials.The nepanntent 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
Lloyd, Nina Gay
PO Box 204
-
_ Francisco IN 47649
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- — -- _ . - - -- - -- -
4484 — — --
Nina Gay Lloyd
P 0 Box 204 State Parcel Number Legal Description
Francisco IN 47649-0204
IIIIr IItt Pl tl'II III VIII PPII PPr PPIP II IrPrtltt'll Pttt ltrllltt tl 26-13-19-201-000.163-005 012-00163-00 PT NE 1929.42 AC
X
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle . Last
ag Address(number and street,city,state,and ZIP code) ❑ Same as pmpe dress
. 0. 301 y F\-a� >• s , Try � � °\
.
Spouse n , First Middle Last
Mailing Address(Number and street,city,state,and'LIP code) 0 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)
s=
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
4 —
PART 4:ADDITIONAL INFORMATION
7.
I hereby c rtify the abov,, s 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
GPI �• • "'�'�V
Signature f AUUDIT -
Form HC 10 Supplement
Worksheet for March 1,
1989
Assessed Valuation
J
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HOMESTEAD CREDIT CALCULATION FOR
1989
County Township
Taxing District
�7 �
d p_'cL
�7
Name of Tampayer
..0
Parcel No. or Legal Description
�- /3 /4 -0�/- Gtr• /G .3 -Gb�
„
ASSESSORS
CALCULATION
True Tar. Assessed
R NR
Value Value
Resid. Non -Res.
Land (1 acre maximum)
(1)
XXXXXXXX
Other Land
(2)
XXXXXXXX
ea 30
Total _Land
(=)
Residence (Dwelling)
(4)
XXXXXXXX
Garage
(5)
XXXXXXXX
Other Improvements
(6)
XXXXXXXX
Total Improvements
(7)
3 3 O o
Total Land and
Improvements
(•8)
I hereby c rtify the abov,, s 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
GPI �• • "'�'�V
Signature f AUUDIT -