Homestead_Osborne FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners
. CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOB' TEA;; 19 .79
SEE BACK FOR FILING INSTRUCTIONS
—�(We) ' A_w. -- — /I_ -I--1 - -- ,4 • 4! •-,A. certify that on the 1st day of •
March, 19 ' A (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) VI owned
❑ are buying under contract _
❑ have a beneficial interes i the taxpayer
Property Description in County Township
Taxing District (City, Town, Township): r
Parcel Number or legal description shown on tax statement:
j ir '7z c_ de /3 /I /�
If buying on contract: Owners name (tee 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.
ignature i Street Address City, State and Zip Coo
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
t�-'L. p,e Value Valuation Valuation
Land not exceeding 1'(one)�acre`trLme la el °`
surrounding residential improvements (1) 919-0 a0`ci ,r30-0
Other Land JUN = u 1379 (2) —eV— �Q -
Total Land (3) 90-61 c71'0
Residential Improvema r rA- (4) !c5 //�/�/�7S'
AUDITOR Garage (5) a O �����7 /�////�������
Total (6) c7 70_ r0 /7c20 ��° a2 0
Other Improvements (7) — d.-\ ^M D it-
..
•
Improvements s - Line
((6) plus correct.equals
complete.
(8) (8) 47.00 ' '
f.
o L �"-10 - 79
Signature of Assessor - Date
- ACTI N BY AUDITOR -
Approved: KA • / ll�vJ Date: U///Q��9
STATE;ORM A 1 /.-N1 a
M 0.
TRFA54EEEPo0.V 31A
• APPROVED BY ST ATE BMRDOF MTt*LTS.'vr PrLYTIJBm BY 111E DEPARTMENT OF LOCAL GwT_LAAtrr.T FINANCE ICt-I.I--_J.1
,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 eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
all HEA 1344-7009 requires taxpayers who receive the homestead standard deduction to verify that they are eligiNe to receive the
benefit and to provide additional identifying information necessarc to allow county government to better monitor homestead
filing_This information will be kept confidential and can only he accessed by authorized county officials.The Depannunt 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
Osborne, Mildred D Life Est Etal
..P9-bux'_14 •
Francisco IN 47649
1740
Mildred D Osborne
CIO Donna Lynch
PO Box 234 State Parcel Number Legal Description
FRANCISCO IN 47649-0234
ltltrllIttlllltttlttllt1tl11rttrtltlttllttlttltrllttlttltlrtll 26-13-19-202-000.218-005 012-00218-00 F&MC 13/14
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Al r.ldee,d D e, w e c c e Os b o r2N �.
Tg Address(number and street,city,state,and ZIP code) ❑ Same as property address
12 o$ 2 3 y f ra no. 1 c c o IN 9a r ?
Spouse First Middle Last
^^ ^^ •• '' nn JJ//
Mailing Address(Number and street,city,stare,and ZIP code) n Same as property address
Social Security Number(last 5 digits) I Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
Slate
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 '
( )
PART 4:ADDITIONAL INFORMATION
0
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation
HOMESTEAD CREDIT CALCULATION FOR 1999 ora- a1g-Oo
County Township Taxing District /t.a -K.0 -a c o
Name of Taxpayer /�L
Parcel No. or Legal Description f
U % � %%2 / -.tA 12/1`
ASSESSORS CALCULATION
True Tar. Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre maximum) (1) XXXXXXXX
Other Land (2) XXXXXXXX
Total Land (3 ) V '70
Residence (Dwelling) (4) XXXXXXXX
Garage (5) XXXXXXXX
® .. Other Improvements (6) XXXXXXXX
Total Improvements (7) a 77 v
Total Land and
Improvements Cs)
I hereby c tify 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 $1,504)
W71Ti� ho'
Signature i C UDn=