Homestead_Seifers STATEI.ORM MI.or/•-0.1 TREASURER FORM ZIA
Gibson County Auditor
101 N Main rstIMPORTANT NOTICE TO HOMESTEAD FPROPERTY FINANCE~OWNERS ' r
PRINCETON IN 47670 Individuals and married couples are limited to or homestead standard deduction.As the receipt of this dedtrtion 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 receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be Leta confidential and can only be accessed by authorized county officials_The Depanntent 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
7/1
Seifers, Sherry i 0 to 5 5
,15-
Francisco IN 47649
1742
Sherry Seifers
P 0 Box 285 State Parcel Number Legal Description
Francisco IN 47649-0285
It�ttlltttitlltttIttIItIttII IIttIrtIt�rIttIttItIttt�tll 26-13-19-202-000.252-005 012-00252-00 OLD PLAN 43PT
.__ _ — -- -- -- — — ° /�
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.
Spouse First Middle Last
(L
Mailing Address(Nt g kr and street,city,state,and ZIP code) [.frame as property address
M hoxAd'5 / GPs . ,5A&9/' Fa ctsco .rr2, V74 d-/9
c 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.
PART 4:ADDITIONAL INFORMATION
•
FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 M4-.
Credit is hereby being claimed: - -
•
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial intere in the taxpayer /
Property Description in �� County • eon nit Township
Taxing District (City, Town, Township): 'r. /2,Q�zfc.o_...e-_z)
Parcel Number or legal description shown on tax statement: -
-- - - - (la O. d•-t" �r ,
If buying on contract: Owners name (lee 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.
flip
-
a Cif E e Bo 285 in n-r rs. ,inv 41649
'Signature Street
Address r 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 -
True Cash . Assessed Homestead
Value Valuation Valuation
Land not exceeding 1 (one) acre immediately
surrounding residential improvements (1) ( b-O 02 0-a ��
Other Land ® (2) -0 - _0 —
_ t Total Land ® (3) 4,0""0 -2 0—e)
Resident Irirerovei nts •
Dwelling (4) `�3
1419 Garage (5) ( �
1 ) •
k),-., Total (6) Ai, S�� /.21/46--(5 .49_ 7
Other Improve nts 'Line �DytpR (7) �s.
I•I. lmprov nts bone is true. (7) ecequals (8)complete.
(8) 3;of 0 4270•
!MLA Date
/
Signature of Assessor
- ACTION BY AUDITOR -
Approved: Date:
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation
HOMESTEAD CREDIT CALCULATION FOR 1989 .01 eC 00 25 a'O'D
C'Z.
County Township Taxing District �Co
Name of Taxpayer
Parcel No. or Legal Description
Total Land and
Improvements ($)
I hereby c tify the above,,egs true, correct, and complete.
Signa ire of As so
STANDARD" DEDUCTION- CALCUL
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 ears 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 $1,500
ho. "'"T•
Signature fCiWAUDrtM
ASSESSORS CALCULATION
True Tar,
Assessed R
NR
Value
Value Resid.
Non -Res.
Land (1 acre maximum)
(1)
XXXXXXXX
Other Land
(2)
XXXXXXXX
Total Land
(3)
770
Residence (Dwelling)
(4)
XXXXXXXX
Garage
(5)
XXXXXXXX
®
Other Improvements
(6)
XXXXXXXX
Total Improvements
(7)
IS %D
Total Land and
Improvements ($)
I hereby c tify the above,,egs true, correct, and complete.
Signa ire of As so
STANDARD" DEDUCTION- CALCUL
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 ears 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
ho. "'"T•
Signature fCiWAUDrtM