Homestead_Baehl (3) 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 79
/� /p� � SEE BACK FOR FILING (INSTRUCTIONS
'We) �Je �'.V C -•stir. z/ certify that on the 1st day of
'March, 19 7 9 , I, (We) occupied as our principal place of residence the following described real property for
which a�Hoommestead Property Tax Credit is hereby being claimed:
I, (We) !� owned
❑ are buying under contract .
❑ have a beneficial intere in the taxpayer
/
Property Description in County - ..-n..a.�� Township
Taxing District (.644y7 Town, Town-skip): - - .
Parcel Number or legal description shown on tax statement:
P, Sz y see - .3 ' ./1 • 73^
If buying on contract: Owners name (fee 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
'-her by certify the above statement is true, correct and complete.
® </7‘29
// // g � i��sus
'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 -
True Cash Assessed Homestead
Value Valuation Valuation
Land not exceeding 1 (one) acre immediately
surrounding residential improv im (1) 2/ 7 0 / to a 0
Other Land �� (2) — —
Total Land (3) s/ 7 o /4 d si
Residential Improveme tr, 1 1979 Dwelling (4) a / C / o 40
��JuJ2d/� Garage
(5) a n ` o
Total (6) 07-a-,9-5---0 v�'9 �0980 �'0—
Other Improve rfient , r AUDITOR (7)
Tot-`Improvement - Line (6) plus (7) equals (8) (8) cad _3-614-o -
I Way certify the ab ve is true. correct. and complete.
�r//P,�n�r 5ras 79
Signer a of Assessor Date
- - ACTION BY AUDITOR -
Approved: /�r - Date: �/ 7 7 /
• STATE FORM 53560(U/8.10) TRFASLRFA FORM TS-IA
< APPROVED BY STATE BARD OF AccOuoS.2009 PRE SCRIBES)BY 1115 OF7ARFMET OF L OCALGOVERNMLMT FINANCE IC 61.1334.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 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
•t FILED benefit and to provide additional identifying information necessary to allow county govern eot to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
a APR 11 2011 Taxpayer Name Location Address
C tr Baehl, Jerome A/Ruth H Life Est
Trust
551 WSR 68
GIBSON COUNTY AUDITOR `HAUBSTADT IN a7639 .
7472
Jerome ABaehl II 111111 [iii oil ID 01111_II_mlII IIII.011011_II_Ill OF Iii[IIDIDIHii_1111111111
- 551 W SR 68
HAUBSTADT IN 47639
State Parcel Number Legal Description
- 26-18-36-403-000.012-002/ PT SE 36-3-11 .75 AC
I/
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
Oa. t First Middle Last
(—Te Yd- fie_ A.✓ fl4n/ y Bete- AL
Mailing Address(number and street,city,state,and ZIP code) aSaTne as property address ,
S5 ! Via 5R• fjd 1-/A4115- adf 7',d. 1/76.89
Spouse . - First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Erame as property address
S5 / jil, 5 P, d & . ARr u,�s 7-a d 4- O ,.. 17r7 3i ,
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.
Own I Signature Date
DvO42 -60
Form HC 10 Supplement
Wort -sheet for March 1, 1989 Assessed Valuation
® HOMESTEAD CREDIT CALCULATION FOR 1989`
County Township Taxing District
Name of Taxpayer
l
Parcel No. or Legal Description
ASSESSORS CALCULATION
True Tar. Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre maximum) (1) XXXXXXXX
Other Land. (2) XXXXXXXX
Total -Land
Residence (Dwelling) (4) XXXXXXXXi _
Garage (5) XXXXXXXX
Other.Improvements (6) XXXXXXXX
Total Improvements (7)
Total Land and
• Improvements (8)
I hereby tify the above, true, correct, and complete.
Signa re of As sor
U
STANDARD DEDUCTION CALCULATIOP!' ' =_• `'
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
Signaturfto Iii .