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Homestead_Blankenberger ?oR9 HC 10 1979 •i'o De ciiea in ijupncace ?rescribed-By State Board of Tax Ccermi.ssinners CLAIM FOR HCP'ESTEAD PROPERTY TO CREDITFOR YEAR 19 , // SEE BACK FOR FILING �/INSTRUCTIOONNSS I,®te) s� � K2i n /�-!��zJ/ (, ,4--, u^` t certify that on the 1st day of March, 19 , I, (We) occupied dour principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: I, (We) El owned D are buying under contract - . - .• . - . D have a beneficial interest in the taxpayer:;. : ;,'' '.' : , Property Description in J County o-CL. ,� TO'ship Taxing District (City,- Town, Township) : . I--n kittl . ... • Parcel Number . - or legal description shown on tax statement: If buying on eontract: .Owners name . (fee simple owner) Contract recorded in Recorder's 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 inane, describe the use and portion of. the property utilized to produce income Any other counties in which individual owns or is buying:real property - unty' Township r j ,< ' I reby certify the above statement is true, correct and couplets. - • . ..,*Signature _;--,Street Address- >r t :::City, State and Zip Code• *Individual either owns or is buying tmer a contract that provides he is to pay the property:taxes:on the,residence, or has a benefi.c.ial interest .inthe.taxpayer• - FOR ASSESSOR'S USE ONLY - .• - - . .True Cash .1.,-,1.; Assessed Homestead �/y�Value Valuation . Valuation Land not surrounding residential(one) acre improvements .immediately (1) J1 Ste . 3 8v - =_=-3gC %// Total Land (3) /7-,1; 2.-5: •:'..? �JJ�//� O Pesidential :improvements Dwelling (4) �(5..'25-'92-.):;..!- /////������ Garage - (5) . ff, '�lAVA///(/ Total (6) , 36397 - :" '•9 r`+�5 /7- n Other Improvements .. (7) : :..,\C1��.// �� Improvements - Line (6) plus (7) equals (8) (8) ,3OS 9d 279-2-a0 �u�/G // the above is true, correct, and complete. • _ �!�eby certify - . -->__ • 0: `e :7— Signature or As - sor - ACTION BY AUDITOR - H - . --- r,_.._. • MTVE 1 OR.lt!it IC/awl TRFANREX FORM t3-IA .VPWVfn BYSrkTE WNW Of ACMINTS.Yon PRr4RIBFDaVnt[DEPARTWNT(WLOCAL GOVZIAV,r1IT MANCEMr.1.t-s-s Gibson County Auditor AD PROPERTY OWNERS IMPORTANT NOTICE TO HOMESTEAD 101 N Main , 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 net for homestead fraud.homestead fraud causes higher tax bills for all:therefore. HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to recehe the benefit and to provide additional identifying information necessary to allow county government to better monitor bomesle:xi filing:.This information will he kepi cooldetaial and can only he accessed by authorized county officials.The Dcpanmarl of Local Goverment Finance will use this information to create awls that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Blankenberger, Daniel C/Dawn E 115 S Damosa l) Ilaubstadt IN 47639-8159 7320 Daniel C/Dawn E Blankenberger 115 S Damosa Dr State Parcel Number Legal Description Haubstadt IN 47639-8159 Irlr Cllr lr�t��trtt��t�r�tt�it�t tt t��t lllrlrl 26-18-36-403-000.034-009 013-00034-00 WEST HGTS 3RD ADD 215 r rrrrIlrirlrrtlrll i' PART 2:TAXPAYER INFORMATION l Owner I First Middle Last Address(number and street.city,scare,and ZIP code) -111 Same as property address - — -- _ 1/5 fir mom �e���. �14u351, j Spouse First Middle Last 7)ew l . an bee cr Mailing Address(Number and street,city,state,and ZIP code) [] Same as property address /115 5, 7)A/}'), ft TDrirt )Jfru?r4r, Lti X49.47 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 unlawfillly,he or she may be liable for back taxes and substantial financial penalties. nee I Sigma e a Uatc r/ PART 4:ADDITIONAL INFORMATION • • Total'Land and Improvements (8) I hereby tify the above true, correct, and complete. Signa re of As sor 'STANDARD DEDUCTION CALC L .. _CN ' "' - = —•.. 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 '4 • Signatur GMN e CMM A M ' 0/3- Oo03y —o© Form HC 10 Supplement Worksheet for March 1, 1989 Assessed Valuation ®' HOMESTEAD CREDIT CALCULATION FOR 1989 County Towns/h�ipp Taxing / �Diiistrict/1 ,Q} Name of Tax payer 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 970 Total Land Residence- (Dwelling)' (4)'_ _ XXXXXXXX Garage (5) XXXXXXXX Other Improvements._ (6) XXXXXXXX 0 Total Improvements (7) Total'Land and Improvements (8) I hereby tify the above true, correct, and complete. Signa re of As sor 'STANDARD DEDUCTION CALC L .. _CN ' "' - = —•.. 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 '4 • Signatur GMN e CMM A M