Homestead_Blankenberger (2) :OM HC 10 1979 - 10 the risen in uupilcaca
?resC.ribed-By State Board of Tax Commissioners
•
CIAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 1
SEE�BAACK FOR FILING
yt� � t/z rS 2� 1�0� /1- certify that on the 1st day of
, 19 , I, (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) D owned "
❑ are buying under contract
D have a .beneficial interest.in the taxpayer :, ni;.:: ` .
Property D=srription in ____tcVitt_np Cotmty� Township
Taxing District (City; Town, Teems-hip):
Parcel Number or legal description strewn on tax statement:
If buying on contract: Owners name I (fee sinvle owner)
Contract recorded in Recorder's Office -..Record No. Page
If any portion of the residential stricture 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 Tavnship
4r ci^T 1 j, _
I Hereby certify the above statement is true, correct and complete •
*Signature f It _< Street Address 3t City,- State and Zip Code
*Individual either owns or is guying caner a contract that provides he is to pay the
Property;taxes on the,residence, or has a beneficial interest .in:thetaxpayer.
- FOR ASSESSOR'S USE ONLY
True Cash ; :;,;: Assessed Homestead
Value Valuation . Valuation
Lard not exceeding 1 (one) acre immediately •. ..> ;_ ': • .
surrounding residential inproverents (1) /� gam' _ O f/
(2) : _:... ..... %
other Land. : . .::_ -r:: ,.. :
T _otal Land (3) / 2 '5' 0•
Pesidential immproverents a,pli; (4) 02,± 9 .> C •.
Garage (5)
Total (6) A S 9*d . .9°'`s o-
Other Improvements (7)
To-70 Improvements - Line (6) plus (7) equals (8) (8)
eby certify the above is true, correct, and crxplete.
�c
Signature of Assessor
ACTION BY AUDITOR -
• s1vE1 ORM.)!N,R/S-d t flL'SUIra FORM:}U
Arntr.to BY CIYIE WARD M✓COCNta.Nov PALARIBFf BY fir DEPARTMENT OF LOCAL C(n^cRUMR.T FINANCE we-1.1::-4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and mrried couples are limited to one homestead gaandard 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.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction In verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he Lept confidential and can only be accessed by authorized county officials.The Depanmeni 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
_ Blankenberger, Kathleen D
III S Damosa Dr
- - - Haubstadt IN 47639-8159
7322
Kathleen D Blankenberger
111 S Damosa Dr State Parcel Number Leal Description
Haubstadt IN 47639-8159
26-18-36-403-000.037-009 013-00037-00 WEST HGTS 3RD ADD 211
1.1011101tIlleeillilellikilletilltIllilel nI I tiI I t IIo I
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
nI LEEAJ 7)1 AWE 731-11-n1 KE r JbE et
•ng Address(number and street,city,sate,and ZIP code) - — -— - --D Same as property address - - ---
/ 1/ 3. ^D moSil- "Dk, WAu6s74DT , I c473 q — ?Ls-5
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ 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)
sex
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 Signature Date
( )
PART 4:ADDITIONAL INFORMATION
El
013• -0003 7 - Do
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation
HOMESTEAD CREDIT CALCULATION FOR 1989 7�
Taxing District
County Township
Name of Taxpayer
Parcel No. or Legal Description 0. 144fS SIL "AW
` �
ASSESSORS CALCULATION
True Tax Assessed R NR
Value Value Resid. Non -Res
Land (1 acre maximum) (1)- XXXXXXXX
Other Land- (2) XXXXXXXX
Total.Land
Residence (Dwelling) (4) XXXXXXXX .:
Garage (5) XXXXXXXX.
Other.Improvements (6) XXXXXXXX
Total improvements (7) L
Total Land and -
improvements ( -B)
I hereby tify the above, 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
1909 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
SignatUre of ALtditc3wr
UMOR