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HomeMy WebLinkAboutHomestead_Cook (2) FORM HC 10 1979 To Be Filed in Duplicate Prescribed By State Board al Tan Commissioners CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR. YEAR 19 F z SEE BACK FOR FILING INSTRUCTIONS • I, (We) ' ` � o- /��' �— certify that on the 1st day of "larch, 19 821, (We) occupied as our principal place of residence the following described real property for lhich a Homestead Property Tax Credit is hereby being claimed: . I, (We) ❑ owned ❑ are buying under contract ❑ have a beneficial interest in the taxpayer Property Description in County Township Taxing District (City, Town, Township): Parcel Number or legal description shown on tax statement: /4-3C 3„4 ito- tc-C 2/3 • z600-. . If buying on contract: Owners name (Me 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 I hereby certify � the , above statement is true, correct and complete. //// '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 improvements (1) /.2 So 473c S130 Other Land (2) Total Land (3) /.2 g0 130 Residential Improvements Dwelling (4) F9 , 7 a P-71" Garage (5) Total (6) / –e' 44fl LerG, 3Ve. — TTotal Improvements - Line (6) plus (7) equals (8) (8) / `� a G � �� /��• I hereby certify the above is t\(rruu�eee, correct. and complete. Signature at Assessor U U Date - ACTION BY AUDITOR - Approved: Date: STATE FORM 53569(R11-10) TREASURER FORM TS.IA APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-22-8.1 IMPORTANT-NOTICE TO FIOMESTEAD-PROPERTY:OWNERS - • 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 ever for homestead fraud. Homestead fraud Sauses 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 benefit and to provide additional identifying information necessary to allow county government 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. PARTI: PROPER Y INFORMATION Taxpayer Name Property Address State Parcel Number Lent Description: • Robin L/Doris A Cook 113 S DAMOSA DR 26-18-36-403-000.049-009 WEST HGTS 3RD ADD 213 HAUBSTADT IN 47639 Complete and return to: I®IIDD]CRH110®m®g 01I11111I'1U]U 0 - - - GIBSON COUNTY AUDITOR 101 N MAIN PRINCETON IN 47670 ul�!111� PART?:•TAXPAYER INFORMATION -_ Owns t Full Middle last Mailing Address(punter and street dry,state and ZIP code) � l ,L Sarre as property address . - -1the - Spouse First Middle Last . ,/ OAI.5 A N iv Cook . Mailing Address(minter and street,city,state �,and rZIP code) 1 �ne as property address '` 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 1 Signature Date : ?.,PART 4:ADDITIONALINFORMIATION . •- - TILED t �_-. JAN 2 2°2013, .. - --- . GIBSOP! cnittsiTY a V-, D /3- 000 Y9 -o© Form HC 10 Supplement Worksheet for March 1, 1989 Assessed Valuation HOMESTEAD CREDIT CALCULATION FOR 1989 Taxing District *� . /a- tw� z / 40-'. Name o a..p a y Parcel No. or Legal Description 6 ?;/fats County Township f T �• er C o_ ° Total Land and Improvements (8) I hereby tify the above s true, correct, and complete. Signa re of As sor -- - ---.-- - ...STANDARD DEDUCTIC?1:- CALr•in pTlny : - :.. ..__.... 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 1969 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) $2,500 500 $2,000 $1.500 G�1Mf! AI Signature fCM t Uo MM ASSESSORS CALCULATION True Tax Assessed R NR Value Value Resid. Non -Res. Land (1 acre maximum) (1) XXXXXXXX Other Land. (2) XXXXXXXX 9 %O Total.Land (3) Residence (Dwelling)-.-- (4) "' XXXXXXXX Garage ® (5) XXXXXXXX ._.. Other ".Imp rovements (b) XXXXXXXX .. . v�rA) Total Improvements (7) Total Land and Improvements (8) I hereby tify the above s true, correct, and complete. Signa re of As sor -- - ---.-- - ...STANDARD DEDUCTIC?1:- CALr•in pTlny : - :.. ..__.... 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 1969 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) $2,500 500 $2,000 $1.500 G�1Mf! AI Signature fCM t Uo MM