Homestead_Doerner ' • STATE I ORM 53'm10./Yr1 TREASURER WKM TS-IA
...MOWED BY SAVE YNNDIN An}q]Tc.`✓• Pn MED'BY fill DEPARTMENT OF LOCAtrovEtNMn.T rDct%CE ICHJ_Jl
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one hometead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills toy all:therefore.
,sue HEA 134e-2004 msi to d additional i who vine receive the homestead standard to flow county to gofer that they are eligible monitor homestead
the
S N
benefit and to provide reui s taxa id who rice information teadsst n•to allow county grnemment to better monitor Igmesrc:e
filings.This information will be cep crnfdenied and can only be acre+sed by authorized county officials.The Ikpanncnt of
Local Government Finance will use this information to create tools that will hrIp county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
APR 1 6 LIAU
Taxpayer Name Property Address
_ Doemer, Charles Louis
aa 401 E Haub ST
GIBSON COUNTY AUDITOR tlaubstadt IN 47639
8242
Charles Louis Doerner
P O Box 303 State Parcel Number Legal Description
Haubstadt IN 47639-0303
ltll rllltllt illrtt11t1t1lr11 11111 Iltll ttitl'Ill VIII 26-19-31-304-000.075-009 013-00075-00 E PARK ADD 428/429
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PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
Ghauie5 Lou CS LanLlL
_ ' ng Address(number and street,city,state,and ZIP code)— - —- -- --' 0 Same as ptopeny°duress —" . -- —
0° 6°x303 tIoI S. Patio ST I-I cues rnrJT 74 Vi1%639
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) u 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)
sue
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
ro/ a ^ Date
( )
PART 4:ADDITIONAL INFORMATION
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FORM HC 10 1979 - To Be Filed in Duplicate
Prescribed By Slate Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 7 9
D eSEE BACK FOR FILING- INSTRUCTIONS
®(We) ICY, -N+o certify that on the 1st day of
.l arch, 19 79 , 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:
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—a
I, (We) ❑ owned -
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in ,.c County • ✓ Township
Taxing District (8ity, Town, Tovrnship): y +�
Parcel Number or legal description shown on tax statement:
&Q-4-4 2.2 `' 'P- Yf 9
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.
C IIQAQw /00rif nifi J BA) Pit c Lt . A)2239
'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
Z1i Value Valuation Valuation
Land not exceeding 1 (one) ac im edia ly •`
surrounding residential improve�tents� (1) P9'9 o Soo .900
Other Land _
—
,pl 71919. (
Total Land ,� (3)) P 9 D _ -1D o
Residential Improvements p (4) 110
Gacs );TOR (5)
Total (6) _#±5/--t---
Other Improvements (7)
T-'°'-Improvements - Line (6) plus (7) equals (8) (8) 1 - -
Ioy certify the above is true. correct, and complete.
%— — —, vq — a9 - 79
Iture of Assessor— / Date
ACTION BY AUDITOR - / y
Approved: /\ , l !W Ad13i1 Date: ( 617/! 7 •
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01-3- 0007S- 00
Form HC 10 Supplement V.
Worksheet for March 1, 1989 Assessed Valuation
HOMESTEAD CREDIT CALCULATION FOR 1989`.:
County Township Taxing District IIZ4 �-
Name of Taxpayer
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.
Total.Land
Residence (Dwelling)
Garage
Other. Improvements
Total Improvements
Total Land and
Improvements
(2)
XXXXXXXX
(4)
XXXXXXXX
(5)
XXXXXXXX
(6).:
XXXXXXXX`: '
X830
(7)
I hereby tify the above, true, correct, and complete.
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Signa re of As sor
�. .
--`'•- "'" -•" , " -" -� "" STANDARD DEDUCTION CALCULATION O�J :'7 ___ _. _ . .
IC 6- 1.1 -12 -37 provides that a person who is entitled to a Home-
stead Credit is entitled a Standard Deduction. . .
LIJ
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 C t wo ffM