Homestead_Doerner (2) 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 /c
SEE BACK FOR FILING INSTRUCTIONS
•(We) — �i ........c,..‘„•_:. �_ certify that on the 1st day of
arch, 19 7 9 I, (We) occupied as our principal p .ce of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
Fare buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in �L County �c. Township
/ ./L-122-€1Y
Taxing District (City-, Town, Township):
Parcel Number or legal description shown on tax statement:e
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 Townshi
' hereby certify the above statement is true, correct and complete. ��`) -
/..r." �: A Los. \ i■.'a ..... .'i
'Signature Street Addr -. 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
e Value Valuation Valuation
Land not exceeding 1 (one) acre imme iate y
surrounding residential improvements (1) Se.So • • /,moo - .
Other Land JUN 6 1979_ (2) _ —
Total Land • (3) y S o /S'"o
Residential Improvements :: �! ., ' li g (4)
Garage (5) — 318° /
Total (6) a b s=ue — *0 8J'
Other Improvements (7) — I
ToOmprovements - Line (6) plus (7) equals (8) (8) c7-�-'Sio 4 #-&—
I ft...,,oy certify the above is true. correct. and complete.
`'////���{��_A s�z 9- 7 9
Sigr,Qure of Assessor Date
UU VVVV ACTION BY AUDITOR -
Approved: Q.• Q. Date: 1 ‘ - 71
51 ATEFOR4s5,t•iR_/fool TIteSU1UA PORN S IA
...MOVED BYt1ALE BOARD OF ACCOI\'1{.914. epf4AmBm BY TIM DEPARTMENT(if LOCAL novtaermnia FINANCE Ie VI.I_4I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 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 receve the
benefit and to provide additional identifying. information nemory to allow county government to better monitor homestead
filings.This information will be kepi confidential and can only be accessed by authorized county officials The Depanntent of
Local Government Finance xc ill the this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Doerner, Norma J
Ill S 3rd
Darmstadt IN 47639
3126
Norma J Doerner 2010
111 S 3rd APR'0 6 State Parcel Number LeEal Description
Haubstadt IN 47639
a 26-19-31-304-000.076-009 013-00076-00 E PARK ADD 395
71lade 1 ‘771.
- -_ �F. __ _ _ _— .-_. _ _
GIBSON COUNTY A..T _ — — —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
Owner I First Middle Last VCCUr\ cOb-Q_AALD
in Address(number d sweet.city,state,and ZIP code) ❑ Same property address
) ► Sr t46-40 `LlL.,'O � 106 c-Ak 1 ) C1")630(
Mailing Address(Number and street,city,stale.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)
_ _ state
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 I Signature Date
PART 4:ADDITIONAL INFORMATION ;"
013-000 76 - o0
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation
HOMESTEAD CREDIT CALCULATION FOR 1989 .:
County Township Taxing District
Name of Taxpayer
Parcel No. or Legal Descriptio(j\n\�_
- V ),ASSESSORS CALCULATION
True Tax Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre maximum)
(1)
XXXXXXXX
Other Land
(2)
XXXXXXXX
y3 0
Total.Land
(3)
Residence (Dwelling)
(4)
XXXXXXXX
Garage
(5)
XXXXXXXX
Other Improvements
(6)
XXXXXXXX
Total Improvements
(7)
Total Land and
Improvements
($)
11
I hereby tify the above, true, correct, and complete.
Sig na re of As sor
_.._.__..... %' STANDARD' DEDUCT ION "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
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
Signature of to TM
