Homestead_Dooley MATE IORM!tTtgy p:t•nl 1REASYLER FORM t}tA
VPRtn'EoPTA.stLFO oar AMtINIi1,M FRrsatarn BY THEUEMRTEITUr LOALOOVEENNrNT rinA]CE ICVI.I.r4.1
0 County Auditor
11 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
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 taspa'ers who teethe the homestead standard deduction to verity that they are eligible to seethe the
benefit and to provide additional identifsine information necessary to allow county govemment to better monitor homestead
filings.This information will he kepi cnntidemial 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.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Dooley, Carolyn eaCe_q QQ.JC
n. ,xra YY
ta
Ilaubsmdt IN 47639 x-�
8156
Carolyn Dooley
Box 333 State Parcel Number Leal Description
Haubstadt IN 47639-0333
ItIllIIrttIl IIIttt lltitlttil litttllllriltt t��ttt llrll lltl
1.1.-----
26-19-31-301-000.079-009 013-00079-00 ORIGINAL PLAN 79/80
33155
Spouse First Middle Last
Ati jdA> s n 0�y
Mailing Address(Number street,city,stale,and ZIP code) as property address
j5o K 333 uI41-?/ -sr-%-07-;- _i✓ r/17.63
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.
0
FORM MC 10 1979 To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners
' CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 79
r
SEE BACK FOR FILING INSTRUCTIONS
®(We) /__ .•—_��__ certify that on the 1st day of
March, 197 0] Or( pla.: of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interes in the taxpayer
Property Description in ' County - v>"a�v�� Township
Taxing_District (City, Town, ToaunsMrp):
Parcel Number or legal description shown on tax statement:
da-e-r-ila-ez.GJ.2-4 79 c 413
If buying on contract: Owners name nee 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.
61, jp F` `' t^''�/) / a-Z�� .fit• -C�fi� 32
'y�gnamre o Street Address City. State and Zip Code
JJJ * 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 surrounding residential residential(meriendig (1) P S/o d g 0
Other Land jj (2)
Total Land JUN 11 1979 (3) cP CO a �QOQ�Q/ODD
Residential Improvements
Dwelling
-G- - � ,
( _ / - lleg 9 (4)
AUDITOR Total (6)
Other Improvements (7) •DDDD�DDDDD
n!1mprov gents - Line
is true.plus ecL
(7) equals
complete.
(8) 3(8) Y� 0
jo
y
,•�A Q saq • 29
Signal of Assessor - _ Date
- ACTION BY AUDITOR -
Approved: ) L aATA Date: -
0/3-0007!9 -oo
Form HC 10 Supplement.
Worksheet for March 1, 1989 Assessed Valuation
HOMESTEAD CREDIT CALCULATION FOR 1989`j.:
County Township Taxing District
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)
XX //X //XXXXX
(6) xxxxnnxn
(7) 7370 -
(6) -
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
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 a- 500 $2,000 $1,500
SignaturfCOUWAMOR