Homestead_Elpers (15) FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By State Board of Tae Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR'YEA11 19 S o
SEE BACK FOR FILING INSTRUCTIONS
11111We) A -r-c-/ • 4 certify that on the 1st day of
arch, 19 go I, (We) occupied our principal place of res ence 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 interest in the taxpayer
Property Description in / / t ^' County Township
Taxing District (C-ity;-Town, Townchip): pCLaa..l
Parcel Number or legal description shown on tax statement:
W-a4-J-. r at- V 9 ,t- j-0 •
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
_.t hereby certify the above statement is true, correct and complete.
//8 / 4 e_ Sr_ 114a4 5741-01* 1N 976 3 `j'
`'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 (ofCat�mmt B o
surrounding residential im v f (1) 3.477 a80
Other Land
Total Land MAR 2 g 1980 (3) S'/-o a_ S o -
Residential Improvements �/ (4) �
�'i!'' . AUD170R Garageg (5) — 3730 / . 4e .
- • U Total (6) -ez 4?-° Wi' 7 7c,—
Other Improvements (7)
To l_.Improvements - Line (6) plus (7) equals (8) (8) 0
I1 by certify the above is true. correct. and complete.
3 _ 3 - 8'0 sr_r_A_Att)
(:::g4:1- Ciej Signature of Assessor Date
ACTION BY AUDITOR -
Approved: Y Date: 3- a(9 - sa
• • STATE fMAM`!!w et:/f4Ml TPFAAIrIR WPM ZIA
.APPROVED KY Stilt DOV.00F Mltt Nfl. tl• TILSCRIZED aY TMnrPARnef/i LOCAL CAVE0.YMEATFINANCE ICH.Ir-tI
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 Der fur homestead fraud Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-20II9 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 he kept confidential and can only tsr accessed by authorized county officials.The Depannreni of
Local Government Finance mill Inc this information to create tools that will help county officials eliminate h oncstcad fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Elpers, Roger I Kimberly K
I18 Race ST
Ilaubsta ft IN 47639
8157
Roger I Kimberly K Elpers
118 Race ST State Parcel Number Lepal Description
Haubstadt IN 47639
26-19-31-301-000.095-009 013-00095-00 HAUBSTADT 49/50 PT
•
PART 2: TAXPAYER INFORMATION
Owner I R First Middle /j� Last
Address(nGber and street.city,stare,and ZIP code) Same at propery eddfss
1/e &4c S f- P O, Sox d-sr/ 1-49 ti ,s f 4e- 776-35'
Spouse First Middle Last
k m A e )2/ ./(j, P e mss'
Mailing Address(Number d street,city,state,and ZIP code) I 'Syne as property address
/if R s / POSY HH(}Sf-90144- 2t y76,-2�
PART 3: CERTIFICATION
Each undersigned certifies,under penalty of perjuy,that the above and foregoing information is roe and correct and that he or she is eligible to
receive the homestead standard deduction on this property.Each undersigned also understadds that;by claiming addiiiorial homestead'deductions unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date '
D
013 -.600 9s- co
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation
HOMESTEAD CREDIT CALCULATION FOR 1989
County Township Taxing District /
Name of Taxpayer Z Q� h
—�
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
(2) XXXXXXXX
Residence - (Dwelling)' (4)
Garage (5)
Other Improvements (6)
Total Improvements (7)
Total Land and ,
Improvements ($)_
So3�
XXXXXXXX
SO 70
XXXXXXXX
XXXXXXXX
`f
I hereby tify the abov;, 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
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 $2,000 $1,500
SignatuGMSON AWTM CMM