HomeMy WebLinkAboutHomestead_Emmert (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 77 _ -
SEE BACK FOR FILING INSTRUCTIONS
(We) e — ' - - .--1=a i�- V- G _, certify that on the 1st day of
arch, 19 I, (We) occupied r our ncipal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ig owned
❑ are buying under contract
❑ have a beneficial 'nterest in the taxpayer
Property Description in ��Se County Township
■Taxing District (City, Town, ToRehip): - L��
iv
Parcel Number or legal description shown on tax statement:
- S !t07�a�� �7� 2 ZV °' -Z -Z6-77;
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 Township
' hereby certify the above statement is true, correct and complete.
9 �I /a s ✓V,/6 ,8/9)/ssT�11r /✓L• c#Xc 39
'Signs e Street Address - Guy. 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 G�
surrounding residential improvements (1) p CZ° ?0 . o
Other Land F [ I (2) — —
Total Land (3) �Y(/�,0 a O
Residential Improvements JUL 5 1.979 Dwelling (4) �4Z-0'" l jj�j�j�jj/
Garage (5) «.% ,,/,,��������� A
(�' " // _ Total (6) S-. —tv1 ,F-47-0 alo3°/S5/6t
Other Improvements y AUDITOR (�)
TN�' 4nprovements L ne (6) plus (7) equals (8) (8) _,_<- o t /i --Vs-o
I Iloy certi ' e above is true. correct. and complete.
J S=- s 7y
Signature of Assesso Date
ee - CTION BY AUDITOR -
Approved: q bate: 7/5-fr
MAIL FORM e)YagFCl NI TRCA[IIREA FORM i}IA
.ArPRtWN BY Ci\in BAAROCA A*:\15,EBB PRCYNBFU BY MT DFPMTMEYt Or LORE CAH'ERsslrrl FINANCE IC41.t.r-r.I
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 becontes
more beneficial.there is more incentive than ma for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1343-3009 requires taxpayer who receive the homestead standard deduction to verify that they are eligible to receive the
benefit anti to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only to accessed by authorited county officials.The lyepanntent of
Local Government Finance will use this information to create tours that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Emmert, Roger J /Velcia
PO Box 277 ,J
Haubstadt IN 47639 1^Ili
8195 v
Roger J Nelda Emmert
P O Box 277 _ _ „ _. _State Parcel Number -Legal Description
HaubstadtIN 47639-0277
26-19-31-303-000.099-009 013-00099-00 ORIGINAL PLAN 224/225 PT
Iilr rllrrtlt lltttt lllltlull Il rttl'tttl ltd tll ltd lrr rl ll
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
1yc 6; ER ‘JdszP FMMti27-
g Address(number and street,city,state,and ZIP code) — - aSame ac property dddre: — — - - ----- _- ----
/D6 3. V1N Po sr offigE Rci)4 a77 4 STANT ( 2v 39
Spouse First Middle Last
VO. elA CA EmrnErT
Mailing Address(Number and street,city,stale,and ZIP code) MI Same as property address
JOIs S V//t/t S Jos % GFrieE 50g ? 77 ALI1.3STADT/wty°7G3?j
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 Telephone
�4�cS q- 7- Jo (eya, ) 7o s/6 ? d �
Spouse Si tore Date Telephone
�¢e C' - 7-/z (gya-) c7 fuze 7
PART 4:ADDITIONAL INFORMATION
0
LZ
013—'9009?-00
N
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 Description
ASSESSORS CALCULATION
True Tar, Assessed R NR
Value Value Resid. Non -Res
Land (1 acre maximum) (1)_
Other Land (2)_
Total Land (�)
Residence (Dwelling)-- (4) '
Garage (5)
Other Improvements (6)
Total Improvements (7)
Total Land and
XXXXXXXX
700
,567o
XXXXXXXX
XXXXXXXX
XXXXXXXX
XXXXXXXX
30
Improvements (8) —
I hereby tify the above„ true, correct, and complete.
Signa tre of As sor
' --'•'- "- "'- " -`
STANDARD DEDUCTION CALCU AT..,..
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
Lyw%o A9101
SignatureofAUDrt) .