Homestead_Hackworth 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 7 q '
--
SEE BACK FOR FILING INSTRUCTIONS
(We) AI.__ _ .,_ . .. i I t� __, .i;
certify that on the 1st day of
March, 19_7,9_1,-
9 7? I, (We) ocyt.ied j our principal place of residence the following described real property for
which a Homestead Property Tax redit is hereby being claimed:
I, (We)kowned _
❑ are buying under contract
❑ have a beneficial intere t in the taxpayer
Property Description in ,_ ,,i- -vtt County _ Township
Taxing District (Gityr Town, T. :asbip): ��=L �
Parcel Number or legal description shown on tax statement:
If buying on contract: Owners name (fee aimple 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
®ereby certify the above statement is true, correct and complete.
Street Address t 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 (one) acre immediately
surrounding residential improvements (1) /.2 0 o yo 0 goo
Other Land (2) — —
Total Land FILED (3) /a 0 o yo o iiiaiiiiaar
Residential Improvements JUN 9 9 1979 Gar 9leg (5) � 1 lq9 / A
ac,./0 Total (6) — -o4 524._0__
Other Improvements AUK (7) 1 t'S,t
I/ O
TNT'–'mprovements - Line (6) plus (7) equals (8) (8) /�-D ���
I ley certify the above is true. correct. and complete.
-i-4-0 Date ma y
Sign a of Assessor v
Date
�ACTION BY AUDITOR -Approved: g . eia Date: 6 /A9
MALE FOR!t:OR*iR2 1W*I • f11IA4 la PORN 75-IA
.APPNICED BY MAIL BOARD(f'Vfl 71:N7t._`Im PREYABitD BY nn OEPMrt¢vt{F LOCAL CO•^TLNMl31 FINANCE We-t.1-L'"!.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 becomes
i more beneficial.there is more incentive than e■er for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
114 HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying infonation necesstry to allow county government to better monitor homestead
riling.This information will be kept confidential and can only be accessed by authorized county officials.The lkpanmmnt 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
_ Hackworth, Dorothy A
108 S Vonna lane
Ilaubsmdt IN 47639
7332
Dorothy A Hackworth
108 S Vonna Lane State Parcel Number Legal Description
HAUBSTADT IN 47639-8131
Iiiiilliiiiiiiiiiiilililtillilmillollimiiiiiiiiiiiiiiiiii 26-18-36-403-000.145-009 013-00145-00 WEST HGTS 2ND ADD 108
A
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
•n ddrtss(number and snml.dry,state,and ZIP code) - - 21-Same as prupert address— -
•
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sox
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.
I Signaw / Dare
PART 4:ADDITIONAL INFORMATION
•
013- 001V,5-00
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation
® HOMESTEAD CREDIT CALCULATION FOR 1989
County Townshi
Name of Taxpayer
Taxing District 7� �
Parcel No. or Legal Description bi
ASSESSORS CALCULATION
True Tax Assessed - R NR
Value Value Resid. Non -Res.
Land (1 acre maximum) (1)'
Other Land (2)
Total Land (3)
Residence (Dwelling) (4)
Garage _ (5)
Other Improvements (6)
Total Improvements (7)
Total Land and
xxxxxxxx
0
Improvements: (8)
I hereby Wtify the abovr_ 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)
$2.500 $2,000 $1.500
SignatUre of AUditoT-
GIBSON
nDrtO