Homestead_Haley 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 9
SEE BACK FOR FILING INS1TRUCTIONS
®(We) �.-�/.e !. --a�. �, certify that on the 1st day of
*arch, 19 /I, (We) oc sled as our principal gf ce of residence the following described real property for
which a Homestead Prope y Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest i the taxpayer
/
Property Description in _ _cf .#A-c-cc� County !_ Township
Taxing District (Ctq, Town, Township•)• • - -
Parcel Number or legal description shown on tax statement:
eetOit ,- 24- .7 .?i e4 =-4 a
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
*hereby�rtify the above statement is true, correct and complete.
/ :44.-CI r
- 44 -_..... • aft Li Zal°Si/at re / Street Address City. State and ip 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 Valua�io➢ Val
Land not exceeding 1 (one) acre immediately 3��
surrounding residential • rovements - E (1) //� 0 7r?
I
Total Land (3) / /G 0 S
Residential Improvements JUN 4 j1979. Dwelling (4) So
at( /I - arage (5) ��%%/��� A
/eajad.C�zl�i i (6) L low o—Qg ti,
Other Improvements AUDITOR (7) — qd1 //��j/�j��/
Tr' 'm rovements - Line (6) plus (7) equals (8) o_� O :///jj_c
P O (8) o � da% 4
I WDy certify the above is true. correct, and complete. -yo5� ' ►� i k.0
ti� y� �- . a9- ? 9 \O7
Sig of Assessor 0 Date
- ACTION BY AUDITOR - 4 Approved: y1• U • 4 Date: -' �y I— / y
ME FORM SSN•nC r wl Tt ASIILR FORM MIA
.A/TMtw'ED BY TIE BOV D OrMent:NIS.9n PUSCRI ED BY nit DEIMNMEY1 OF Leta GOVER'MTAT ReaNCE MFI.I-Lit
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 ner for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
®
HEA 1374-2009 requires taxpayers who receive the homestead standard deduction to verify that they are elicible to receive the
benefit and to provide additional identifyine mformauon necessary to allow county government to Netter monitor homestead
finny:.This information will be kepi confidential and can only be accessed by authorized county officials The Ikpanment of
Local Government Finance will use this information to cream tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Haley, Larry T/Shirley Trust
Po Box 410 cire
Haubstadt IN 47639
2078
Larry T/Shirley Haley Trust
Po Box 410 State Parcel Number Legal Description
Haubstadt IN 47639-0410
26-19-31-303-000.149-009 013-00149-00 ORIGINAL PLAN 232/231
PART 2: TAXPAYER INFORMATION
Owner I First r-7-:-- Middle
frfr/e / Last
1-1 ;r ley U. ey
g Address(number and>tnzt,city,state,andZlP code)" - __._ — - __ - IZ--t Saw.us propeay uddres --— _
r'o ! w� 6/0RDy t_ fo LJ
Spouse First C' l4iddie Last
le let
/ lei
Mailing Address(Number and street city,state,and ZIP code) l/ l ine-as'propeny address
�l7U(fi yr e_ /00/22 ? qi 0
Each undersigned certifies,under penalty of perjury.that the above and foregoing infonnation is true and correct and that he or she is eliuible 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 Si at e Date
..
0/3' 0 0iy9 -o0
RMA
Form HC 10 Supplement �- -
Worksheet for March 1, 1989 Assessed Valuation
® HOMESTEAD CREDIT CALCULATION FOR 1989
County Townshi
Name of Taxpayer
Parcel No. or Legal Descript
Land (1 acre maximum)
Other Land.
Total Land
Residence (Dwelling)
Garage
Other Improvements
Total Improvements
Total-Land and
Improvements
Taxing District %L
A A ___ .y 4�4114
ASSESSORS CALCULATION
True Tax Assessed R NR
Value Value Resid.- Non -Res
(1)..
(2)
(3)
(4)'
(5)
(6)
(7)
(i3 )
XXXXXXXX
XXXXXXXX
TAO
XXXXXXXX =
XXXXXXXX
XXXXXXXX
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)
$2.500
$2,000
$1.500
SignatUre of �i AUDTM