Homestead_Hoefling (4) 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 INSTRUCTIONS
•(We) '.� .�< tae' • 91 - _ _.�• certify that on the 1st day of
arch, 19_9 , I, ; e) occupied as our principal plac s.f 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 interest in the taxpayer
Property Description in ._J..• County ( Township
Taxing District (City- Town, Tewnship)• /5: . (/
Parcel Number or legal description shown on tax statement:
/'f SE e 36 - 3 - // 1 criaaca,
• If buying on contract: Owners name (fee simple owner)j a&o,__41 4 e D°".D ji .:"__. ,� 4-..,_-...4.—..,
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.
a-,-.1-9 a.+Eity .cgeirgt RR- I Br* 5-0 1 5610„.._Lic.0- .1,-.0. (in, 3?
'Signature Street Address City, Stat4 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) So? o / i o /i 0
I
Other Land I E It (2) —
Total Land - (3) 8- -7 0 / / o
Residential Improvements SUN G 1979 ' �Garageg (5) ry a-07° j
697/'(AAju t�-`otal (6) __/_24`14. mod' �8— %/'.
Other Improvements AUDITOR (7) $V's)
To' ' improvements - Line (6) plus (7) equals (8) (8) zP-o _±.:- :5-
roy certify the above is true. correct. and complete.
sor sc� �° :e 9 - ? g
- ACTION BY AUDITOR -
Approved: a • Date: 44/7 9
p{rL IOKM!3V+00.r,+rvl TREASURER 100.431A
ARMw'EO BY STATE BOARD Of MYTR'aTS.9.V YrIY}JrnD BY PIE DEPARTMENT OF LOCAL GOVERNMENT FPAVCE MH.1-_J.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to our 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 1344-2009 requires taxpayer who receive the homestead standard deduction to verify that they are eligible to remise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This infonmatinn will be Leto calf dentin!and can only be accessed by authnriied county officials.The Depannient of
Local Government Finance will um this infomation to create teals that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Hoefling, Betty S
106 S Weber DR
Ilaubstadt IN 47639-8130
7391
Betty S Hoefling
106 S Weber Dr State Parcel Number Legal Description
HAUBSTADT IN 47639-8130
it III I I I I I I I I I I I I I I I I III 26-18-36-404-000.175-009 013-00175-00 PT SE 36 3 11 LOT 106
r n tat t nn t t n u tan n t tat nn tut t
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
flee -? //nct
tg Address(number at street_city,state,and ZIP code) - Li Same as property address - - --
1D Lileber Dr. 1404.,L5 /.0.4 -1- , is 47639
bete-aS cc!
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
snit
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
STATE FORM 53569(RLH.lo) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,3009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.1-22-8.1
IMPORTANT NOTICE TO HOMESTEAD PROPERTY•OW'NERS -
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
ehauses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
a dard 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 be kept confidential 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.
- PAR tt PROPER 1'INFORMATION y
Taxpayer Name Property Address State Parcel Number . Leta]Description:
Betty S Hoefling 106 S WEBER DR 26-18-36-404-000.175-009 PT SE 36 3 I I LOT 106
HAUBSTADT IN 47639
Complete and return to: I®hIUBERI1111➢m00IlUDI®�®�Im80mmE®
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 41
PAR P 2. TAXPAYER INFORMATION
Owner I First Middle Last
a 4f f T S ;>1 a el: �;nit.
Mailing Address(number ai d street,dry.slate and ZIP code) 1
Sane as properly address
•
p First Middle Last
peCeacect
Mailing Address(number and street.city.state and ZIP code) Same as properly address
.
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
( )
. - PART 4: ADDITIONAL INFORMATION ' -
- , . - Yn �gpr
^FILED
NOV 72012_
C. .tY
•
GIBSON COUNTY AUDITOR
0
Form HC 10 Supplement.
Worksheet for March 1, 1989 Assessed Valuation
oi3- oa�7S -oq
t "� ✓
HOMESTEAD CREDIT CALCULATION FOR 1989._:
County Township Taxing District
Name of Taxpayer
r U
Parcel No. or Legal Description
ASSESSORS CALCULATION
True Tax 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)
XXXXXXXX
(4)
- XXXXXXXX
(5)
XXXXXXXX
(6)
XXXXXXXX '
(7)
Op
I hereby' tify the abovq, 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 5O0 $2,000 $1.500
Signature f�i tAMIM