Homestead_Hoffman (2) STATE toRW35., Nw:l MASUIFA FOM SSA
APPROVED BY STATE BOARD OF AM TS.:un PAE%RIBW BY nn DEPARTMENTOF LCC:LL nOVE!.Y%EAT Sa:AScEIC6-1.t-I-J.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead sandals deduction.As the receipt of this deduction becomes
more beneficial,there is more incenmr than estr for homestead fraud.Homestead fraud causes higher tan hills for all:therefore.
HEA 1344-2009 require taxpayers who receive the homestead standard deduction to verify that they are eligible to ruche 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 he 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.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hoffman, Lee Roy/
507 li Haub
Haubstadt IN 4 763 9-8 2 15
8256
Lee Roy/ Hoffman
507E Haub State Parcel Number Legal Description
Haubstadt IN 47639-8215
II III 'III I I I I II I I II I II I 26-19-31-304-000177-009 013-00177-00 E PARK ADD 487/488/489
t o nt t uu r t ii u ut r nt a l t ur ur ii r
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Lee -I CFki,\ArJ
•
g Address(number and stmt,city,state,and ZIP code) -----— -.-- - 1.LI Some as propertyadtiieks - - —- -
'. �l
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 1 ignature Dale
PART 4:ADDITIONAL INFORMATION
I
FORM HC 10 1919 To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 7 9 • -
'1,
SEE BACK FOR FILING INSTRUCTIONS
.(We) a . • , ,,,-ma. i'S_ . ,... 4/ _
residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) 12/owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in County
�„_ Township
Taxing District (eity iTown,Sawas*4): .44
• Parcel Number or legal description shown on tax statement:
E. 6411-4.. Qii -5/A 7- 1/8.P -9P 9
If buying on contract: Owners name Vet 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.
Signature Street Address / City. State and Zip Code
4 7657
• 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) 7o o .G3 0 – 3 O
OOotal Land F' I L. ED (2) goo 0,1do oaiiiii�ar
Residential Improvements I(IN 14 1979 Dwelling (4) —/ 4r S yQ
(9.0i �I Garage (5) ' 22)63
/ liu (R Total (6) _J-Lr 5 -a— --ia--nBo.S
AUDITOR
Other Improvements (7)
To• Improvements - Line (6) plus (7) equals (8) (8) / =5r0 .5 0
Iby certify the above is true. correct. and complete.
•
ar S-o29 - ?9
Si ure of Assessor Date
- ACTION BY AUDITOR -
{� ya
Approved: /�� O i /
Date: • /
E
013- oo/ 7 7-0 0
Form HC 10 Supplement_ V
Worksheet for March 1, 1989 Assessed Valuation
HOMESTEAD CREDIT CALCULATION FOR 1989 :
County Township Taming 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) XXXXXXXX
Other Land.
Total Land
Residence (Dwelling)
Garage
Other Improvements
Total Improvements
Total Land and
Improvements-
(2)
(J)
(4)'
(5)
(b)
(7) _
('8 )
XXXXXXXX.
XXXXXXXX
/So XXXXXXXX
XXXXXXXX /74c;
I hereby' tify the above, true, correct, and complete.
Signa re of As sor
- --
_ ... ... "STANDARD -DEDUCTION CALCULATIDN
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
Q7,IA�+N �• • i"'argy
Signatur of AuditoT
AWMX