Homestead_Jay CLAIM FOR HaUlEAD PROPERTY TAX CREDIT FOR YEAR 192 .
• r. SEE BACK FOR FILING INSTRnIONS ' - .
I, cam)19 '.
y . .& 't • owns"; ees,�' certify that on the 1st day c
larch, 19 ;v,, (We •��� ed as our principal place of resilience the following described real
Warty for which. a Property Tax Credit is hereby beeing claimed: r
I; (�' ) � .
D are buying der contract • .
0 haw_ a beneficial interest • the taxpayer .
/dbT' County Taanshi
Property Des--ription. in / `�1�
Taxing District (City, Twin, Township) :
Parcel Ih nrnr I I i I • ( or legal description sirwm on tax statement:
(3)4 . Nya Sum-1 31 -) - I0 1. 01) AC.
If buying on contract: Owners name (fee sirnle owner)
Cantsact recorded in P°corder's Office - Rerd No. 5 Page a39 7 .
If any portion of the resident-;al structure or the land, not ee ing e1 (1us and on that
immediately surrounds that structure is used t o produce income,
the property utilized to produce intone .
•
property: .County Township
Pny other counties in which individual awns or is buying real pr. . .
I herphy certify
above statement is true, correct and complete. •
, , _ 417' 77
•r - `` Street P&I . . . City,' tats and Zip Cod€
*Individual either awns or is buying caner 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 Barestear
Value Valuation . Valuatiol
Land not ceding 1 (one) acre immediately • (1)
surrounding residential improve-rents �/////////"
Other lath 31 0
TOLD nt a , Dwelling (4) //// ill/lr4r4/l///
poSiren, ial IniJZWBTeIxS / �����///���
Garage (5)
5l
Total (6)
Other Ixro ovanents _ 0 3 1988 m o o %����/!�//��/�/
To • cements - Line (6) plus (7) Equals (8) (8) MAR
I bileby certify the above is true, correct, and anpletetl . O , r
AUDITOR
to
•1
Illi
cure of Assessor '
- ACTION BY AUDITOR -
kporovei:
• j • Date: .3 3 1 in •
• , r • ma font,3WIR/)•I WARMER FORM s-IA
.APPWn'EO BY ctsaE afWln or ArrTu.\1X.51• PCF3RIInD BY TIE DEPARTMTT W LOCAL GOVERNMENT MANCE IC r.1"4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
t- HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.Thb information will he kept confidential and can only be accessed by authorized county officials The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taipaver Name Property Address
—. Jay, Ricky UCarmen M
206 N Main
Ilaubstadt IN 47639
8172
Ricky L Jay
206 N Main St State Parcel Number Legal Description
HAUBSTADT IN 47639-8138
1I1iilliiilillitulltIrlulnlnttllnlltlttlillittt11ttt1t1tl 26-19-31-301-000.385-009 013-00385-co PT N SW 31-3-101 AC
>!
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
11�ICkX gerrercI t-eC-
i g Addiess (number anti/sweet,city,state,and ZIP code) -- -_ --. - — liti property address`- — -- _. — ---
&19 N . 1\M& S±eei-
Spouse First Middle Last
OOJ nleh Ao_ri e N. ( t
Mailing Address(Number and street,city,state,and ZIP code) IYCame as p ny address
PART 3c-QERTIFICATION
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 l3-• for back taxes and substantial financial penalties. - -
Owner I Signature ..--- Date
PART 4:ADDITIONAL INFORMATION
® ye
r o�3 -003 S.S- o0
Form HC 10 Supplement.
Worksheet for March 1, 1989 Assessed Valuation
HOMESTEAD CREDIT CALCULATION FOR 1989 .:
County Townshi
Taxing District 96_�-
Name of Taxpayer
, / U
Parcel No. or Legal Description -PL_S4) 31- 3-/O / Ac•
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)
(3)
(4)
(5)
(6)
(7)
CB)
XXXXXXXX
I her4.9f ' tify the above• true, correct, and complete.
dtpj
Signa As sor
STANDARD-DEDUCT ION 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
U�MfJ �• • �"vJ�! V
SignatUrg of AUditcT
GWMCOUNTYAUMM