HomeMy WebLinkAboutHomestead_May (6) FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 192
SEE BACK FOR FILING INSTRUCTIONS
•
eWe) a / - !- - • _ - certify that on the 1st day of
March, 19_7_72_, I/(We) occupied as our princie• place of 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 _/ . County �" ' - ..—.. Township
Taxing District (City, Town, Tewnship). -
Parcel Number or legal description shown on tax statement:
r,04,¢T.e,..4' 46: -36/.S�—3 a-Z Not 3 a 3
If buying on contract: Owners name (tee simple owner) 3/3 + 31$
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. /
C4°---- ...L-�i- ' 3v�! s: ,C e �,. 77C 3 9
'Signature } Street Address City, State and Zip Code
• Individual_l 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 G to V-61-67
surrounding residential improvements •� (1) / .' 0 0 „Zn n
Other Land (2)
Total Land Residential Improvent' Y 6E ID Dwelling (4) �o O
JUG! 121979 Garage (5) — q (v '
Y
Total (6) 3+�-a-0 /�i�o is'�'o/-B- o
Other Improvementg (7) 9-0 /
To' 'mprovemenTs = l ( ) ph s (8) (8) 3 2 3 0 /o d'
I
L. c ' y the a ove is true. correct. and complete.
C 3o — 77
sigra:ure of Asses Date
- ACTION BY AUDITOR -
Approved: tjL'. ,k1%-tp re Date: 6 —/-Z-- 7 V
STAR EOKM!!'..R_I•■_N1 -TREs5t RFOAM S1A
AfrRm'EO BY!FITEB nROOFAn/R.\T,.IIN FtrANBmBYn t!.BFIARrhEVTOF IQ'At rOTttYY.F%TMNANCr MVI.1-_4.1
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 exec for homestead fraud.I Iomestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who teethe the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information necesmry to allow county government to better monitor homestead
tiling this information will he kepi confdemial and can only be accessed by authorized enmity officials.The Ikpannrnt of
Local Government Finance\sill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION .
Taxpayer Name Property Address
May, Donald L/Jeannine F
— Po pox 14
Haubstadt IN 47639
8210
Donald L/Jeannine F May
Po Box 14 State Parcel Number Legal Description
Haubstadt IN 47639-0014
1111111111111111111111111,1111111 11t1n1ur11r1n1nu111 26-19-31-303-000.252-009 013-00252-00 23 HAUBSTADT 301
t PART 2:TAXPAYER INFORMATION
Owner I First Last
C
cT-579411/11A/ES) „ // 1
tg Address(number and street,city,state,and ZIP code) l Some as property address '
Ro, /3o7/if 30 S. me S7 M ussm i,. i4, ‘/-??3 2
Spouse First Middle Last
DEC EASf_D (v-2 -C8)
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
•
Social Security Number(last S digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sox
PART 3:CERTIFICATION 11
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is tree 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.
Ow I Signature Date
;PART 4:ADDITIONAL INFORMATION
11
Form HC 10 Supplement 013 DDaSo�_O�
Worksheet for March 1, 1989 Assessed Valuation
HOMESTEAD CREDIT CALCULATION FOR 1989
County Township (� Taxing District �� 2
Name of Taxpayer
U j/ v
Parcel No. or Legal Description / &O't 30/ S/L 302 303
ASSESSORS CALCULATION
True Tax Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre maximum) (1) XXXXXXXX
Other Land. (2) XXXXXXXX
Total Land (3) VOO
Residence (Dwelling) (4) XXXXXXXX
Garage (5) XXXXXXXX
.. Other Improvements (6) XXXXXXXX
Total Improvements (7) 3 3 0
Total Land and
Improvements Ca)
I hereby tify the above true, correct, and complete.
Signa re of As so
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)
$2,50e $2,000 $1,500
SignatUr
GMSON e of �i toAwMOR