Homestead_May (7) FORM HC 10 19/9 To Be Filed in Duplicate
Prescribed By State Board of lax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX .CREDIT FOR YEAR 197g9_
SEE BACK FOR FILING INSTRUCTIONS .
4(We) 12...1.4‘.4. ad .. ./ °I "., i , _'i certify that on the 1st day of
arch, 19 - ', (We) occupied as our princ'-:al.place of residence the following described real property for
which a Home ead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in �/CeacrY, County -J7 Township
Taxing District (Gi4.y,- Town, TewFtstitp): -44.4•7-- -.9-e t
Parcel Number or legal description shown on tax statement:
. 5t.. . /',% . .�A . 3:R 3.-," %L 3',
If buying on contract: Owners name nee 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
iiihere certify the above statement is true, correct and complete.
Lewitt, e... f� Sate 1,. 5e7g 3y
'Signature Street Address City. State and ep 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 im mediatel
surrounding residential imp ItL J � (1) / 76—‘2 - FJ--L Z 8o
..C-61-0 0
Other Land
Total Land (3) / 7-.5-0 - 0—
Residential Improvements
JUN 1979 (4) 70/ J /0 �.- 4 r��/./��
��// Dwelling Y jj j! //ii���/%//
r loos
AUDITOfdotaI (6) 7�J ,,ero se
3fo % %
Other Improvements (7) 1 A% /////./�
T 'Ta Improvements Line (6) plus (7) equals (8) (8) 7,2,0 ..4C-r-C ,.��Hr��
I Wby cer • the above is true. correct. and complete. 113 IV 4-o-- t° Sr
S—3v- 79 ej@erf Signature of Assess •
- ACTION BY AUDITOR - /
Approved: /� , - Date: V " 51f 9
STATE rn xMfl IC r■wl WRL4NUUR f0KM 3-IA
APPROVED MPORTANrTaNOTICE TO HOMESTEAD PROPERTY OWNERS ' r
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homeaced standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than per for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
• HEA 134 4-2IX9 requires taxpayers who receive the homestead standard 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
filing.This information will be kept confidential and can only be accessed by authorized county officials.The I epatin nt of
Local Government Finance will use this information to create tads that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
May, Edward Charles/Mary
• Elizabeth Mai
Po Box 362
Ilauhstadl IN 47639
8262 — _ _
Edward Charles/Mary May
P O Box 362 State Parcel Number Legal Description
Haubstadt IN 47639-0362
�t�n��ur�t��nn1111111I�� ��u��uu111111un�r�n�t�� 26-19-31-304-000.255-009 013-00255-00 E PARK ADD 386/387/
•
PART 2:TAXPAYER INFOR%IATION
Owner I First Middle Last
ED 109E-4 d r AM
tg Address(number and street,city,state,and ZIP code) - - - (Yj Same as prupenv address — - — - -
26,-6 7.650/0 s % /14 u sT14D 7` �"/A/ y 3
Spouse First Middle Last
4 A y �r 44-y (4.9/b--4)
Mailing Address(Number and street,city.state,and ZIP code) UJ.Same as properly address
�a-0 ( /BsoW 57T //A118s /ADT /4/ 27 7637
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
•
•
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation
HOMESTEAD CREDIT CALCULATION FOR 1989
t7�
County Township Ta::ing Distric
Name of Taxpayer 'M
Parcel No. or Legal Description
Land (1 acre maximum)
Other Land.
Total.Land
Residence (Dwelling)
Garage
Other Improvements
Total Improvements
Total Land and
Improvements
(1)
(2)
(3)
(4)
(5)
(6)
(7)
0 /3- 0 oagr_00
ASSESSORS CALCULATION
True Tax Assessed R NR
Value Value Resid. Non -Res
XXXXXXXX
Too
XXXXXXXX
Sao0
XXXXXXXX
XXXXXXXX
XXXXXXXX
I hereby tify the above, true, correct, and complete.
Signa re of As sor ✓
_
STANDARD DEDUCTION '
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: l/2 lesser of 1/2 lesser. of 1/2 1991 (same
"R" A /Vior "R" A/V or
0 "R" A/V or as 1991)
$2.50 $2,000 $1.500
Signature f to ADI'M