Homestead_Meny (9) 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
SEE BACK FOR FILING INSTRUCTIONS
4
(We) Art../.4J / a!---12=� ' -. N/h1 — a - certify that on the 1st day of
arch, 19_77, 1,7 e) occu./d as our principal place of residence the following described real property for
which a—H/omeste•d Property ax Credit is hereby being claimed:
I, (We) Ifd owned
❑ are buying under contract
❑ have a beneficial 'nterest in the taxpayer
Property Description in ,/ -'me_.. County 4.... /L Township
oei
Taxing District (Giiy- Town, Tewns+tip):
Parcel Number — or legal description shown on tax statement:
/ z9Gs - -797 '.-79Y
If buying on contract: Owners name (lee 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
I hereby certify the above statement is true, correct and complete.
'Signaturr - trees Address City. State and Zip Code / /-rlin
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' 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 ASSESSORS USE ONLY -
True Cash Assessed Homestead
Value Valuation Valuation
Land not exceeding 1 (one) acre immediately
surrounding residential improvements E
D (1) //(0 0 3 i 0 ' O
I
Other Land F I �9 (2)
Total Land d6.8 (3) // 40 0 39 0
Residential Improvements JUN 2 1979 Dwelling (4) --7 O //���j�
��t
�r Total (6) 5L 40 SSo _ _7i
Other Improvements I/ AUDITOR (7) 2,g, �
To" Improvements - Line (6) plus (7) equals (8) (8) '0 ,O
�
I ®by cer the above is true. correct. and complete.
Signature of Asses Date
1 ACTION BY AUDITOR-- / y
Approved: i 1' / Date: CO/�7// 9
Suit LIRM!I:wIRUvu., WPE SULER FORM 13.1A
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RR IMPORTANT NOTICE TO HOMESTEAD rP PROPERTY OWNERS t a in'MATE 2u. PLUMBED BY TIll
GibsbnlCounty Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandaal deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ear for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 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
filings.This information will be kept confidential and can only be accessed hy authorized county officials.'The De anment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Meny, Eugene H/Esther L Trust
218 S Race ST
Flaubstadt IN 47639
343
Eugene H Meny
218 S Race St PO Box 265 State Parcel Number Legal Description
HAUBSTADT IN 47639-0265
II III II I I II
26-19-31-303-000.266-009 013-00266-00 ORIGINAL PLAN
unf
297/298/296PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�� /,en e. Ala o/d m en y
Add (nr_br
and street,city,state,ancrZIP code) — -_—___ _ _.__U.Same usptoputvWdrw _ _
Po Box JaGS a/k s 'e sue: /Je 1.1 t-CJsiad - /N- e/7cS7
Spouse First Middle Last
deg eased
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)
soe
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 Telephone
-- W / , 2 ( 761° 64.CCI
Spouse Sigma re Date Telephone
PART 4:ADDITIONAL INFORMATION
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Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation
HOMESTEAD CREDIT CALCULATION FOR 1989
County Township Taxing District
Name of Tarpayernu /d-
�
Coy d'
7
Parcel No. or Legal Description �'t 29G S
ASSESSORS CALCULATION
True Tar, Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre maximum) (1) XXXXXXXX
Other Land (2) XXXXXXXX
Total Land (�)
Residence (Dwelling) (4) XXXXXXXX
Garage (5) XXXXXXXX
Other Improvements (6) XXXXXXXX
Total Improvements (7) /63 O
Total Land and -
Improvements ('8)
4
I hereby tify the abovg, true, correct, and complete.
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Signa re of As sor
- _..._..:....__ STANDARD DcDUCTICti CALCL'LATICM.
- - --
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
5ignaturofi�MOR