Homestead_Bottoms (6) STAVE FORM`)YIP`/■w1 MAMMA A PORM 11-1A
.APPROVED BY STATE 11MnD OF M[YRPTS N.n PRIntam BY air DE?ARfl NT OF LO CM GOVERNMIST FINANCE M H.I-r4.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
,,101 Nut,.yi r�.l lye. I Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
ii it —t •+i, more beneficial.there is more incenth-e than ever for homestead fraud.Ilomestead fraud causes higher tae bills for all:therefore.
HEA 1344 20119 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to remise the
.benefit and to ptocide additional identifying information necessary ro allow county government to better monitor homestead
APR 1 A 1010 filings.This information will be kepi confidential and can only be accessed by authorized county officials The Department of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
,0a0 Taxpayer Name Pro'erty Add •
pia$ON COUNTY AUDITOR Bottoms, David A/Karen /
122 Box 329 (J\�I
Elberfeld IN 47613`( 1\"//
302 4 i , OOO��f
David A/Karen Bottoms $ / / •
R2 Box 329 State Parcel Number Legal Description
Elberfeld IN 47613-8431
lt�ni�u t�t�� ��n��t�u�n�n�n� 1 111111111111111111 26-20-28-200-000.066-001 001-00066-00 PT NE 2&391.50 AC
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER 1NFOR\1ATION
Owner I ,�,,..-- ,, --
4111,g First Middle Last
g Address(number and street city,state,and ZIP code) 121 Same as proper address
4 S}(r12'l afoot. Q�� �h��1 ,,-�(1,''J� N'-v, . 11q&& 13
Spouse First Middle Last
Mailing Address(Number and street,city,stale,and ZIP code) I I Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please spvsify in Part 4 below)
_- _ _ Sate. _ _.
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.
Signature Date
PART 4:ADDITIONAL INFORMATION
•
S
oo / - 0(906 6 —0&
C::rJ7G - OId ag -aao -o vo .old
Form HC 10 Supplement, /
Worksheet for March 1, 1989 Assessed Valuation
HOMESTEAD CREDIT CALCULATION FOR 1999n:
County Township Taxing District
Name of Taxpayer
n/E�� �8- 3- 9 /•�o%j
Parcel No. or Legal Description r n y-
Land (1 acre maximum)
Other Land.
Total.Land
Residence (Dwelling)
ASSESSORS CALCULATION
True Tax Assessed R NR
Value Value Resid. Non -Res.
(1) ..2 800 13o XXXXXXXX
Lc
Garage LDS_- -.
Other Improvements (6) XXXXXXXX: 02 le O'
Total improvements (7)
Total Land.and
Improvements. ( -B) '
I hereby 4As5or abov,, ` true, correct, and complete.
Signa re o
__......__._.._.._...... . -.. 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 fears 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)
$2,506 $2,000 s1,50O
Signature of CWKrrYAMM)R