Homestead_Jones (6) FORM HC 10 1979 To Be Hen in Duplicate
Prescribed By State Board of lac Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR 19 A9. it
SEE BACK FOR FILING INSTRUCTIONS
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�(We) 2 . 1 r certify that on the 1st day of
March, 19_7__, , I, (We) occupied as our principal plac:/of re4ence the following described real property for
which a Homestead Property Tax Credit is hereby being cl. med:
I, (We) ❑ owned .
f are buying under contract
❑ have a beneficial interest i the taxpayer �o/1
Property Description in t`�c) County 2,- /- _-C,u-4-t) Township
Taxing District (City, Town, Township): 7-0--Lit _ .19-4-v-Cy
Parcel Number or legal description showf on on tax statement: • W I/�q
• .
/ A
If buying on contract: Owners name .241,1:702.:...--C...°1_,.... _ r -
Contract recorded in Reco f ers Office - Record o. Page d0• .7
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 ement is true, correct and complete.
14241, 49-I":1. ie. g / Pd14-- k:.V .
Signature / Street Address cry. State and Zip Cone /
• 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 -
8011a1V True Cash Assessed Homestead
I 7 Value Valuation Valuation
•Land not exceeding A e) ac • mrpediat I
surrounding residentia improvements (1) 57X) /70 /70
`_61 t f. . (2) T/00 G,c2r7/*
Other Land 1!'; � ' ,�'`
Total Land (3) 16, 0 Q 4-C- 'V °i/ ii ,i.'
Residential Improve en's R I a 4 Dwelling (4) /8 Co d � ������'-;
Garage (5) — j���/i///��: tki /4/7
• Total (6) ens /OP10 is., ,
Other Improvements (7) w 7 ay . .a fV
Tr• lmprovements - Line (6) plus (7) equals (8) (8) - . _ % 3a6 _-+ 7T
I W.by certify the above is true. correct. and complete. ,„
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! 9-79
Signature oW/C 'Attar)
Da:e
- ACTION BY AUDITOR -
Approved: 1 . ' • Date: 7/9- 7 9
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SLATE FORM!'t'•IR_/saNl TREASURER FORM TS-IA
.APPROVED BT ST NILba∎RD OF.sCfl*I\TS.Zion PRESCRIBED BY nu-DEPARTMENTcw Lrs Lia COVERNMENT i11:Ak't'Eh't-1.1-1_-E.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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow count'government to better monitor homestead
filings.This information will be kept confdanial and ran only he accessed by authorized county officials_The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
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PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Jones, Richard A/ Lucinda J VI
RI Box41 ti-11
Patoka IN 47666
422 r a
Richard A/Lucinda J Jones
4439 N 250 W State Parcel Number Legal Description
Patoka IN 47666-9034
lrlr rllr rrirllrr rllart lirrlrirr ll Ilrrtrrlrrlirlrlrr rr liri 26-04-22-200-000.477-018 010-00477-00 PT NE 22-1-11 5 AC
D-15 C-1
PART 2: TAXPAYER 1NFOR\'MATION
Omer 1 /�� First Middle ---� Last
iftSg Addess)number and street,city:state,and ZiP code) - O'Same as property addrss , - _— -__ -__
9937 5o w ®A/4-/ —17/szt���
Spouse First Middle —� Last
/WC /4/6,4— /l/y✓e,S
Mailin Address(Number and street,city,state,and ZIP code) Same as pro es
property address
& Faso DC4/ °4/7 6e
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 shrsay be liable for back taxes and substantial financial penalties.
Owner I Si- c J Date
PAR7 4: ADDITIONAL INFORMATION
i
/n221 ' zssigWASR /Mie i-' :K2
cf5c9q It/ Rio cd
g 4_( ___7,1/4/74d�
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation b/b _ 490 Q7 7
® HOMESTEAD CREDIT CALCULATION FOR 198`9 .
County Township Ta: :ing District '1
Name of Ta;: payer %��ti� -/� «•ria.�a{� its/ °l u- C�- .� -^--11
Parcel No. or Legal Description
ASSESSORS CALCULATION
True Tax Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre maximum)
Other Land
Total Land
Residence (Dwelling)
Garage
® Other Improvements
Total Improvements
Total Land and
Improvements
(1) a80o
(2) �7DO
(,;) 3l00o
(4)
/08000
(5)
19B9 pay 1990
1990 pay 1991
1991 pay 1992
(7)
/39Soo
lesser of 1/2
lesser of 1/2
CS)
930. XXXXXXXX
XXXXXXXX a 70
/ aoo
V6 so 0
I hereby rtify the abov t<uf , correct, and complete.
i,GC�t. ✓
Signatur ,W of A ssor
`_ . . " - 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
19B9 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
Signature of Auditdi-
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