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Homestead_Miller FORM HC 10 1979 To Be HIS in Duplicate Prescribed By State Board of Tax Commissioners .4s: --• • CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 9/ SEE BACK FOR FILING INSTRUCTIONS ill(We) Yhali-1,--d /nvJ`,` `` certify that on the 1st day of March, 19 , I, (We) occ pied a ou principal 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 I erest in the taxpayer - - Property Description in - —Qit r- /I County Township - Taxing District (City, Town, Township): Parcel Number or legal description shown on tax statement: G,l, SE //s' / 474— /— /, 592 /9 If buying on contract: Owners name (fee 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 • iijereby certify the above statement is true, correct and complete. ern, f:ek t) ��,t,,.c:, f e ('. I - c/v��6 "Signature Street Address City. State and Zip 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 on� a re isdi rit surrounding residentia improveme s (1) „o—U / 7 0 /7o Other Land MAY 10 1979 - (2) J / ° — — aka Total Land (3) 9/ o - 5</0 • Residential Improat�/ %t�„ - t"" (4) / a a 42� jjjjj/ r 'w+ [1v(vi Dwelling /'z— /'-2'jii AUDITOR (5) — Ain /�� 'i a Garage O r, °�:�� _i�� Total (6) / c a '/o 4, . n Other Improvements (7) %4-8n Improvements - Line (6) plus (7) equals (8) (8) / a s-0 '' 1 I: ,eby certify the above is true. correct. and complete. 79/0 � `�`° S. /7979 Signature of Assessor Dare - ACTION BY AUDITOR - Approved: / - • . ,r_• Date: /bj / P'79' J Stiff FORM!):VP(R t!aPI llLASLlr1 RSM 1IA APPROCEO BY C1-CE[IMAM*acrousTt N%• PAESTU:DY ME DEP/SteiT(F LOCAL o VERNMTAT FINANCE tcstt-rat Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes more beneficial,there is more incentive than Clef for homestead fraud.Homestead fraud causes higher tat bills for all:therefore. 411). FILE t HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to remise the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead .,± filing.'fltis information will be kept conCdemial and can only be accessed by authorized county officials.The Depannient of i Local Government Penance Mill use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION MAY 5 'LULU Taxpayer Name Property Address _ y�y Miller,James R/Nora F `Q� /V���, a...t A'�'Y Cunningham terry GIBSON COUNTY AUDITOR Patoka IN 47666 395 James R/Nora F Miller P O Box 238 State Parcel Number Legal Description Patoka IN 47666-0238 1111.111111t111r111ttr11rt11tEtrl Il IllIIl Ill Ill ell tit tlrltrtll 26-04-14-400-000.618-018 010-00618-00 PT SE 14-1-115.92 AC Y • . • PART 2:TAXPAYER INFORMATION Owner I First Middle Lau J ame s Randall Pit lic r-' IIit Addrxv(number wtd'sinxt:city-state,and ZIP code)--_—___ __ _0-Same'as propcm..aeldrev -_ __ _ _ __ __ P Or An x 2 3 fl 17 664/N -MD W Pat ok et, ) rn, '717 446 Spouse First Middle Lau - N)oRit PAVE MI LLEk Maine Address(Number and street,city,sate,and ZIP code) Ell Same as property address P. D. BOX 013 ? S/GG�N °zoo w PA 7 7)KA , IT n // 7 4, PART 3:CERTIFICATION Each undersigned certifies,under penalty of perjury.that the above and foregoing information is tore 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 Signet Date PART 4:ADDITIONAL INFORMATION • Form HC 10 Supplement Worksheet for March 1, 1989 Assessed Valuation ® HOMESTEAD CREDIT CALCULATION FOR 1989.: County Township Name of Ta;:payer 610 - D018 Taxing District ?� P-�� � S, z Parcel No. or Legal Description 7 o 44 I/ ASSESSORS CALCULATION True Tar, Assessed R NR Value Value Resid. Non -Res. Land (1 acre maximum) (ly 200 Other Land (2) .50 0 Total Land (3) -3 ° Residence (Dwelling)' (4) 02/ 700 Garage (5) _ Other Improvements (6)~ ..// Total Improvements (7)a Y 3 0o Total Land and Improvements CB) 930. XXXXXXXX XXXXXXXX %0 / /oo. I hereby rtify the aboveR ue, correct, and complete. c.G(,w ✓ Signa ur 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 XXXXXXX ;- - XXXXXXXX Y- /Op I hereby rtify the aboveR ue, correct, and complete. c.G(,w ✓ Signa ur 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 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 Sicnat�,re of Auditor .. -.