HomeMy WebLinkAboutHomestead_Rhone FORM HC 10 1§79 _ To Br'Filed in Duplicate
Prescribed By State Board of Tax Commissioners
.. ' CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 79 •
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, � +
SEE BACK FOR FILING INSTRUCTIONS
(We) i--- f - - — 1- ' sz• A• certify that on the .1st day of
t,4arch, 19 79, I, (We) occupied as our principal place of re Sdence 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 interest in the taxpayer , /)
Property Description in - County / Township
Taxing District (City, Town, Township): 0tr• /e•
Parcel Number or legal description shown on tax statement:
. c5E ise /V co "/l as /—//
If buying on contract: Owners name (fee simple owner) / x st 4
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
Srereby certify the above statement is true, correct and complete. •
— /9 d —ir" €S i d‘�
'Signature Street Adress ry. State and Zip e
Ip * 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 immediately
surrounding residential improvements (1) Soo o / 70
•Other Land FILED (2) / 6.o ,aa�0//O/OD///O
Total Land (3) 4, e• o = �
Residential Improvements (4) /S'io �%�� „�i�ijj„.
Dwelling v7-7 :'��
JUN 2.1 1979 Garage (5) — ��///�� ��. i/%/,��1_ _
/��^.iJ2 l (6) Iii o s . • • __4-7��5∎�
i • • /
Other Improvements �' ' (7) '
I/ . AUDITOR '•�ODOO��OOOOO
Improvements - Line (6) plus (7) equals (8) (8) a SO $��
It.� by certify the above is true. correct. and complete. 9.57)
�� - i s / 9 77
Signature of Asse Date
- ACTION BY AUDITOR _
Approved: 0\ ' Date: 00/
i
STATE FORM 53569(R3B-l0) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL.GOVERNMENT FLNANCE IC6-1.1_2.l
G ° ° 'IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS .
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
uses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
st dard 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 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. .
PARTI: PROPER Y TNFORIMA ION
Taxpayer, ame Property'Address State Parcel Number Lepel Description:
• RIc a 7 Hazel Rhone 4061 N 200 w 26-04-23-100-000.730-018 PT SE NW 23-1-11 4.352 AC
PATOKA IN 47666 I!1g p p!E� 7 C-1 1tn fn�r 7 °.�
•
• Complete and return to: I —I;Lyt iarlJI7l���11111�9[IIIt01gDfuiW�amllldl'BLLiIllllg 'r--
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
" PART 2::TAXPAYER INFORMATION
Owner 1 / /v / Z L First r Middle R HO N C Last
Mailing Address(number and sheet city.state and ZIP code)
Name Same as property address
I/06/ N. aoo col, ?ATOKA ,.IN 'I7666
First . . Middle Last
Mailing Address(number and street.city,state and ZIP code) Same as property address
Social Security Hunter(last 5 digits) Drivers License/Slate ID Number(last 5 digits) State Other(please Specify in Part 4 below) .
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
( ) •
. PART 4: ADDITIONAL INFORMATION_
t F.IL �
NOV 7 2012
c. .inutte,,y
GIBSON COUNTY AUDITOR
Form HC 10 Supplement
Worksheet D_0D7Worksheet for March 1, 1989 Assessed Valuation 6
® HOMESTEAD CREDIT CALCULATION FOR 1989
County Township Taxing District
Name of Ta::payer
Parcel No. or Legal Description g> - 23-1-1/
Land (1 acre maximum)
Other Land
Total Land
ASSESSORS CALCULATION
True Tar, Assessed R NR
Value Value Resid. Non -Res.
(1) XXXXXXXX
(2) a�OC7
(3) '1g0O
Residence (Dwelling) (4)
® Garage (S)
Other Improvements-:. -- (6)
Total Improvements (7) aO ?o O
Total Land and
Improvements (13)
XXXXXXXX 700
16,30
XXXXXXXX` -;:'-
_4
XXXXXXXX
XXXXXXXX
670:
I hereby rtify the above+ ue, correct, and complete.
C.Glcc.
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 1991
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
$2,600
$1,500
Signaiure of Audit4-
is Co.Nry
AuO/YC/�