Homestead_Robb 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 7�Y-,d'i"
SEE BACK FOR FILING
� INSTRUCTIONS
(We) oZ — (
ilt
1 certify that on the 1st day of
arch, 19 11 I, (We) occupied a our 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 interest in the taxpayer y� � -�-
Property Description in County Q.N`�'_``- Township
Taxing District (City, Town, Township)•
Parcel Number or legal description shown on tax statement:
Cam, M as / / 4/ -
If buying on contract: Owners name Dee simpte 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
®hereby certify the above statement is true, correct and complete.
/gggq.// /e Pr/ P/G �' 4�. 5%/f'o
4nate / C Street Address City, tate 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 1 (or) ace im ediatE � moo X70 70
surrounding residential irhprovement (1)
Other Land (2) / o o tea- Co
Total Land _:U C 1979 (3) Goo ac-a a2-o
Residential Improvements a ���/' �
�� (5) — A% P fv/
pGarage
AUD1Ttota1 (6) /a-O 510 -- S
Other Improvements (7) —
Talmprovements - Line (6) plus (7) equals (8) (g) /3-0 `/ o
�I 1._...by certify the- above is true. correct. and complete. s'��O
.be� /r1 �. // �J %9
Signature of Assessor 671 _ Date
- ACTION BY AUDITOR -
� I 6/Approved: • L. Date:
STATElfRSI SNa.CIW1 MAMMA HMV 3-I.1
ATPRoTEP BY STA1EMVRD(N A!RUtTS now PRISM-BM BY Tilt DEPAaniant Of LOCAL rev'aR.YMrs'rrP1\CE If.-I.I-•_-l.I
Gibson 1 N Main County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ner for homestead fraud.homestead fraud causes higher tax bills for all;therefore.
FILED HEA I3-1-1-200U requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receive the
benefit and to provide additional be identifying conlna aial and necessary m he tc allow county i,ed county o to better monitor annent:f
filings.This information will be kepi cmnlidcnlial anA ran only to arrecsed by aulhnrizeJ rnunly o(licials.The Depanntenl of
Local Government Finance will um this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR 8 IZUlU Taxpayer Name Property Address
Robb, Larry R
�y�, arTrx;I n
9 SSOa [ � Bifit9a Ilazleton IN 47640���
LarryRRobb 6%S$ Nso E
Hazleton IN 47640-9242 State Parcel Number Legal Description
Itlttl'ttt ltl lttt'lll Till It ll'll llltlt'ttf ll lt'tI IIt ltPlt lt'ttl 26-05-58-022-000.738-018 010-00738-00 PT MD 221-101.41 AC
X
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
9rr • /?o64
-- tg Address(number and frf et city,htate;and ZIP code) — --— -- - - ❑ Same as property address— - - -- --- — -
5858 N 50 r Hqtie To .? .fin- . y71 yd
Spouse First Middle Last
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)
seer
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 '
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation
�fyTri
0)0-0073S
HOMESTEAD CREDIT CALCULATION FOR 198/9. %�
Taxing
._
County Township_
Name of Ta::payer ka44-
Parcel No. or Legal Description V 7- /'tU
Land (1 acre maximum)
Other Land
-�z / -/0 /. V14
oda - -ej-ff- 73y -C-)/j
30RS CALCULATION
True Tar, Assessed R NR
Value Value Resid. Non -Res.
(1). a Boo 3-0 XXXXXXXX
(2) 30 0
XXXXXXXX / OO
Total Land
(3)
3 to o
I 03 0=
- Residence (Dwelling)
(4)
4-00
XXXXXXXX�'
Garage
(5)
XXXXXXXX
Other Improvements --
(6)
a(0O-
.' XXXXXXXX_
Total Improvements
(7)
1950 0
0
Total Land and
Improvements (13)
I hereby rtify the above ue, correct, and complete.
Signs ur of As6dssor
`` STANDARD DEDUCTION CALCULATION -
IC 6- 1.1 -12 -37 provides that a person who is entitled to a Home- y
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
Signature of Auditdrr
C>1860.J ^_v�. ry hu607- 0 1�