HomeMy WebLinkAboutHomestead_Tolbert 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 '19 '-
SEE BACK FOR FILING INSTRUCTIONS .
•
I J_.
(We) , A 4 - -� - -�+ certify that on the 1st day of
Tviarch, 19_9 I, (We) occupied as 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 -
Property Description in County Township •
Taxing District (634y,,sown, Township): C''
Parcel Number or legal description shown on tax statement: /^�
M b 3 2- 1 — / 0 /dGlie.•
If buying on contract: Owners name (tee 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
iiiihereby certify the above statement is true, correct and complete.
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..Z,4✓l,1j.,od `71);44-yru to eG 7� t o 6n , ) li t 12tH • V-7GYo
'Signature Str t Address City. ate and Zip dope
* 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 diat
surrounding residential me tts p (1) 5-0 a / 7 0 / 7 0
Other Land . (2) 3 o - - 7-0
Total Land JUN 12 1979 (3) 6 3-0 --3-6-/96 afit„Residential Improvements ing (4) 590
AU 9e (5) g Cb % / %/j���_ A
Total (6) Sf �o -nr. S -
•Other Improvements (7) td I o . 3y° jj��jjj�j/
TSImprovements - Line (6) plus (7) equals (8) (8) 7 / / 0 e_a
`i . by certify the above is true. correct. and complete. 3fO
Signature of Assessor Dare
- ACTION BY AUDITOR - \
Approved: g A r e Date: a 7 o
• ■ STATE FoRM9y.Ietw.1 TREASIILEA POLY 7.3-1A
APPROVED BY 4VE anMOIWsricsys.MU • PMFXAmED BY TIE OFPARTHEY.OF 115A1 n(wERYMFAT FP'A\CE ICHYD+.I
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 mantes
more beneficial.there is more incentive than net for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi coot:dential and can only h.accessed by authorized county officials.The Ikpanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
1: PROPERTY'INFORMATION _ _
Taxpayer Name Property Address
Tolbert, Bueal F/Maxine Life Est Trust
Mill ST
Hazleton IN 47640
1938
Bueal F Tolbert
309 S Mill St State Parcel Number LeEal Description
Hazleton IN 47640-9020
It'IIII III IIIIIIt lit 111 tltlt'It ll Il ll tl lltll lt'llll'lll 26-02-58-0 033-000.892-018 010-00892-00 PT MD 321-101.66 AC
?S/
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
.BOeAL ti _ /� e-
- Ig Address(number and street;city',Statec,nnd'ZIP"code) [Brame aspropcnyudde ws —- --
309 5, A I'LL s-I
Spouse First Middle Last
�
1gX % he —
Mailing Address(Number and street,city,slate.and ZIP code) Iil.Same as properly address
Sin X, nil/ Se) //Az/ezto i -i n , 4L7G �o u
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
(,..d
PART 4:ADDITIONAL INFORMATION
•
Form HC 10 Supplement ^D��]
Worksheet for March 1, 1989 Assessed Valuation 01D ,� O1
® HOMESTEAD CREDIT CALCULATION FOR 1989
��- as -j'Q- 3�• -GG� �9Q J
County Township Taxing District
Name of Ta;:payer
Parcel No. or Legal Description
ASSESSORS CALCULATION
True Tar, Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre maximum) (1) XXXXXXXXX
Other Land (2) `fo ° XXXXXXXX % 40
Total Land (3) -3'�O J o % O
Residence (Dwelling) (4) ' S D O
® Garage
rtify
( 5 )
1 3 0
•- Other
Improvements - -.
(6)
110O0
Total
Improvements
(7)
/g 00
Total Land and
Improvements ($)
3 -70
I hereby
rtify
the above
ue, correct, and complete.
Signa ur ,pt
of AsMssor
"'" STANDARD DEDUCTION CALCULATION --
IC 6- 1.1 -12 -Z;7 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 $2,600 $1,500
Signature of Auditor
Co. ,jr`/ Aut lroek
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