Homestead_Tolbert (3) FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By State Board of Fax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 rl?
/SEE BACK FOR FILING INSTRUCTIONS
�(We) �� �°""^-n- E 'I � /7ta/t-z-t_ certify that on the 1st day of
Ivlarch, 19 1 I, (We) oc pled 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 �/ �r.
,r� + ) County O..tzteiJ Township
Taxing District (Lit_y_lawfi -Township): O.JY. E.
Parcel Number or legal
�description shown on tax statement:
2.4.. /r1D / 7 - / - / 'T
o O /Y-c-
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
®he/r�eby certify the above statement is true, correct and 'complete.
&n Df, h e' nhAt .. j-t 71? 7P.4t/ &6 /9 Xz /X.'L, , . 97154
'signature Street Address City. State andtzip 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 (one) acre immediately
surrounding residential improvements (1) CO o / lo / 70
Other Land (2) 3 o a ��������
Total Land (3) ci$o o raiS...'y������jj�
Residential Improvements ee, Dwelling (4) 3 q_76,I 1 Garage (5) — „ #,,r� _ `'
Total (6) g 470 TO 3°
' t - a -
s 1919_ Co S o 33° v�������
Other Improv,ementr (7)
Olmprefem it - ine i s (7)
equals (8)complete. (8) ' / C a 340 /
W' G! t \--- - /• 19
signature o1 ass six Cif \
Q.� - ACTION BY AUDITOR -
Approved: % / _ Date: C4/7,
STATE FORM!)'M/CI'MI 1RIS&,/lt FOAM 31A
APPROVED
C/OVERNMENT FINANCE IC 14
"Gibsori County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead.undanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher In bills for all:therefore.
0 HEA 1344-3009 requires aspapers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information nectary to allow county government to better monitor homesead
filings.This information will be kept confidential and can only M aeeeaed by auihnrized county officials.The Depanmcnt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Tolbert, John B/ Esther Marie
870 F SR 56
Ilazlcton IN 47640-5
196
John B/Esther Marie Tolbert
870 E SR 56
Hazleton IN 47640 State Parcel Number Legal Description
26-02-58-017-000.893-018 010-00393-00 PT MD 171-10 40 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
JohN 8LNiaMi AJ MI 8 Efr' T-
1_ . I�. 1��
ig AAdicis(number and stray,city,state,and ZIP code)- - -—----- - -- L�J'-me a property address 7o E SR . }/,�zL ETa.v is v76Yo
.
Spouse First Middle Last
IsThFR /i1 4 R E 7o L. 13 ER r
Mailing Address(Number and street,city,stale,and ZIP code) I[J..Same as property address
S4A-AE 4--s ABovt
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
PART 4:ADDITIONAL INFORMATION
tl
�J
pip- DB�q�'
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation
HOMESTEAD CREDIT CALCULATION FOR 1989 .
County Township Taxing District '°--
Name of Ta>:payer
V
Parcel No. or Legal Description _I M8 /-7
Land (I acre maximum)
Other Land
Total Land
Residence (Dwelling)
Garage
Other Improvements °-
Total Improvements
Total Land and
Improvements
ASSESSORS CALCULATION
True Tax Assessed R NR
Value Value Resid. Non -Res.
(1 ). 80o i 3 0. XXXXXXXX
(2) y00 0 XXXXXXXX 1340
(3) �0 Soo
(q) J'LS9L>
(5)
(6, ... 7J�
(7) 1 -)30 0
I hereby
rtify
the above
ue, correct, and complete.
lesser of 1/2
lesser of 1/2
lesser of 1/2
1991 (same
Signatur
of A
ssor
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
Sio_natvre of AUdito%