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Homestead_Wallace--- 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 Ya .e.- v SEE BACK FOR FILING INSTRUCTIONS in (We)h)L� E X certify that on the 1st day of Larch, 19_ I, (We) occupied�ur pririapal place of residence the following described real property for iich a Homestead Property Tax Credit is hereby being claimed: I, (We) ❑ owned ❑ are buying under contract -- ❑ have a beneficial int rest in the taxpayer / I Property Description in County .. _ _ - Township Taxing District -(City, Town, T.owashhip): Parcel Number . or legal description shown on tax statement: /77,4g7 ar 'Lt. / P r/ . moo If buying on contract: Owners name Dee 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 I hereby certify the above statement is true, correct and complete. r 7kat AI/ 71J7tf_f Z € i at i sA 4�t.- 1, a/• 1/7AZ4 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 exceedin g 1 (one)FeimijiEls/D surrounding residential improvements (1) SO / 7o /7o • Other Land MAY 1 Q 1982 (2) S° -1"'-20 Total Land (3)®. (3) .5".5—o 4 8-c no Residential Improvements AUDITOR Dwelling (4) /S7So_ � Garage (5) %% - • • Total (6) /S 7 S o .0 ��ir�o--. Other Improvements (7) Total Improvements - Line (6) plus (7) equals (8) (8) / S7So -S--- -nr -1 I:`' �y certify the above is true. correct. and complete. ?Spa S i r Date - ACTION BY AUDITOR - Approved: Date: • J STATE FORM 5JSO OG/&10) TREASURQ FORM TS-TA • . .. APPROVED BY STATE I ARDOF ACCOUNTS.301 FRESCRIBID BY THE DEPARTMENT OF LOCAL GOVERNMENT FINk'RE IC 61.5-IIdl Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N. Main Street , Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes ' . ..Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore, T HEA 1344-2009 requires taxpayers who receive the homestead standard 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 Slings.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. . PART l: PROPERTY INFORMATION MAY 6 2011 Taxpayer Name Location Address • C. .n .y - Wallace, Larry/ Kathy GIBSON COUNTY AUDITOR ,, PATOKA IN 47666 212 Larry/ Kathy Wallace 111010111]DIIDIII 111 III 1100111011 DII I001101E11_ 11111111 10111110111 1111 449E350N Patoka IN 47666-9227 I"IIIlttll"III'I'191II"I'I'III'IIIIIII'IIIIIII'IIIII"I"VIII State Parcel Number Legal Description 26-05-48-118-000.918-018/ PT.LOC 1181-10 4.00 AC C-1 This form.MUST be returned to County Auditor's office. Please do NOT send this form back with your tax payment to the county treasurer. PART 2:TAXPAYER INFORMATION r I 'First - Middle - Last Larry bale. (jJat (aCe- Mailing Address(number and street.city,state,and ZIP code) I.X.I Same as property address 444E • 3Sa IJ aaf0i4 1 In. /7666 Spouse - First ` Middle Last KO:al Ruin LiallacC. Ma'limg AddresT(Number and ivut city state,ants ZIP cdde) - - - _ - - gSame as properry address 4490 3S'bN PajvKal Z, . 47440(9 . - . 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. Ow a I/1.Lure Date • u E El A Form HC 10 Supplement Worksheet for March 1, 1989 Assessed Valuation HOMESTEAD CREDIT CALCULATION FOR 1989 County Township Taxing District y_k Name of Ta;:payer -u f V Parcel No. or Legal Description �/w+ -�� 8 -�O /'7q Land (1 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. SoO q3 xxxxxxXX (2) Soo xxxxxxXX 1-7o (�) 3300 (4) (5) (6) (7 ) I hereby rtify the abovE+ '- ue, correct, and complete. Signatur of As&6s5or - 1. - -' _. 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 `!ears 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 , 6C)o $1.500 Signature of Auditd C >i6.i c.J L' ry AuOiTp Jt