Homestead_Padgett slut TOAM,3M ter S- t TPFASVtER fORM 11A
APPROVED BY<TATE OCIaRD Of MCaaIST<.9w PIFY(IUBRI BY inr DEPARTIGYr OF L( TI GOVELNSIIWT FtgANCE IC 6•t.1-L-Tl
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and ma-tied couplet are limited to one homestead standanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.homestead fraud causes higher tax bills tor all:therefore.
it HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they arc eligible to remise the
benefit and to provide additional identifvine information nece]ilty to allow county government to better monitor homestead
filings.llmis information will he kept confidential and ran only be accessed by authorized county officials.The Department of
Local Goverment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
_ Taxpayer Name
c_Property Address
Padgett, Donald A/Annis \tlO 7 '5 JO F
Fort Branch IN 47648 .X. —
7947
Donald A/Annis Padgett
7875 S 10 E State Parcel Number Lesal Description
Fort Branch IN 47648-8001
I " III I I I I III I I III V I I I I 26-19-19-203-001.229-026/0 2790-00 PT NE 19-3-10.4253 AC
nu u: t nlu runt nt uPr nr nr
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
y/4 S &dge2 /
�it Address(number and street.city,state,and ZIP code) Same as toperty address
7a7SS. %0eioyJ tranch a Znilais 'I7 '
►,
Spouse First Middle Last
Decease i • I9n
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
— Social Sceuntp NumbLh((last 5-digits) 'Drivers License/State-ID NmnbeF(Iast 5 digits) Other(please-specify in Part 4 below) `— — --- - -
sum
. 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 S. na e Date
7
�. . J
Form HC 10 Supplement
4lor4:sheet for March 1� 1989 Assesse/d V %1}�ati n
� HOMESTEAD CREDIT CALCUL�ION F0���9�������
�
�
County Township Ta>:ing District
Name ofi Ta::payer
F'arcel No. or Legal Descript
Land (1 acr= ma;:imuml
Other Land
Total Land
Residence (Dwelling)
Garage
Other Improvements
Total Improvements
Total Land and
Improvements
�
�
/9--7- /n
y� s 3 ,4
ASSESSORS CALCULATION
True Ta>: Assessed R NR
Value Value Resid. Non-F�es.
cl�. �.800 �3� xxxxxxxx
��� xxxxxxx.x
(3)
�4� � 7Soo
(5)
(6)
(7)
(�)
/9/�a xxxxxxxx
XXXXXXXX
XXXXXXXX __ .
I hereb r•tify e abov/�correct, and complete.
(�.[� ✓ �
Signatu ot As essor
"" " - '°" ' ' °' " 'STANDARD DEDUCT I ON CALCULAT I ON - --
IC 6-1.1-12-37 provides that a person who is entitled to a Home- ~
stead Credit is entitled a Standard Deduction. ..
1989 pay 199��
lesser ofi 1/2
"R" A/V or
g"', gii<�
Amount of Deduction Allowed
1990 pay 1991 1991 pay 1992 Years after
les=_er of 1/2 lesser of 1/� 1491 (same
"k" A/V or "R" A/V or as 1991)
$2 , UilO � 1 . 500
Signat��.r= cf Auditor