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Homestead_Dawson (3) FORM HC 10 1979 To Be Filed in Duplicate Prescribed By State Board of tax Commissioners CLAIM FOR HOMESTEAD PROPERTYeTAX CREDIT FOR YEAR 197 • SEE BACK FOR�`FILINJG INSTRUCTIONS S(We) j , �C "5�5 tt certify that on the 1st day of efarch, 19 77, 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 0..a �� L�^ County �0� Township Taxing District (G4y-Ten, Township): e-,-L 5-t_, _ Parcel Number . or legal description shown on tax statement: i, • Hi .2o -2 /, 3 34..e. If buying on contract: Owners name 11" simrie 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 r y certify the above statement is true, correct and complete. ® an �Ufl 1 'Signal- ure — Street Address I 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 exceeding 1 (one) acre immediately surrounding residential improvements (1) 6-0 0 / 76 O Other Land (2) /7 0 S0 Total Land) Improvements FILED (3) , 70 ZZ6 Dwelling (4) 62 6 0 JUN 1 19d$age (5) 62-o ..., A el?" Tota (6) : ( 8 0 _ _` 0 0 Other Improvements /"..l2 Cf (7) °— 3220 Tot ' Improvements - Line (6) plu quals iul (8) e SA P-o a I by certify rt above is true. correct. and complete. re _k S=/ 7-79 Signature of Assessor / Date - ACTION BY AUDITOR - Approved: Ct9 -AIILB-QG 4-.) Date: G /r- 79 SLATE FORM!!W rte/'APO TREASURER Wn4:3-1A APERrA'EO AY AI LE M1 ROM ACIFRNt(?iv.v PREYNIBED BY TUE DEPMrNEATOF LOCAL CASC4W.ET'r FINANCE IC 4-1.1d'-r.l Gibson County Auditor 101 N Main ,IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individual:-and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than excr for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. IP HEA 1347-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receive the benefit and to provide additional identifying information near sari to allow count government to better monitor homestead filings.This information will he kept confidential and can only be accessed by:umhnriaed county officials_The Department 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 _ Dawson, Richard Alan/Brenda G RI Box 243 Francisco IN 47649 1050 Richard Alan/ Brenda G Dawson . 6755 E 150 S - s Francisco IN 47649-9033 State Parcel Number Legal Description � m�tl�� ��rrl��rl�t�tt�r�mt�t�r� 26-13-20-101-000.163-004 002-00163-00 PT NW 20-2-91.33 AC Itirrllrl m1r11rl r1m r11mim m C-1 D-7 • X f PART 2: TAXPAYER INFORMATION ' Owner I ' First' Middle Last nn R • ►C.Aard ALAN Al1.1S0 (V _4 Address(number end sstreet.cityitate,and ZIP code) I Liss S 170 S Frarc-tSCO LL psi /J t v64- Gt Spouse First n Middle Last CSce rAOl GOBI -DQu) cc1 N Mailing Address(Number and street,city,state,and ZIP code) I.r I Same as property address lc 75 5 15O S c Co,r,c.iSCp , 21-1N i-176Ltq 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:ADDITIONALSINFORMATION • E M1� 002- 66 /1' 3-OD _y Form HC 10 Supplement Worksheet for March 1, 1989 Assessed Valuation HOMESTEAD CREDIT CALCULATION FOR 1989 a� -13 000. /G County Township Taxing District p Name of Taxpayer hJ a. as ^- RJ �' v - Parcel No. or Legal Description �? JL J l °� -1 9 ASSESSORS CALCULATION True Tax Assessed R NR Value Value Resid. Non -Res. Land (1 acre maximum) (1) 000 ��30 XXXXXXXX Other Land. (2) XXXXXXXX 7o Total .Land 1 400 Residence (Dwelling) (4) XXXXXXXX': Garage (5) XXXXXXXX ' Other Improvements (6) XXXXXXXX' Total Improvements (7) O O Total Land.and Improvements - ( -B) I hereby tify the abov%. true, correct, and. complete. Signa re o f As sor 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 1909 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) ® $2,506 52,000 $'000 $1,500 Q & SignaturfAMOR