Homestead_Dayvolt 'I'm FORM,3,t IR'I fwl TAEAnI[G FORM:5-IA
APPROVED BY',TAIL YARD OF nnW:Tl.!,w PESANdmD BY TM DEPMLMEYr(4 LOCAL OCWERNMEla FINANCE M 1.-I.1r4I
Gibson County Auditor
101,N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
_
I' PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.I IontesteaJ 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 recede the
benefit and to pnwide additional identifying information necesary to allow county government to better monitor homestead
filings_This information will he Leta confidential and can only he accessed by authorized county officials_The Ikpannrnt of
Local Govclrmrnt Finance will use this information to create tools that will help county officials eliminate homestead fraud. '
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Dayvolt, Clarence E/Maria T
' R I Box 359
Francisco IN 47619
4541
Clarence E/Maria T Dayvolt
Qo 19 S (p SO E State Parcel Number Legal Description
Francisco IN 47649-9205
I f1n11n Fl11lu F1nll11ultlnnlr���nnitln nllIt IFr t1FFll 26-13-19-204-000.164-004 0010764 PT NE 19-2-96.45 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
L4lA2ENC r "1 MRIL; 5 f— -a 7)4y✓o L"i-
g Address(number and street,city,state,and ZIP code) — — - - __-_. Same pmp
as city addEess - - _ _. _ _ _ ._ .
TO101 5 &Co i-famwdisco _Tit, N7499
Spouse First Middle Last
MA-2%A / DAydv L T
Mailing Address(Number and street,city,slate,and ZIP code) ® Same as property address
)019 S /os o • tE4itk st o TN 47611
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
lio
r
U
'r 0 —oole i 00
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation -
HOMESTEAD CREDIT CALCULATION FOR 1989
County Township Taxing District
Name of Taxpayer I I
Parcel No. or Legal Description Ot ou ejy- --,,- C)
Land (I acre maximum)
Other Land.
Total.Land
Residence (Dwelling)
Garage
Other Improvements
Total Improvements
Total Land -and
Improvements.
I hereby tify the above true, correct,_ and. complete.
Signa re of As sor
STANDARD- DEDUCTION CALCULATION' ` - . - -
IC 6- 1.1 -12 -57 provides that a person who is entitled to a Home-
stead Credit is entitled a Standard Deduction. . .
Amount of Dei
1989 pay 1990 1990 pay 1991
lesser of:'1 /2 lesser of 1/2
"R" A/V or "R" A/V or
$2,500 $2,000
Signaturfia�AM=
auction Allowed
1991 pay 1992 Years after
lesser of 1/2 1991 (same
"R" A/V or as 1991)
61,500
ASSESSORS CALCULATION
True Tax
Assessed R
NR
Value
Value Resid.
Non -Res.
80 0
3 o
xxxxxxxx
(2)
XXXXXXXX
O
(4)
XXXXXXXX '-
(5)
/J
1 000
XXXXXXXX
X30
(6)
xxxxxxxx.'':
'-f 830
(7)
I hereby tify the above true, correct,_ and. complete.
Signa re of As sor
STANDARD- DEDUCTION CALCULATION' ` - . - -
IC 6- 1.1 -12 -57 provides that a person who is entitled to a Home-
stead Credit is entitled a Standard Deduction. . .
Amount of Dei
1989 pay 1990 1990 pay 1991
lesser of:'1 /2 lesser of 1/2
"R" A/V or "R" A/V or
$2,500 $2,000
Signaturfia�AM=
auction Allowed
1991 pay 1992 Years after
lesser of 1/2 1991 (same
"R" A/V or as 1991)
61,500