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Homestead_Dillon (3) FORM HC 10 1979 To Be Filed in Duplicate Prescribed By State Board of Tax Commissioners CLAIM FOR HOMESTEAD PROPERTY TA • CREDIT FOR YEAR 192 . �, �/� SEE BACK FOR FILING INSTRUCTIONS ®(We) �� 1 �r+ Y�t�� certify that on the 1st day of March, 1922 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 //JJ __��.__ Property Description in /� County �1Ln.122> Township Taxing District (6ity7-Tewn-,Township): Parcel Number or .legal description shown on tax statement: 777: A/s � / 9 -2-y , 769.saue. 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 ®hereby certify the above statement is true, correct and complete. / C � J �i i 1 _ ►. d , ' - t �+ _ 1. AAil_,. -' _ --\ L i 'Signature Stree Address 4 e a d ZZiiO • e • 4 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 Soo /70 /7o surrounding residential improvements (1) �,---,9' an Other Land (2) — Total Land . F II LE , (3) � Residential Improvements Dwelling - (4) 3 in, o JUL 31 1979 Garage (5) f1 Total (6) 3 ‘ O /2 ro- g . 2 %� Other Improvemer � �lt�� (7) — Tr®lmprovements - Ine (6) plusgQ31. als (8) (8) 3 F G O a I \,_..by certify the a is true. correct. and complete. .e_ia a s — / 7- 79 Signature of Assessor Date TION BY AUDITOR - Approved: ti .9 - ) T /1t_te/a Date: 9 - 3/ - 7 9 • MATE r1MN 0!1.9121••■ TRPAWPFA FORM 79-IA ARMm'Eo ST ST ATE If VA OF Am ai,yr4_21%• PRL[RlBFDBY 111E DEPMTWYTOW LOCAL CArRYMrxT FINANCE MH.I-L`-!.1 0 County Auditor 11 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N PRINCETON IN 47670 Individuals and married couples are limited to one homestead standani deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. •• HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to remise the benefit and to provide additional identifying information necessary to allow county government to better monitor honrsead tidings.This inlnrmauon will he kept conlidenlial and ran only he accessed by authnrieed county officials.'11w Ikpanmait 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 Prnpertv Address Dillon, Ernest L R I$ea-?A? Fm Lo IN 47649 4543 Ernest L Dillon P O Box 202 State Parcel Number Legal Description -Francisco IN 47649-0202 - -" — - - �tlttllttt�tlltlnlll111lttll ��� IIIIIIITII'llrlll 26-13-19-204-000.169-004 00-00169-00 PT NE 19-2-9.7693 AC PART 2:TAXPAYER INFORMATION Owner I 1 First Middle Last Ernes ? � �� 4 o Ig Address(number and street,city, co r state,and ZIP de) — --❑"Soe ns property eddies — - . - p o ) � x ao R rhii-it ctgzo 1n n q7 6 4E7 Spouse First Middle Last sh � y�o� Axt-y 0 itz.,0"i. Mailing Address(Number and street,city,state.and ZIP code) n Same as properly address P1) 7. x02-0rr-c c--'sw _t q 74 -9 - 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. Owns ignatu Uate • A Ili Form HC 10 Supplement Worksheet for March 1, 1989 Assessed Valuation HOMESTEAD .CREDIT CALCULATION � 0 9aPU��Gd County Township C Taxing District �cti Name of Taxpayer N-�� C Parcel No. or Lecal Description �� NE�� �9-Z -% 76 ASSESSORS CALCULATION True Tax Assessed R NR Value Value Resid. Non -Res. Land (1 acre maximum) (1) XXXXXXXX Other Land. (2) XXXXXXXX (3 Total.Land ) 90 C) Residence (Dwelling) (4) XXXXXXXX' Garage (5) XXXXXXXX Other Improvements (6) XXXXXXXX Total Improvements (7) /0700 Total Land.and Improvements (13) I hereby tify the above, true, correct, and complete. Signa re of As tar `'STANIIARD'DEDUCTION CALCULAT -IDN ' 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 Del 1989 pay 1990 1990 pay 1991 lesser of: l/2 lesser of 1/2 "R" A/V :or "R" A/V or $2,500 $2,000 SignatUr- of ITYtALMMA auction Allowed 1991 pay 1992 Years after lesser of 1/2 1991 (same "R" A/V or as 1991) .1,500