Homestead_Hyneman (7) STATE MMANI:9 NOR:/NMI W,SUtiR rtlN?¢in
APPROVED By'TAIL IXNROOf ACCOUNTS.Zing PAEylpIBFD BY THE DEPMTM.NTOf LOCAL CM'ELYMENT EM:ANCE IC t.I.1.r4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS •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.Homestead fraud causes higher tax bill;for all:therefore.
• HEA 1344-2009 requires taxpayer who receive the homestead standard deduction to verify that they are eligible to leceiye the
benefit and to provide additional identifying information necessary to allow county'government to better monitor homestead
tiling:.This information will be kept confidential and can only be accessed by authorized county officials.The Depanntent 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
_ Hyneman, Arthur A/ Deborah K
421 Garfield AVE
Princeton IN 47670
1422
Arthur A/Deborah K Hyneman
421 Garfield Ave State Parcel Number Legal Description
Princeton IN 47670-2911
IIIIIIIIIIIIIIIIIIIIIII Hill 11111111111111,11111111 26-12-18-103-000.289-028 019-00289-00 BALDWIN HGTS 5/6 BLK7
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
Owner I First Middle Last
Arf-hun Al ea leyn ern art
te Address(number and street.city,state,and ZIP code) ci fj� Same as property address
Spouse First Middle Last
J7e.boraim Kay Nynemac
Mailing Address(Number and street,city,sate,and ZIP code) rl l Same as property address
.
Each undersibmed 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 a Date
,,, .,.� v
�,y t CLAIM FOR HOMESTEAD PROPERTY TAX
_� CREDIT/STANDARD DEDUCTION
�a• Scate Porm Sa73 (R2! 5-92)
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INSTRUCTIONS: See �everse side lor7iling instructions.
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I(We) —�[�=���-%�� /��(�[�L/ 1C/�, �O"/ T ���,(�L��Y/ certity-that on the �st d of March. 79
1(W�) occupie `�s our principal place of residence jt+k,tp.ewjqg described real property tor which a HomesteaC Property T�a.y'Cr is her d� ed:
1 � t7K / Hc< ic ti...,,_., :,::,�,
YJ I(We) owned ❑ Are buying under contrac� '� GI9SCt� "J::%:TY AUDITOR
� Have a beneficial inierest in ihe entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
� — -
- - � - __ .,. .. CONTRACT RECORDED . . - � = ` - - '' . - ' � - .-`,o, .
m ;_
If buying on coniract. Fee Simple owner's name
Recorder's oflice where mntraa is recorded Recortl number Page
Counry
' PROPERTY OESCR�PTION . ' � . � � --' s' �:. ` . .
Township Ta<ing i t�cF�{cl(y, town, (ownship) �
If any portion of the residential sU6cture or ihe lantl noi'exceeding one (7) acre ihai
of ihe pmperty utiiized to protluce income. A
�� A,a
��
�r-� �'/�c/�p,� �
rr diatety surrountls that siructure is useD to prod i e, dricqul escnbe the use and
�`-I a I c� VC).l'�L�
p-r�M �I � e� d
: ASSESSORUSEONLY TRUETAX ASSESSED HOMESTEAD�- NON-RES�DENTIAL.'�,.
. � - VALUE YALUE VALUE VALUE �� •
Land not exceeding 1 (one) acre immediately , � � . ` � ��
surroundingresidentialimprovements. (�� �4'�
Oiher land (p) �
,
7otal land (line 1 plus line Z� (3)
Dwelling (4) � ' � .
Residential improvemenis . .
Garage (5) . -.
Other impmvements (6) �
Total improvements (line 4 through line � (7)
Totat value (line 3 p�s line 7� (g)
I hereby certity Ihe above is irue, correct, and Sgnamre ot nssesmr Dare signed
complete.
Verityirg adion - Sgnamre of Auditor Dare signed
� . STANDARD DEDUCTION ACLOWANCE'� � � �� -. � �
19_Pay19_
Lesser ot 1!2 Homestead
Valuation or 52,000 �
Sgnature ol Auditor Dare signetl
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