Homestead_Hyneman (10) STATE f ORNI Mt. _PO r L,su.ER FOIN 13.1A
APPROVE D KY SLATE B 1 DMM"MNIg Si'. PtflttIW BY 111L DEPARTMENT OF LOCAL GOVERNMENT FINANCE le 1.1.1-224.1
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 et a for homestead fraud_Homestead fraud causes higher tax bills for all:therefore.
•
HEA 1344--2IX9 requires taxpayers who receive the homestead standard deduction to verify that they ale eligible to receive the
benefit and to provide additional identifying in/um: on necessary to allow county government to better monitor homestead
filings.
This information will he Lryv conlidereial and can only he accessed by authorized county officials_The tkpanment of
Local Government Finance will use this information to create tools that will help county offx-iat,eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hyneman, Shana K
806 1/2 E State
Princeton IN 47670
. 3216 - — . _ . - -- _ • _ - --- - - .
Shana K Hyneman
806 1/2 E State State Parcel Number Legal Description
Princeton IN 47670
26-12-08-103-003.910-028 019-03910-00 PT SW NW 8 2 10.392 AC
PART 2: TAXPAYER INFORMATION
Owner I First Middle LI Last
4
Shan0. \I� y ct t'1
._—. vg Addr s(numba cod
I�a sweet;city:sun ,r:d ZlP code)— - — _— _._ LYP es enidrass
BO IJ E _ Pr)vicet-on. JL)
`I '7�7t7
Spouse First Middle last
Mailing Address(Number and sweet,city,state,and ZIP code) Same as pmpeny address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
soe
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 Si ature 7/4 Date D
•
f R�
da ''="� g CLAIM FOR HOMESTEAD PROPERTY TAX
_,��'� CREDIT/STANDARD DEDUCTION
„ _s�y .,;� State Form Sd73 (R2 / 5-92)
�ei� ' � . _ . . . ' ' ' . . . .
INSTRUCTIONS: See reverse side Ior Iiling instructions.
YEAR
€ HC70
• 3
�Y�M-� A7'. %{'1.�.,.u-c .
e) ��({ly(�/� • (y 1�/YYl_C.�f�� . � certify Ihat on the 151 day of March. 19j�
�) occupied as our principal place of residence e following described real property for which a Homesiead Property Tax Credit is hereby daimed:
I (We) owned ❑. Are buying under contract . - . . . � , .
Have a beneficial interesi in Ihe entiry that is liable for the property taxes on the property and ihat owns the property or is buying under a wntract.
CONTRACT RECORDED � - �
If buying on convact, Pee Simple owner's name, • .
Recorder's office where contract is recorded Record number Page
Counry
PROPERTY DESCRIPTION
. iaxing districi (
Parcelnumber legaldescription , 3 ga a.� -
o � 9-03 g io -ao T-�- n� �_ g-a —�d �
It any ponion of the residential strunure or the land not exceetling one (1) aae that immediatety surrounds thai strucNre is used m produce income, descnhe Ne use and poNOn
o( the property uulized to protluce income.
Counry
-"
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
y„_.�--- Coun:y
•eby certify ihe above statements are irue, correct and complete.
A e s(numbe� antl street. ary. s(ate. ZIP code)
' z E �,`�ce{oo ��
ASSESSOR USE ONLY TRUE TAX
VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvements. (�)
Otherland (p)
Total land (line 7 plus line �
Residential improvemenis
Other improvements
(3)
Dwelling (4)
Garage (g)
(6)
Total improvements Qine 4 through line �
Total vaNe (line 3 p�s line �
I hereby certify the above is true, correct, and
complete.
������virg aaion - Signature of Autli;or
19_Pay19_
Lesser of 1/2 Homestead
valuation or 52.000
I�)
(8)
Signature ofASSessor
ASSESSED
VALUE
STANDARD DEDUCTION
S
HOMESTEAD
VALUE
NON-RESIDENTIAL
VALUE
Date signed
fL/R�/��� �' �l�JI�I�� �