Homestead_Tyring Snit FORM,■?tW I!21,4M1 TRrUSUIER mA.Y SIA
.APPROVED BY CIVIL IMMRDOF rrcYcsrs,2orpq PALS 1Bm BYnIE OEPARTMMT OF LOCAL GOVERNMENT FINANCE IC
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 become
more beneficial,there is more incentive dun act for homestead fnutL Homestead fraud causes higher tax bills for all:therefore.
g FIFA 134-42009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
r ,•} benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
I r filings.This information will be kept confidential and can only be accessed by aut orind county officials.The Ikpanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR 2 2 ZUw Taxpayer Name Property Address
Tyring, Ronald D/Dixie C
s-04/ Cl 1509 N WILLOWBROOK
GIBBON COUNTY AUDITOR PRINCETON IN 47670
2377
Ronald D Tyring
1509 N Willowbrook State Parcel Number Legal Description
PRINCETON IN 47670-3353
26-12-06-402-004.112-0 NORTHBROOK HILLS VI 3
liii.111rr I.II..Irl r111 lirtt lirtlrlt ltd ltiItt tit let tt llri
.PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
RoNA L D, P_/ /1-/&
g Addre.s(numbcr and sairy,city;sett,and ZIP code) - -__-__-. - — _.ill•Some us pmpcm address
Is-0g w, LLowg2oo1K pg-., PIQigecro , /N 4-7670
Spouse First Middle Last
DIXie C . TY /2 / NG
Mailing Address(Number and street,city,state,and ZIP code) ® Same as properly address
1509 witz-owBRoolc Due•, PR/VC E / o , /al/ 1717670
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
rt�� CLAIM FOR HOMESTEAD PROPERTY TAX
' ' CREDIT/STANDARD DEDUCTION
` � State Fwm 5473 (R4 / &00)
a.
INSTRUCTIONS: Sea reverse side for filirg insbuctions.
�
FORM 1 ' YEAR
HC10 '�i J
1
I(We) � certify that on the 15t day of March, 20_
I(We) ocwpied as our principal�place of residence the following describe eal pro for which a Homestead Property Tac Credit is hereby daimed:
�l I(We) owned ❑ Ne buying under contraG
�iave a beneficial interest in the entity that is Iiabie tor fhe propeAy taxes on the property and that owns lhe property or is buying under a contrad.
II huyirg on contract, Fee Simple owneYS name
RecoMefs office where contrad is recobed
To.vnship
Page
Parcel num6er L�v �al yeuriptio �'�; `"�� ��
� p� ���� �"Ji �. .��'
�b-r�//��.-cd / lau�e� �,- � .. -
If afry portbn ol the resitlential sW cture or the Wnd iat exceeding one (t) acre that immediatey surtounAS that struaure is used to produce income. Cewibe the use and portion
of the property uWizetl to pratluce income. - � • • �
�i � -/a-a � - �6�-o0�. �/a - Qa� _
��'.+" �,., •• , v s� � � ._" ' . _ _ —" :C i�1L' s� " o2h, ii'�i�'Yli `w^, '
}��_" t?�°,`��-F�-"��+`�r'�'�'��,''n"§�,,.Y°.y�STA1J�P.RD�,�DE�UCTION ALLOWANCE�.'�..`��«'�' � �� �g,�-� � �s��.,.,; '�
20_Pay20_
Lesser of 12 Homestead
Valuation or 56,000 $
SignaNre olAuCitw Date sig�retl