Homestead_Hyneman jo /3 : d o S 3 9 - 0 AM FOR HasafEAD PROPERTY TAX CREDIT FOR YEAR 19 • .
• SEE BACK FOR FILING INSTRUCTIONS -
�` _✓�. ,�.`.• certify that out the lit, day c•
March, 1'_, I, (Pie) occtpied as o • p!' 'pal place of 'i"esidence the following described real
-'e ty for which a toad Property Tax Credit is hereby being chained:. _ •
Q are buying•under contract .
. ❑ have.a ben tl cia l intereest in the taxpayer ,' )42-4-'n• -4-4•••%_•
• Count, Townshi
Property pP,_s..--ription. in
Taxing District (City, Town, Township) : /. 'ai
Parcel Umber I
II f J
I • I -1 • I or legal description shown on tax staterent:
to-a 1104 -- Q1 340 . 3S9 C
If buying on contract: Owners name (fee simple owner) '
Contract recorded in Recorder's Office - Record No. s Page
23'6/
If any portico of the residential structure or the land, not erceeding one (1) acre that
inuediatelY surrounds that structure is used to produce income, describe the use and portion of
. the property utilized to prod>re intone
•
Fay other counties in which individual owns or is buying real property:
County : Township
•
P the above statement is true, correct and couplets. • -
I hxy certify h (� s 6 6 sd� `/7 G 3 9.
11natu e Ai. m,Y�,M�„n J l i°`_'!ri s 1 City, State and Zip Cnac
. icnature 1 Street Address .
un_r a contract that provides he is to pay the
*Individual either owns es is ce, or has a beneficial interest in the taxpayer.
•prpoeesty. to S on the reSidr3lCe,
. - FOR ASSESSOR'S USE ONLY - .
True Cash. Assessed Barestea:
• Value Valuation . Valuatio
Land not ec ing 1 (one) acre • ,u tely - • • (l) �/� cl° ° - O•
surrounding residential iirprov°m is (2) , — Sin 3-- 0
C` 'rLand �//�//��
• Total Land 1 (3) �v 54•
Psir?en`, ;a l Ixn?roven¢cots Dwelling (4) //Sj///I %////1
Garage (S) /Jf/At% • '//// /
• Total (6) /13/ o
To . • Improvements - Line (6) plus (7) equals (8) (8)
Z hseby certify the above is true, correct, and complete.
Ali• - _Iona Date
- ACTION BY AUDITOR •
Date:
Y*J J1W°--3• • •
SIAIE IOAM!!!MIIL/..EMI IYlASUREA FORM 3IA
APPrmTnBYSrATENIARorwArCI AINTS.ynv PV]YIItBmBYt11E OEPAA TMER(FItxALCOVIR NMrwte*tAACEtCtrl.1-r-Ii
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to arc homestead standanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ricer for homestead fraud.!Ionic-stead fraud causes higher tax bills for all:therefore.
S HE.\ 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and ran only he accessed by authorized county officials.The Depanment of
Local Goverment Finance will use this information to create mots that will hrtp county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
_ Hyneman, Russell A/Terri K
100 S Campbell DLVD
Haubstadt IN 47639-8162
7367
Russell A/Terri K Hyneman
100 S Campbell Blvd State Parcel Number Legal Description
Haubstadt IN 47639-8162
26-18-36-403-000.539-009 013-00539-00 WEST HGTS ADD 3RD ADD
I l II t It II test II tI uI uI 'tut I I t II noI t II I nt II uuIn II 13
r
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Busse // 44/2-04) /lyNe,vRA)-
III ng Address(number and shat,city,scare,and ZIP code) // 0 Same as property address
/00 Soto k e rl1p)e11 e/06C- .ALk tr,O . . c `7e3g
Spouse First Middle Last
T (Les K<11 flY/ue vnAti
Mailing Address(Number and street,city.stale,and"LIP cork) 'Same as property address
/OO Co t,l eomgi e#hid. /74 cal/a . AI • 4/76 3 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 hack taxes and substantial financial penalties.
OlSignature Date
PART 4:ADDITIONAL INFORMATION
p/3 - QO539. —Dp
Form HC 10 Supplement
Worksheet for March 1, 1989 Assessed Valuation
® HOMESTEAD CREDIT CALCULATION FOR 1989 :
County' Township Taxing District
Name of Ta::payer -
Parcel No. or Legal Description �tS �QD /mod 3o p \
ASSESSORS CALCULATION
True Tax Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre maximum) (1) XXXXXXXX
Other Land:
Total Land
Residence (Dwelling)
Garage
Other Improvements
Total Improvements
Total Land and
Improvements:
(2) XXXXXXXX.
(3)
I hereby' tify the above, true, correct, and complete.
Signa re of As sor
STANDARD- DEDUCTION`EAL -CULATION' "' = - "' - -- -- - -- •- --- - -
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 Deduction Allowed
1969 pay 1990 1990 pay 1991 1991 pay 1992 Years after
lesser of 1/2 lesser of 1/2 lesser. of 1/2 1991 (same
"R" A/V or "R" A/V or "R" A/V or as 1991)
$2,500 $2,000 519500
SignatUre of CMi AM=