HomeMy WebLinkAboutHomestead_Hyneman• CLAIM FOR HOMESTEAD PROPERTY. TAX
=%" y CREDIT /STANDARD DEDUCTION -
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
FORM YEAR
HC10 — q
�I _I (We) certify that on the 1st day of March , 19
�4We) occupied as our principal place of residence the following described real property for which a Homestead
' 'roperty Tax Credit is here. by claimed: � (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on rtyP t owns the
�I property or is buying it under a contract.
CONTRACT RECORDED NOV 2 19
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded RecorA Page
PROPERTY DESCRIPTION
CoUu\nty Township Taxing pistricl (Cijy, town, township)
b 1-1 A 2 e 1-DJ
Parcel Number L D cription
OI 000g3 o O c f f 81k
If any portion of the residential structure or the land n t xceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County Township
f hereby certify the above statements are true. correct and Signature
complete.
Address (Street. number. city. state and ZIP code)
ASSESSOR USE ONLY TRUE TAX VALUE _ ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
Lesser of 1/2 Homestead
19 — Pay 19-
Lesser of 1/2 Homestead
Valuation or $2,500
(2)
Valuation or $1.500
Valuation or S1,500
(3)
Signature of Auditor /� '(�
WYVy�SL AD M
(4)
-
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
lesser of 1/2 Homestead
1990 Pay 1991
Lesser of 112 Homestead
1991 Pay 1992
Lesser of 1/2 Homestead
19 — Pay 19-
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2.000
Valuation or $1.500
Valuation or S1,500
Signature of Auditor /� '(�
WYVy�SL AD M
Date Signed
Y -2:—
Lit
,
STATE FORM 5350001110) MEASURER RONM 73.19
._ APTADVED BY STATE WARD OF ACCOUNTS 209 PRFSCEJBFD DV THE DPARTMEVF OF LOCAL C MOMEYr FINANCE IC(.1.1-]I4.1
Gibson County Auditor `IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,here is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
FILED HEA t and t Tan&cs taxpayers who yingivin the homestead standard allow county to government that they are eligible
ni to homestead
the
to benefit and to pas'ide additional identifying information necessary to allow caunry gwemment to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
• • APR 1 8 2011 • PART 1: PROPERTY INFORMATION
c. I -
� Taxpayer Name Location Address
C.J.K,-,�'� Hyneman, Isabel
•GIBSON COUNTY AUDITOR " • • - - , . 113 SR 56
HAZLETON IN 47640
o .
Ill El III ElU Ill Elimi lI11llomIIIIIIlmil1 II-111111011111111111111El11111111
Isabel Hyneman ,
P O Box121 " 7 I
HAZLETON IN 47640-0121
• 'III1III'I'1ll1"I1I'II' "111I"111'llllllllll'I1I1I1I'I1II'I'Il State Parcel Number Legal Description .
26-02-29-200-000.093-019 /OLD PLAN 7 PT/S PT BLK 7
I
• 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.
lt' _ - - - _ 7: -L•NkDIL�I�±tTION . ,
•w.<r•I Firs Middle ' / / Last
15. i9 /s£L .S. f�/n1irn f✓r�c`-/7..�4 n/ "
Mailing Address(number and street"city,state,and ZIP code) 0 Same as property address
'a a3b K /a ,- 113 /sr s"r .
N A 1 A'8 To a/
. •
Spouse First Middle an
L
/ -
Mailing Address(Number and street,city,state,and ZIP code) .. El Same as property address
.0
‘:-.—r-..... - - -
-
1 PART 3: CERTIFICATION l;
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 - y
Ile SignatureDare Telephone
BART 4: ADDITIONAL INFORMATION j