HomeMy WebLinkAboutHomestead_Hyneman (2) CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
' 3 STANDARD/SUPPLEMENTAL DEDUCTION FORM
State Form 5473(R13/12-09) HC10
Y=' Prescribed by the Department of Local Government Finance
•
INSTRUCTIONS:See averse side for filing instructions. . i.J
....._ . .. .0 ry ;u,F' 'vla...,+a'�Y-'4frS }z rjif ts•.�*3 ��,•. Th?x
�.r?�� FICATION:STATEMENT¢.sr....•.!;<��'i.+.rf.. .a z<•_�a.n�rr :.,rs r. _. .o.cs.�,
I(We) '.�1i\`►1r��aranne�7i .11 ' itt �. •• certify that l(we)oc4P€d fp my nprirtapal
place of res•ence or am(are)buying the followin.f esaibed real pro.-rty for which a Homestead Property Tax Standard Deduction is hereby claimed
• ler•• r•.ct on the date this application is filed, (date of filing). I(We): C-3.
• ❑ Am(are)buying under recorded contract
•❑ Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation GIBSON COUNTY AUDITOR
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
❑ Am(are)the shareholder, partner or member of the entity that owns the property.
CL'AIMANT.S.INFORMATIOlit"7Kmitt..tg,Vi E'.isms§a•Ct .i:la Fiv: .A41.'� P:-.1.4ti
-'�` -s2: -rsµr -T- .a;F,V a _+r.:.?n3s . . . .
3 ..t3-°'�� _.:_..9.;i,: ,. -.,-.,.v...r 1�:tv�,r7a-u uCONTRACTtRECORDED
If buying on contract.Fee Simple owner's name
Recorders office where contract is recorded Record number Page
:;11-C fe r;s f<s,. ..rs .2gi31-4 , .:.f•.hPROPERTY DESCRIPTIONn>K:?;4±L 'u_ `Ft".:'fl ?a Zi.4-N;r'f''.°'_w.:4t-St.z?'R.q;-
County Township Taxing district(dry,town,township)
t 9areal number Legal description Is the property In question:
-- 0 a-apt - a0 o 000 . t 3 4 - b q ❑Real property ❑ Annually assessed mobile haute(IC 61.i-7)
If any portion of the residential structure or the land not exceeding one(1)we that immediately surrounds that structure is used to produce income,describe the use and portion
of the property utilized to produce Income.
•
K.K,.;�y�,�;,y„r,� t?�?s��A�``<yz�'PROP,ERTY OWNED Bl'CLPIMAhT:IN OTHER,COUNTIES3wz:,�YP,Mfifc�s��' ` r `� -mss `}County Township Township County Township
I hereby certify the above statements are true,correct and complete. Signs re of..• /
yyy
Address(number +street .to, a+nd ZIP code)
-+-Ys ^'-.t �. rfit r f w t rrIt*'+. -'ter gSSES D VALUE:-r HOM ESTEAD}t 1; NON RESIDENTIAL Ye tj.
ASSESSOR USE ONLY�t, zAj, m 'P.: E TtAX VALUE AT:000 4,0E TTVik.l kffikWAL•UErN.Z r"V _.ia.VAL•UE ;i5 7' is.'
Land rrrounding resiildential Improvements.tsdiaffity (1)
Other land (2) ..�,;••:•_�w";X;;::=5,
Total land(line 1 plus line 2) (3)
Residential Improvements or Annually
Dwelling (4)
Assessed Mobile I Manufactured Home Garage (5) 64/41-3"r r :s �i4M s.
Other Improvements (6) 'f:4th
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true,correct, Signature of Assessor Date signed(month,day,year)
and complete.
Verifying action-Signature of Auditor Date signed(month,day,year)
;..4+:;'�•r 1- n,y,a 3b ,x,,,��..r,��c-c>,a� al :STANDARD DEDUCTIO`al- WANCE}x?;i.#`1;;: :ierZt>'tirk: V5'.{..r„s
20 pay 20 Lesser of 60%of the assessed value of the homestead or$45,000
Notwithstanding any other provision,the sum of the deductions provided in IC 64.1-12 to a mobile home that is $
of assessed as real property or to a manufactured home that is not assessed as real property may not exceed --
one-half(12)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date signed(month,day,year)
STATE FORM 53569(R318-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 - PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1?22.8.1
IMPORTANT NOTICE TO-HOMESTEAD PROPERTY OWNERS
Individuals and married couples alt 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
uses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
s dard deduction to verify that they are eligible to receive the benefit and to provide additional identifying
information necessary to allow county government 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.
PARTI PROPERTY INFORMATION
Tasnaver Name Property Address State Parcel Number Leal Description:
John K Hyneman 111 F`rpscST_ f D 1 E, torsi,
26-02-29-200-000.134-019 OLD PLAN I PT BLK 7
HAZLETON IN 47640
Complete and return to: f11hIOD1®IDIDI®0I II tINllllll.lDl®Uh�U1m6
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 �Iu
PART T TAXPAYER 1NFOIt%7ATION .
Owner .......e First First I�e /[ Middle /t fl of nig A Last
Mailing Address(nurtoer and street,city,state and ZIP code)
/oT er l5
c! /' r4&&2eY0A)
First - Middle Last
Mailing Address(nunter and street city,state and ZIP code) Same as property address
/&7 f lr5r 7/42 ,lgh✓, IN yidVD
- PART 3: CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is hue 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 1 Signature Date t
PART 4:-ADDITIONAL
tir
I t
NOV s '3'12
- 7I
GIBSON COUNTY a,.::t`oa