HomeMy WebLinkAboutHomestead_Hyneman (3) •
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7. ?a STANDARD/SUPPLEMEN A DEDU T N
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` - State Form 5473(R12/6-09)
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Prescribed by the Department of Local Government Finance
JUL 1 4 2009 • .
INSTRUCTIONS:See reverse side for filing instructions.
- _ CERTIFICATION STATEMENT
I(We) isfsf S`gra certify that ituva fdQOyao luny}'(r1V()phTerial
place of residence •/m(are)buying the "flowing described real property for which a Homestead Property Tax Standard Deduction is hereby claimed
under contract on IT date this application is filed, . - (date of tiling): .
❑ I(We)own ❑ Am(are)buying under recorded contract
❑ Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
CLAIMANT'S INFORMATION
. CONTRACT RECORDED -
a buying on cent act,Fee Simple owners name -
Recorders office where contract is recorded Record number I Page
PROPERTY DESCRIPTION '
County Township Taxing district(city,town,township)
Parcel number Legal description Is Ire oparty in question:
q 7 31J) A 0 0 3 ❑Real property Annually assessed mobile home(IC 6-1.1-7) n
®If any portion of the residential structure or the land not exceeding one(1)acre that immediatelynoynds that atmctu is used to produce incgme,describe the use and portion
of the property Wf¢ed to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County I Township
Spput'Lre of dairt7ant •
I hereby certify the above statements are true,correct and complete. `/ /. (!r/^A/y
A
97,, n
Address(number and street, ) v r
crN,state,and PtW
20 3€ 4 . /-.F1elo,. -, l6t10
ALUE ASSESSOR USE ONLY I TRUE TAX VALUE I AAT E00%OF TTV I H�VALUE AD I NON- VALUENTIAL•
Land not exceeding I(one)acre immediately f x1,s-N1 "- �a"•` . -r''
surrounding residential improvements. (1) _+. + s`+ 3fYL
Other land (2) ..,rtct' :.'"•r‘'s.r; •
Total land(line 1 plus line 2) (3)
Residential Improvements or Annually Dwelling (4) x ;; r%' `'3"¢`t-M.�" r
k X' k 'a
Assessed Mobile I Manufactured Home ci,' F 4� - ia" ''^'
Garage (5) s
Other improvements (6) 11 -1 ;'i' L
Total improvements(line 4 through line 6) (7)
Total value (line 3 plus line 7) (6)
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)
STANDARD DEDUCTION ALLOWANCE .
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 6-1.1-12 to a mobile home that is $
not assessed as real property or to a manufactured home that Is not assessed as real property may not exceed .
one-half(1/2)of the acwcsed value of the na///ppplle home or manufactured home. ^e
1 Signature o� yitw ...x Date signed(month,day,year) (i4
SMMEL PORN Utt IR:15-1/41 MEASURER FOAM t11A
AR/ROVED BY MAIL 1%WD*S<R4MA9• PRESCRIBED BY TIE DEPAkne4T OF LOCAL GOVERNMENT FIANCE to 4-1.1-rat
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS,
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incenmr than ner for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing'.This information will he kept conlidauial and can only he accessed by authorized county officials_The Depanntent of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Hyneman, Roy E
209 Brown ST
Hazleton IN 47640
264
Roy E Hyneman
217 Washington State Parcel Number Legal Description
- HAZLETON-IN 47640-8841 - — - - -
I I I I 1 11111111111 t 1111 I I I t I I t 1 1111111111 t 1111111 t 11I11m11I11111 zs-oz-ss-032-000.324-019 0,4-00324-0e.BR 1 STgbD a19 PT
. - PART 2:TAXPAYER INFORMATION
Owner I t First Middle Last
o`
l� Eojene hyvlernan
- g Address(number one itrect,city,Shire,I�d ZIP code)'- - '--'�'Sume as property'address- —-- -
t 3caJh jk . ffagle-4or t L1710t10
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 iguana-c Date Telephone
�—
11 -2710 (10 ) 3 - 1/l°
Spouse Si rare it Date Telephone
AI -;1'7- lo (950-) 3rp - /ICoO
PART 4: ADDITIONAL INFORMATION _