Homestead_Grabberona n� m y v f u tic r:m � uu. :�..,
P�escn�eE By Siaie Boara ol ia+ Commissioners • DO� � OO I�j � � � }`��'
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT fOR YEAR 19 V�
TIONS
����� tx�v - v �• / ��.v U'–' certify that on ihe tst day ot
Ma..,n, 19 I, (We) ccupied as our principal place of residence the (ollowing described real property for
which a Homest d Property Tax Credit is hereby being claimed:
I, (We) oL7 wned D� %- 00�5�
❑ are buying under con a t
❑ have a beneficial inte� i� jhe taxpayer
Property Descripiion in� �����
Taxing District (City, Town, Township): t �
Parcel Number �
Township
or I/e�gal de;cr' ' sho�n on tax sta/ement:� �
I �
If buying on contract Owners name ��ee ��mo�e ow�en
Contraci recorded in Recorders Office - Record No. Page
If any portion of the residential structure or ihe land, not exceeding one (1) acre ihat immediately surrounds ihat
structure is used to produce income, describe the-use and poriion of the property uti�ized to produce income
Any other counties in which individual owns or is buying real property: County Township
I -�by certify the above siatement is true, correct and complete.
�. ;v EI �Li� I��' �J � � 7- �
'Signature"— �-`�-��—' J`U�� Sueet AaCress - Giy, S:a:e antl ZiD Cotle
� n.-.,,...
' In�i�iiival;either�owns or is buying under a coniract that provides he is to pay ihe property taxes
on the residence, or has a beneficial interest in ihe taxpayer.
��lJ`�' `� ��` �" - FOR ASSESSOR'S USE ONLY -
- �!����o� %
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land
Resideniial Improvements
Dwelling
Garage
Total
Other �mprovemenis
Toial�ovements - Line (6) plus p) equals (8)
I heret,y certify the above is irue. correct. and complete.
Signdture o� Assessor
�J-
True Cash
Value
(�)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
I BY AUDITOR -
Assessed
Valuation
Daie
�
Homestead
Valuation
� -��=d'9
Date: —_—_—
TtFASLRFR �00.NTS�A
GibsonCauntyAuditor ��7;��������[�Y/7:[�7��I�fJr�lF�17�tZ�],�I:�r'/U 1'AY��
101 N. Main Street �ndividuals and married wuples are limimd tu ane homestead standard deduction. As the rtceipt af Ihis dnluction bemmes
' Pnnceton, IN 47670 �om btncficial, thtrc is morc incrntive ihan n<r (or homcstcad fraud. Homes�rad Gaud causes higher�lax hills for all; chere(orc,
� 4��$�, HEA 1354-?009 ccquim la�pa}<rs wtro recent thc homes[ead stmdazd deduccian to �triN ihac they�arc eligible ta reccnY tlx
� p 0 j ba¢fi1 and ro prtn�ide additional idcntifying infortnalion nttcssary lo allow couny gm'emmrni to better monitor homestead
1 1../ filings. 7Ttis infomu[ion uili be tepl wn6drntial and can only be amessed W auUrorizcd rounry of5cials. The Dcparunen[ of
,, , . , Lacal Gmernmrnt Finznce x�ill tsse this infomta[ion m create tools cha� will help counry� officials elimi�te homesread Raud.
APR 2 9 2011 ' ' ,
C.'�.N ". V
GIBSON COUNTY AUDITOR
� , • . . , .
930
Taxpaver Name
Grabbe, Patrick J / Ann
�
SoSI
PRINCETON IN 47670
Patnck J/ Ann Grabbe I II�I�III��III �II ul ulll �II IW�III�I�II�IOI uII�IIWII�IIII�
2623 W 50 S
PrincetonlN 47670-8126
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26-11-15-202-000.155-02�SAtdDY RIDGE
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the cour
� i e�tl
}�c�'< <�IL � .
�g Addlecs (numbcr and strect, ciTy, s[atc, and ZIP codc)
a � a 3 c.� S o S �r ��� c e.i-o � �',�
I Security N�ber (lazt 5 di�ts) Drivels LiceauJStau ID��mmber (lazt 5 digi
�
H.�� � /'� �
�iling Address (1Vumber and street ciry. stare. md 7.IP code)
�L a 3 cJ So S �r ��.cz�r�n �2
Y���v
�IN
�f����
6 ��..�b� �
nc as property address I
Other (please spxify in Pert i
�
j �� �bb� �
nc az pmperty address I
O[her (please spcciry in Pan a
Pllull�l�l� II II
g -- — _'
treasurer.
undersigned certifies, under penalty of perjury, that the above and foregoing information is We and correct and that�he or she is eligible m
�e the homestead standard deduction on this properry. Fach undersigned also understands ihat, by claiming addition i homestead deductions
�fully, he or she may be liable for back taxes and subsiantial financial penalties.
�� I-�- -(�/