Homestead_Grubb�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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TM NAfX WRV :SIA
IndividuaL.� and nu:riN <oupks arc Iimiitd to one homcACaJ 9andaN JeAuction. As the receipt ot ihi. dcduccion bcconres
murc beneficial, tMe u more incentn<than rcer ior homc�'iesl GaW. Iiomcsrcad f'aud causec h��Ixr taa 6ills tor all: thertfare.
HE.\ 13ii-3IXl9 requirn u�pa7m xho receire the hanesiead smndarJ deAunian m verily Ihm thcy are eliciNe io recci�. �he
benefit and ro p�m'iJe xlJitiunal identii��inc informmwn nem'vn� io allw� counp� ga'rmmrnl ro be�m; moniror homes<;W
filing+. Ihi. infomu�ion will Fe A� confi�iential and can nnly le accr: uJ M1y amlroriud connp� o(TciaG. "IL< Ikpanmem nf
I.ucal Gorermnem Fimnve �eill u< �his inio�mafion tu arcam twls tha� mill heip crounn� uf�xials dimieine homestead fiaud.
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Taspaver Nnme Propert���1d'iress
Grubb, Marvin L � �. �
Marvin L Grubb
'IZSRtMain.ST
PrincetonlN 47670-1540
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State Parcel NumAer
26-12-15-100-002.860-027
V
1?R N Afain St
1'rincclon IN 47670
Leeal Descrirition
006-02860-00 PT NW iS2-10 2.60 AC
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Owna 1 First MidNe ' Last
W �. G l3 /3
ig Address (number and �traY, city, sm[c, end ZIY codc) - � � Sume u� propettrui.lrtsc' - ^ - ' - — ' �—
�zs N /�/N �
Social $aurin' Numbc� (last i dieits) Drivers Lica�
Middlc L�t
i
Mailing Addrtss (t�umber anJ sUee1, cil}', stale, and "LIP coJe) � Ssme a+ ploPenY edJ+ess i
Social5tturiry� Number (lazt 5 digits) Drivers Liccnsc/SU[c ID Nmnbcr (la.t 5 digits) Othcr (plcuc spccify in Pan? below) �
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Fach undersismed certifies, under penalty of perjury. Ihat the above and foreboing information is we and coaect and that he or sfie is elieible to
receive the homestead standard deduction on this propeny. Fach undersigned al>o undersiands tha�, by claimine additional homescead deductions
unlawfully, he or she may be liable for back taxes and substanrial financial penalties. '
Ownerl SiEnsuue Dat_ Tciephonc �
%'u�� � `Ilaz ,o (
Spou�e Siynaeurc Date Telephone -
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•11 � � 1
i
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�..��n
e; ; CLAIM FOR HOMESTEAD PROPERTY TAX
e' ,
CREDIT/STANDARD DEDUCTION
` State Porm 5473 (R2 / 5-92)
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3�.
INSTRUCTIONS: See reverse side lor liling instructions.
p�1 - FORM � YEAR
��-
� �CN- �i _. } s -
- ��.RR 2 �_ 1995
� - � CERTIFlCATION STATEMEKT � � � � � ��
I(We) certify that on the isl da�y oT�n R n. , s_
���Ne) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby Gaimed:
�I (We) owned ❑ Are buying under comract -
Have a beneticial interest in the entiry ihat is liable for the property taxes on the property and ihat owns the property or is buying under a contrect.
' CONTRACT RECORDED, � ' � �
If buying on comraU, Fee Simple owner's name �
Recortler's office where contract is recordetl qecortl number Page
PROPERTY
Township
mwn,
�co-�.,t�acc�v i rz y�w ia -�c-iv �,r
portion of Ne resitlential stmcwre or the land not exceeding one (7 � aae that immediatety surrounds that 5[rucNre is
property utilized to produce income.
m protluce income, describe [he use and ponion
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Counry Township Couniy Township
1 F�ceby ceriify the above statements are true, correci and complete. Signawre o� ciaimam ��� �//
� �L� ..�'��2�/�-
resi'(number antl5lreeC city, sfaie, ZIP code)
� Po 40 ll�
ASSESSOR USE ONLY
Land not exceeding 7(one) acre immediately
surrounding residential improvements.
Other land
Total land (line 1 plus line 2�
Dwelling
Residentiai improvements
Garage
Other improvemenis
Total improvements (line 4 thiough line �
Total value (line 3 p�s line �
I hereby certify ihe above is irue, correct, and
complete.
Ventying action - Sgnature of Auditor
19_Pay79_
lesser of V2 Homestead
Valuation or 52.000
TRUETAX ASSESSED
VALUE� VALUE
(�)
��o ��P
�z� / � !� f� � $ go G��
cs� � S� c� � G� aS /p�3o `��
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c4> ��� b I, o o a-�9g3�
33 a
(5)
S�ou�
(6)
1�)
ie)
Signature
i ��'. .
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STANDARD DEDUCTION ALIOWANCE
S
NON-RESIDENTiAC
VALUE
�
.,yned
Date signed
signed