Homestead_Grinstead SrArE fORM!I W,It_`(NNI Eltr WiLER FORM 14 IA
.ArrRO En BY'MATE Beak➢OP✓'fl L INTS.Inv PLE_Y[AnmBY Till DEPARTMENT OF LOCAL CMZRaisretr FINANCE r l.1r-*
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
r more beneficial.there is mote incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
FIFA 1344-2019 requires taxpayers who receive the homestead standard 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 he kept confidential and can only be accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Grinstead, Dale/Shirley
R I Box 87 A�-
Oakland City IN 47660
4317
Dale/Shirley Grinstead
1174 S 1075 E State Parcel Number Legal Description
Oakland City IN 47660-8658
26-13-13-3 3000-000.347-006 0003-00347-00 PT NE SW 13-2-94.82 AC
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
D4LL - rOgeA>E 6r. , kis T
m Address(number and street.city,stare.and ZIP code)
/77V..5 /075 (34k1A-Nj) C1 t% CU /J X 76 4. 0
Spouse First Middle Last
£Fluff N� G,�imSr
Mailin_Address(Number an tree4 city,state.and ZIP code) 'Same as properly address
//7y io7S £ 69kt 004 Oily Y74-6 6 .
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 eliuible 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 Ignatu Date '
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FORM HC 1D 1979
Premnoed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 S 1
SEE BACK FOR FILING INSTRUCTIONS
(We) 1� /2_cM.a�iZ &-ti . -E . 'j-_ ® L
arch, 19--IL- I, (We) occupied as our principal place of residem
which a Homestead Property Tax Credit is hereby being claimed:
To Be Filed in Duplicate
0
0 ,03- 0034`1- 0v
' certify that on the list day of
the following described real property for
I, (We) ❑ owned _/� �� - &10 -e6o• .7617 -Z5`5`�
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in —County
Taxing District (Gity T-~, Township):
Township
v
Parcel Number or legal description shown on tax statement, -
0,4- . nI E '/it w 1 /a- / 3 -1 -'F -/ 8 Z
If buying on contract: Owners name (fear simple owner)
Contract recorded in Recorders Office - Record No. Paoe
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income,' describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property: County Township
certify the above statement is true, correct and complete.
State
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1 (one) acr ri ed 4,4
surrounding residential improve is
Other Land V A 1�?1
Total Land
Residential Improvements
MA
elfin
PVO 9
Garage
Total
Other Improvements
Tar' Improvements - Line (6) plus (7) equals (8)
!:iy certify the a ove Is true. correct. and complete.
Signature of Assessor
True Cash Assessed Homestead
Value Valuation Valuation
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Date
Date: