Homestead_Gries (2)^� g CLAIM FOR HOMESTEAD PROPERTY TAX
z� CREDIT /STANDARD DEDUCTION
.;� State Form 5473 (R215 -92)
INSTRUCTIONS: See reverse side for filing instructions.
i�
` - - - -- - CFRTIFICATt
al-
-D 0 319 3
AI IIIIT/1D U
certify that on the 1st day of March, 19—q
�
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
CONTRACT RECORDED .
It buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
-
PROPERTY DESCRIPTION "
County
Township
Township
—�_
Taxing
(city, town, township)
dr r and street city. state, ZIP code)
yon i
4C
(2)
11
ParcKI number
t) i 3 , o 0 as9 -oo
Legal description
Lj 4 - - c a aS ao . .
It any portion of the residential structure or the land not exceeding
one (1) acre that immediately surrounds that structure is used to produce income, descdbe the use and portion
of the property utilized to produce income.
Residential improvements
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
CountiAo
Township County
Township
NON-RESIDENTIAL
VALUE
—�_
(1)
the above statements are true, correct and complete. re of claimant
dr r and street city. state, ZIP code)
yon i
4C
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
aluati or 52.00
Signature of Auditor
Other land
(2)
Total land (line I plus line 2)
(3)
-
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plrs line 7)
(6)
' I hereby certify the above is true, Correct, and
complete.
Signature of Assessor
Date signed
'ving action - Signature of Auditor
rl®
Date signed
STANDARD DEDUCTION ALLOWANCE
9— pay 19_
s er of 112 Homestead
-
S
aluati or 52.00
Signature of Auditor
Date signed ^ �
AAn maw'afw'0.l Hm lR:ASURIR!MY 15-15
APPROVED En%1Ea0\11f llF.tlttv\ra,y.H rRL`CRmEDtll Mk MPAR1■EVT OF toezicN}AslnmtrA•tlrs!i-224.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY'OWNERSz:
101 N.Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
/ Princeton, IN 47670 more beneficial.the is more incentive than ever for homestead fraud.Homestead fraud causes higher lac bills for all:therefore,
do
T g LEI) H EA 1344-201$)requires uspa'ers who receive the homestead standard deduction to'erify that they ale eligible to receive the
�� J1 1!e YLbenefit and to provide additional idcnnfvine into munn necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only he accessed by authorized counts officials.The Department of
Local Government Finance will use this information to erotic tools that will help county officials eliminate homestead fraud.
JUN 12 2012 . • PART 1:PROPERTY INFORMATION- ' • • •
Taxpayer Name Location Address
C_ .r -•-y Gries, Julie M
r\\l 400 S Bradley Dr
GIBSON COUNTY AUDITOR
HAUBSTADT IN 47639
2965
100111110100101101.0101110 0IIH111011iIJ 011011.11 I I IJulie M Gries
400 S Bradley Dr
HAUBSTADT IN 47639
State Parcel Number Legal Description
26-23-06-101-000.259-009 PT W 6-4-10.25 AC
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION' -
. .:r I First Middle Last
L.,..1 .met r : t_ Cyr : e_ s
Mailing Address(number and street,city,state,and ZIP code) 3-Same as property address
/7/9 EraS///fir ,/6abSkid/ 7%/ '/7a.Y9
Spouse First Middle Last
Mailing Address(Number end street.city,state,and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (las:5 digits) Other(please specify in Pan 4 below)
I I I I sue
. PART 3:CERTIFICATION - 'jib,
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 fmancial penalties.
Owner I Si.nature Date Telephone
enot ignature Date Telephone r l
- PART 4:ADDITIONAL INFORMATION .