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HomeMy WebLinkAboutHomestead_GreubelCLAIM FOR HOMESTEAD PROPERTY TAX 4 CREDIT /STANDARD DEDUCTION a il, State Form 5473 (R21 5-92) 16 INSTRUCTIONS., See reverse side for filing instructions. FORM HC10 YEAR CERTIFICATION STATEMENT 7 `%'LL I (We) /ice' -. certify th of 1 0� arch, 19_ 1 (We) occupied as our principal place of residence the following described real property for which a Hom p Ta�eby claimed: ❑ 1 (We) owned ❑ Are buying under contract - ❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that own prop or �qg under a contract. 7 - CONTRACT RECORDED If buying on contract, Fee Simple owners name p�01�OR T,� Recorders office where contract is recorded GIBS number Page - PROPERTY DESCRIPTION Cou /3S o �% To ip / / ri%f/T (T �JCT d/i.J Taxing dist cl ny. town to)vnship) r Parcel n ber - - - legal description �O It any portion th €rO ttucture or Ne land not exceeding one (1) acre that immediatety surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income. - PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES Ccun T wn hip County Township P,ereby certify the above statements are true, correct and complete. Sign re of Claimant Address (number and street, city, state, ZIP e) n .Yct_ 7 ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately (1) surrounding residential improvements. Otherland (2) Total land (line 1 plus line 2) (3) Dwelling (4) Residential improvements - Garage - (5) Other improvements (6) Total improvements (line 4 through line 6) (7) - Total value (line 3 plus line 7) (8) I hereby certify the above is true, correct, and Signature of Assesor Date signed complete. Verifying action - Signature of Auditor Date signed STANDARD DEDUCTION ALLOWANCE 19_ Pay 19 _ Lesser of Ho lead $ Valu io 52,0 0 Signature of Auditor Date igned — �i• 51VE FORM 535MIRfl I TRf1NLTA RAN TS-IA .PPR(T'ED BY traTE BOARD Of MYCNT5.9r MEW RIBWDY mr DEMRTWT Of LOCAL r{wtrVSIrxr rN KE a'VI.I.L-1.1 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 . more beneficial,there is more incentive than net 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 receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings. this information will be kepi confidential and on only be accessed by authorized county officials.The Ikpanment of Local Government Finance will use this information to create taols that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Greubel, Randall RI Box 114 Patoka IN 47666 Randall W Greubel (7424E 500 N State Parcel Number Legal Description Patoka IN 47666-9146 ut��t�ti�l��nu�l�l�u�t�t�t� 26-06-17-200-003.078-017 9-03078-00 PT SE NE 17193.00 AC u PART 2:TAXPAYER-INFORMATION Owner I First Middle Last _ /9AJ& -LL Inv'/ AJ O cu Tg Audiess tnumtier Lind itr et:Eit suite,andZlP'code)" — -' — —— - — 2-Siirne as pruperty address 7q c4-/ l S©o ,v, PA-7-0/C4, //✓, 47766 , Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) [] Same as property address • Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below) snm 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 I Signature Date Spouse Signature Date Telephone r l PART 4:ADDITIONAL INFORMATION