HomeMy WebLinkAboutHomestead_GreulichFORM HC 10 1979 � To Be Filea in DuD���ate
Presai�ed By State Boa�d ol ia. Commissioneu .
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�2
SEE BACK FOR FILING INSTRUCTIONS
�(We) �^-�-^- �� � u=^---�— � certify that on the 1st day of
March, 19�. I, (We) occupie r ipal place of residence the following described real property for
which a Homestead Property Te�r � i hereby being claimed: /
I. (We) ❑ owned �j/- ODp�Cp7"DI]
❑ are buying under contract
❑ have a beneficial in�te/rest�in the taxpayer
Property Description in �11--�-1�.a-�3-�- County `� Township
Taxing District EGiFy-Town, Towrjsk�iflj: �-�� . ��--�--��-�---
Parcel Number or legal description shown on tax statement:
oS,e. � / 7 /li i
If buying Ofl contract: Owners name ��ee simoie ow�e.l
Contract recorded in Recorders Office - Record
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:
�hereby certify the above statement is true, correct and complete.
..��. Q . ,
naoress
County Township
c�r. s:a:e a�a np
' Individual either owns or is buying undera 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 t(one) acre immediately
surroundin9 resitlential improvements
Other Land
Total Land
Residential Improvements
Other Improvements
True Cash
Value
(t) 780
�2� —
(3) 9 8 0
Assessed
Valuation
�- �C b
a Co 0
Homestead
Valuation
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� , %%%/%' %%%'� �,�
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T Improvemenls - Line (6) plus (7) equals (8) (8) �
I�eby certify the above is true. correct. and complete.
.� // , -S"�i �
SigiuWee of
= ACTION BY AUDITOR -
�!i-w'7
�')'L�-�-x �/ � / 5 79
Da:e
Date: �/��/� �
' Skin PAWN on J.Ri h-lot 1R:ASURiR rrl0.4 is-i t
.PPII,VEDBYTVE airman Cti Nt;:eM MN'R2E°nY 11U.pTUiML1Ot L(C\LC(TVRUY}l IL' LICb1.:"J.1
Gibson County Auditor IMPORTANT NOTICETO HOMESTEAD PROPERTY-OWNERS
101 N.Main Street Individuals and married couple ale limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial.there is more ir.ecii iw than ever Mr homestead fraud.f lomestead fraud causes higher a\bill:I'or all:therefore.
b IIFA
nc t and to requires tasoan n� o receive n Me homestead t oace standard allow con to voiey that they better eligible or homestead
the
tY91 ,,L\r Mnctit and m pen ide additional identifi�ing irtirnuuon necessary to alh+a county government to bean nxmtwr hnmrucad
Wilms.This information will be kept confidential and can only be accessed by authorized county officials.The De anmert of
Local Government Finance will use this information to craw tools that will help county officials eliminate homestead Maud.
MAY 3 1 2012 • • PART 1: PROPERTY INFORMATION
Taxpayer Name Location Address
CJ.n Greulich, Michael L Etal
405 S CUMBERLAND ST
GIBSON COUNTY AUDITOR FT BRANCH IN 47648
7060 Cichael L Greulich Etal II I�III1 III III III I II VIII I II I I I u 11 11 I II
ull�ll I III II
CIO Melvin A Greulich
405 S Cumberland
Fort Branch IN 47648-1527
'IIII�'��II�'I"�I�'I��'I��I��II�IIIII�III'��I'I�'I'I'lll�'�I��I State Parcel Number Legal Description
26-18-24-202-000.267-026 LAGRANGE ADD 217PT
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.
cr I_____ First z Middle) _ _ Last
•
Mailing Address(number and street.city.state,and ZIP code) - ❑ Same as property address
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
I I I I I I
Suit
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 A Date
PART 4:ADDITIONAL INFORMATION