Homestead_Grubb STATE FORM 53569(R3/8-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2W9 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 106-I.I-22-8.1
r IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS , t '_Ljeli
,Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
aJuction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
.lmuses 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 kept confidential and can only be accessed by authorized county officials. The Department of Loca
Government Finance will use this information to create tools that will help county officials eliminate
homestead fraud.
CPARTI:—PROPERTY-INFORMATION p `, 11;;....,: ,;;.nit9
Taxpayer Name Prgperty Address State Parcel Number J eual Description: ,
Julie A Grubb 352 E 800 S 26-19-19-204-001.346-026 PT SE NE 19 3 10 .29 AC(INDIAN
FT BRANCH IN 47648 HILLS LOT 107)1I11
Complete and return to: 1011110��]DEll]l.E u]W llI HJ UI lI0111n11l i p]O�Ui Eu0
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 W 14Y
S *:'., . ` PART 2:TAXPAYER INFORMATION : ``1 `ir!tN
Owner 1 First Middle Last
Jui lF ANN G2u, 68
Mailing Address(number and stool city,state and ZIP code) I VSame as property e00ress
352E Ysoo S
'
Spouse First Middle Last
Mail rig pas (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) State Other(please specify in Pan 4 below)
+–.�="- 4= PART" :CERT LIGATION r' - .,. rv' 'r :14:;,;.( Mt:, :7•:'.Y72
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 1 Signature Date
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DEC 2•.8 2012
GIBSON COUNTY AUDITOR.
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDR/STANDARD DEDUCTION
� s� r�„� sar3 Rt� i soe�
Preambed by the DepeNrien( o} Laal Govemrtiaa F"vence
INSTRUCTIONS: See raverse side ta filing ins6uctions.
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MAY 0 7 2007
� M'e) �-.r"�^'"'-' /_�.%��� certify tlrbt o� 1 s�t daybf March, 20_
I(We) pied�dpal pWce oi residence ihe fo0owirg desaibed real pfoperty tor which a Homestg���TqtliXe�tTDh7�iy daimed:
�(We) owned ❑ Are buying under contrad
ave a benefidal interest m the entity ihat is liade for ihe property teues on the qopeAy and ihat owns Ihe property or is Wyuig under a contracl
tt buy'ug on m�tre�t. fbe Simple awnars rame
Retortlefs Nfice where
Caairy
Tuvrutup
fnwn,
Record number � Page
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-{ � o-v 1 v v e-. /O I/�nT—..+� �� P�b ❑ Mobile Fbrrre (LC. 61.1-7)
If erry portion d iha rasideMial strucAne a tlre Imd nal ncceeding one (1) aae tl�al unmedately su,murMs Ihal strWUra is used tn produce i�mme. tlesaibe the use eM Pa�n
d Ihe yoparty uli6zed tn pmduce mmme.
.�i';��ri�s��m�����ASSESSORU E}�ILYtYrG}cr"'iF`'`41�."'��ALUE rt.��r� A 00%OFTN �'"�VAL�UTE �Y:''�"ij �NON�2ESIDEN�"G.i'_�
.:'��u`E+dfi1..� o}�2eoi.Ti.SA'1en v o-.i?_Ln�x� t�...vman ..d..-� ...1..,.4k ...E ,. ��ES �iz'S_#e�.� �P pVALUE�� Stti�.'._�! .t.
Land not exceedrg 1(one) aae imrnediately ,i'��r �"��'t,`+i�'�'S,€s�`"�.�2,�„"" ,�`.
surtowd'ug residential imqorertienb. �� � a1C�z�*,t'��`F}���r��°.�A7ro'"����
Olha lard (Z� ?ya,3;3,��?i-;�a:+;";',�i,;;?;�
�'.'.Y:. ;r.,��-,�,li�g
Tdal IarM (I'oie 1 pluslme � �g)
T1: y C R%
4'+a Ln -•i5-i .�-�'!
.lt#-1-�„yf'2`y',FK"' .yv 4' 2tr''�t;:� f..t�;
Residential improvefren45 a Mnually Dweitirg (4) ;j�.,s�Z,�,w����%.?��( r°?��a,S�;s"�
AssessedMWMle/Mar�ufa�4aedHome � e r -e- �t�1'; <� t'R_�s�j `;
� �5� ��.M��irCAt�''��"s'�a:n� >��;
u 'y`e � c ?Y
O�her'vnprovemants (6) `ri� '�'C� ��i�
��,_�#�.�.�
Tdal improvemertls (!me ! Uuough Gne 6) �7�
Tdal value (lirre 3 P� �� � i8)
I liereby certify the above is true. tancd. and Sigra�va of nqsassor Date signed
mmplete.
Vaiy'ug a�m - Sigre¢ae N Nidtar Date signed
• ��.��.vw�wea�S'�`.�t'n'^.t`��rk`.�'%".��":f.-;,�u'�?�:z!�h...-{.,�4�.��.�STANDARD;DEDUC710N�'AL''LOWfWCE.°.�t?Mtk`"k.��'�i�tx�.�tt'2���` "��°�,•�`�. �" •Fa .(tf,R+-r23,y-�
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20 _ Pay 20 _
Lesser of 12 Home�rad
Valuatim or S35,OD0
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sipnahae of /Wditn Date signed