Homestead_Greubel •
SIAtE FORM MKIRcI TREASURFA PoLM SIB
ArrR,n'ED BYSTkTL BMRD(s ntr•Rt5T'.2UN PLFJIRIBED BY 111E DEPARME.Yr(rt LOCAL c ER:AUN-T FINANCE IC4-1.I-r-A.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandani deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1544-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing'-ILis information will he kept confidential and can only be accessed by authorized county officials.The Department 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
Greubel, Adolph A/anna Jane Trust
- - -- — - - --- -- — -" — Host I I S -- - ---Haubstadt IN 47639
1973
Adolph A/Anna Jane Greubel
1469 E Warrenton Rd State Parcel Number Legal Description
Haubstadt IN 47639-7942
26-23-17-400-000.386-024 004-00386-00 PT E SE 17410 72.653 AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle ^yirA"v `I\ Last
Cis �t4k r /U
g Address(number and street,eiry state,and Zi?cede) _ _ _ _ _ ;r Sams as property - " —_.___
Spouse First Middle Last
0t
Mailing Address(Number and street,city,state,and ZIP code) AI Same as propem address
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
FOflM MC 10 1979
ReSCriEed By Sure BoarE of Taz Commissioners
CLAIM FOR HOMESTEAD PROPEATY TAX CREUIT FOR YEAR 1922
which a Homestead
SEE BACK FOR FILING INSTRUCTIONS
Property Tax Credit is hereby being cl�med:
o�'� �33 � �
I, (We) ❑ owned /�a
❑ are buying under contract ��
❑ have a beneficial intere in the taxpayer
Property Description in��c� County
Taxing District E6it�y; Tewn-Township):��-� _-�-•-3�
Parcel Number
^ If buying Ofl contract: Owners name ��� simv�e owner�
To & FileE in WD���are
- certify that on the 1st day of
ov�ing described real property for
� -�oa. 3�G- 6� �
- 40,��� Da
Township
or legal description shown on tax statement:
Pf. L a SE � /7-v-�o 7�7.�3.��+s
Contract recorded in Recorders Office - Record No. Page
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.
�2�.c'L/P�� � i<yY��(l�C / 1 �oG -� ��
County
,
Township
y��
' Street Aaareu Ciry. State ana Zio �e
�3- �9
Individual eith�!� o is buying un er a contract that provides he is to pay the property taxes
��i►th r idence, or has a beneficial interest in the taxpayer.
� � �
- FOR ASSESSOR'S USE ONLY
� �g�9
tv�P� �' a
Land not exceedi�l �ine ately
surrounding res�tiaJrrmprove nts
Other Land ��
Total Land
Residential Improvements
Other Improvements
True Cash
Value
(�) .�-a o
(2) / 5� / [o 0
(3� / S/ [�-!� �
Dwelling (4) �1 -s-/ o
Garage �5> °? 8 °
Total �6� ? 7 9 °
(7) lo !o c
T i' Improvements - Line (6) plus (7) equals (8) (s) %o y,5 0
I��y certify lhe above is true. correct. and complete.
A55¢SSOr
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
3zo �c
�
�
S=�?/-��j
Date
Approved: (,c� F�( /_`�?��( Date: �_�.�^; �9 7 %