Homestead_Gries (5) MATE FORM!MN 02 YMI TREASURER LOIN TS-IA
APFKTW'EO BY ST,TL B(MROOF NTVti.\Ta,9r PRFYIt®EP BY nil DEPARTMENT OF LfR:AL GOVT.-WET FNANCEMe-l.I--_I.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 standard deduction.As the receipt of this deduction becomes
"\ more beneficial.there is more incentive than met for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
INF HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to prucide additional identifying information neceisry to allow county government to better monitor homestead
filimo.This information will he kepi confidential and can only he acceu.ed by authnriied county officials.The Department of
Local Government Finance will use this infomlation to create Owls that will help county official'eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Gries, Paul/Mary Jo Trust
R I Box 355
Ilaubstadt IN 47639
1663
aul/Mary Jo Gries Trust
11652 S 300 W State Parcel Number Leal Description
Haubsladt IN 47639-8742
lriuiiutitiiruriititinlnitintirinitIriititintitiniirl 26-22-10-400-000.400024 4 000-00 Pi Sw&PT NW 10411
154.25 A
PART 2:TAXPAYER INFORMATION
Owner I
First Middle Last
12A L c , ',,çgs
,iAddress(ntunher mid street,city;stet=and ZIP code) - — - - - Same as property address-- — -
I 6s a s 3 0 0 W yfl CBs 74 DT -z'N 1/7639
Spouse Mary Jo First Middle Last
Gc;
Mailing Address( umber sir city,state.and ZIP code) rune as property address
/l/Ca—s 3Oo 14) Nag 6sfaaft Z' N V7639
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
0 1
�•• ^�"n
e/ ' " °s
y;. �:,
uu
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (R2 / 5-92)
INSTRUCTIDNS: See reveise side lorliling instructions.
FORM
HC70
YEAR
�I:IWe) _LSB,�=�LQSIY_1 �C� 7� J J� y.n� certify.thMbh t� f3t daj�Tlf March. 19
��) occupied as our principal place o iden e e fo�lowing described real property tor which a Homestead Property Ta�c C�e�lii is hereby daimed:
J,; ( L
I.J I(We) owned .❑ Are buying under contraci ,__� .., , l�`ty �
❑ Have a beneficial inierest in ihe entity thai is liable for the property taxes on the property and that owris the prbperty' o"r is btrying , a nhact.
� � � � - � CONTRACTRECORDED - � -
If buyug on contract. Fee Simple owner's name
Recordefs oXice where contraci is recorded Record number Page
Counry
Parcel number
' � PROPERTY DESCRIPTION
Township ��g disirict (�
legal description
P�s�e,dP� xt� ��,_.,_�i
It any ponion ot the residentia� stmcmre or me �and not ezceeding one (t) acre that
of ihe property utilizetl to protluce income.
that struaure is used ro
� PROPERTY OWNED BY�CLAIMANT IN OTHER COUNTIES �
County Township Counry Towns�ip
by certify the above statemenis are true. correct and complete. Signa� aimant ,
I
Address (number and s7reet, city, state. ZIP code)
�he use and portion
ASSESSOR USE ONLY . TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL .
VAIUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediately
surmunding residential improvements. (�) '
Otherland (p)
Total land (line 7 plus line Z� (3) �
Dwelling (q) �. . .
Residential improvements
Garage (5) .
Other improvements (6)
Total improvements (line 4 fhrough line � (7) .
Total value (line 3 pbs line 7� (g�
I hereby certify ihe above is lrUe, correct, and Signature ol Assessor Date signed
complete. �
Verifying action - Signamre oi Audimr Dare signetl
� - �STANDARD DEDUCTION ALIOWANCE
19_Pay79_ .
Lesser of 1/2 Homestead
Valuation or $2,000 S �
Signatu e Auditor 1 � \ Date signed
�QN� �-V
J'