Homestead_Grimwood r SUT[FIRM 914-.'P3/'-l01 IRSASURLA WAN[5-IA
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Gibson County Auditor • IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street Individuals and married couples ale limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud Call rs higher tax bills for ell:therefore,
• HFA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to teethe the
bendit and to preside additional idcntifvim_inhumation nccssan'to allow county govemment to better monitor homcvead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
local Government Finance will use this information to create took that will help eonnn'officials eliminate homestead gaud.
PART I:PROPERTY INFORMATION
Taxpayer Name Location Address
Grimwood, Clarence R/Sharon N
2310 W 1300 S
HAUBSTADT IN 47639
9643
Clarence R/Sharon N Grimwood II11fill �Il]fill 111111) �II I111 II-IlltII�II_III�llfill III llf ill II fill11 II
2310 W 1300 S
Haubstadt IN 47639-8669 0
I"IIII�'�I'�Illll�ltlll�'II'�II�IIII'�I'�'�Illlt�llllrl��ll'I'�I State Parcel Number Legal Description
26-22-14-300-001.579-024 PT S SW 14 4 11 .78 AC D-2
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.
_.-----
,r 1
-
First Middle -_-_ Last
1 ci.ret-)0 R. � ri Yv, 016
Mailing Address(number and street.city,state,and ZIP code) Same as properly address
Spouse First Middle Last
, h01. ron
)Mailing Address(Number used react,city,sate,and ZIP code) Same as property 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 liable for back taxes and substantial financial penalties.
O .air Signature Date
•
//
�E p•, CLAIM FOR HOMESTEAD PROPERTY TAX FoRM AR
d�
:3'�" y : CREDIT/STANDARD DEDUCTION HC�o
�•.,��� State Form 5473 (R2/1-90) ,
INSTRUCTIONS: See reverse side �or filing instructions.
CERTIFICATION STATEMENT
J
I(We _ __ ify that on the 1 st day of March , 19 �
�i (We) occupied as our principal place of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: e) owned ❑ Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on� �o���h 1 owns the
property or is buying it under a contract. �
If buying on contracL Fee Simple
Recorder's office where contract
Township
CONTRACT RECORDED
Name
�d
PROPERTY DESCRIp,�ION
APR 1 21°C i
30eY'��S%9 OQ I LegalD cr' t'= ,{�'/� ���/`7 ����"��/l ' /UQ/C
aC I �
If any portion of the residential structur or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
I����
OWNED BY CLAIMANT IN OTHER COUNTIES
�. � ASSESSOR USE ONLY � TRUE TAX VAWE ASSESSED VAWE HOMESTEAD VAWE NON-RESIDENTIAL
VAWE
Land not exceeding 7(one) acre immediately
surrounding residential improvements (�)
Otherland (2) �
Total land - line (7) plus line (2) (3)
Resideniial improvements �Dwelling� (4) � - - - - � - - � - - - -
Garage (5)
Oiher improvemenis (6)
Total improvemenis - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
STANDARD DEDUCTION ALLOWANCE
7989 Pay 1990 1990 Pay 1997 1991 Pay 1992 19—Pay 19—
sser of 1/2 Homestead Lesser o( 7/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,500 Valuation or $2,000 Valuation or 57,500 Valuation or 51,500