Homestead_Gritton STATE FORM 53565(R3/.It) MEASURER FORM TS-IA
APPROVED BY STATE BOAR)OF ACCOUNTS.EOM PRESCRIBED BY THE OEPAROMEVF OF LOCAL CAVIA\MENT FINANCE.IC 6.1.1-224.1�.
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street - Individuals and married couples are 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 causes higher tax bills for all;therefore,
j HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
Ash
•
- -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
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
• Taxpayer Name Location Address
Griffon, John C/Jennifer L
- - �� 10324 S PHEASANT RUN
-
HAUBSTADT IN 47639
2312 IIII IIII IIII
John C Gritton 11111ElIll Bill ill II11111_II�01111 II_IllBillII_II�I�1101l II III_�II�II�I�I�Il II
10324 S Pheasant Run
HAUBSTADT IN 47639-8619
IltllliIlIiIiiIiii 1111"II'11"Ii iIiiIlliiIiliIIIIIilIitll""I'i State Parcel Number Legal Description
26-18-36-300-002.183-024/ HUNTERS CROSSING 2 LOT 17
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.
Spouse First Middle Last
•
Jeittufer LoimSe Gr;k{-011
--Mailing-Addles- (Number snd-street,city;state,and ZIP code)-_—"— - .® Same as propertyaddress— —_� ._.__
0
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. -
CLNM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5173 (R614«4)
Reaaibed by Me Departrnenl d Lazl Govemment Finance
INSTRUCTIONS: See ra�arao td7� py k�p ieetryc8lpr�s
� �rve) �� �
I(We) oaupied
wntract
' Have a benefidal interest in ihe entity that is liable (or ihe property taxes on lhe property and ihat owns the property or is buying under a conUact.
If byvg on coniraq, Fee Simple owners name
Recaders olfice where corNad is recaded
���g"�{iaE.��'������ht��.��
County � Tawnship
ParMcel n`umber egal e;
W —� �
H any ponion ot Me resiAential sW clure w the land nW
ot the properry uWizeO b produce income.
� i n -�.' v n ...
one (1) acre �hat
ia�ing a' ' t (riry,
Is Ne pro�
/
liatety wrrounds Ihat
?�_n.��
Record numDer � Page
tawnship)
al properry ❑ Mobila Homo (I.C. 67.7-7)
is used to praduce income. describe Ne usa and portion
� � -t '���'x"'�`�` �`E"�`�'�'''°� :y� � ��y .TRUETAX��. �ASSESSED VALUE ° HOMESTEAD�� '`�i NON�`-RESIDENTIAL a*"`�
�-'� ASSESSOR USE ONLY�- � �' �`5`VALUE
-�' -� '�"� `��������r� i�` VALUE,'`.u.-t�4'�� "ATS700°k'OFTN E'�r -s:,VALUE�'{.� k��:�s. i r,•- �r���
x',_ a ..:.xUa�4�;T"�i .r il�w.. �,�... �'�.a4�r,. .....c�_ <.r'-k,,;... .. � ',;;'i`
Land not exceeding 1(one) acre immediatety ��7 �, �'�� � ��"�" r���
surtounding residential improvements. (� � •� °-"'""ri�`� k��`���'= }��
.. :�3 }� �.='t' .-;�`S•
. �.:k„a��:3�--��'.-zs� � .
Otherland 2 i _':'==`�Y:•. s�
( ) �;��=��'
��,,,..�.r'1�:_z�s
Total land (line 1 plus line 2) �3)
Owelling (4) 3`�e ,��.���������� �
�Residential Improvemenfs or MnuaOy �
Asae�ed �b6Be / Alanufadured Fiome Garage (5) �',`���''�rr'r �� '��''
..ic.i';�c�w����r� .���
Other improvements (6) �;� ����7� y ```-a
s:
Ttlal improvemenLs (line 4 fhmugh line 6) (��
TUaI value (line 3 plts line n (g�
1 hereby certify the above is We, corred, and Signamre orwssessor Date signed
complele.
Vetilying action - Signature of Auditor Date signed
20_Pay20_
Lesser of t/2 Homestead
veivauon a f35.000
5
Date signetl