Homestead_Grubb (3) STATE FORM 53 W IR_!YMI TREASURER FORM IS-IA
APPROVED BY STATE BOARD IN.MY11 M[,Yin PREYTTmnY n 1r DEPARTMENT OF UEAL CAI\TR.VMLTT FPA\CE IC S-I.1-r-!.I
Gibson County N Main u nty Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couples arc limited to one homestead saandaml deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ner for homestead fraud.homestead fraud cause.higher tax bills for all:therefore.
HEA 1344-2000 requires taxpayers who retire 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 he kepi confidential and can only he accessed by authorized county o0'mials.The Depanmmnt of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Grubb, William D/Kathy K
R 2 Box 183-e
Ilaubstadt IN 47639
8328
William D/Kathy K Grubb
1543E 1025 S State Parcel Number Legal Description
HaubstadtIN 47639-8026
IllIllllllllIllllllltIlIlllllIIIIlllllt III'�IIIII II11��t�n�rl 26-19-32-101-000.406-024 ELPERS SUB DIV 2 D-9
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Mil/Am V Ge44
-
tg Address(number and street,city,state,and ZIP code) _ -- Same as property address - - -�
,?
Spouse First Middle Last
Ks-/A y K Grkh (
Mailing Address(Number and street,city,state,and ZIP code) faSgne 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 be liable for back taxes and substantial financial penalties.
4tzfS nature j Date
•
�.)aLU Vl aan uu�uu��iv,icia
CLAIh1 FOR H0�'�STFAD PROPERTY TAX CRmIT FOR YEAR 19 ��
�•' ,'-,�e) � ��SEE SACK FOaR_ FILIN6�^ UCT7\ S �1' Y
/�-�— .w. L� f{u•�.-0�..� . oerti that on the lst da of
�=h, 14 , I, (We) occimied as our princioal Dlace o residenoe the follv,aing desciiUed real
nmperty ior which a Fi�restead ?roperty Tax CYa3it is hereby being �� a; �;.// J� �,/
i, (we) ��� a�- �9-�a-ioi- oo •'�� �D Y
� are buyinc? urrier contract �� ! -m� ��`� —�D
� have a beneficial interest in the tamayer . /
Prooerty Description_ in G � 8 S e^I co,mtY d � N�l So �/ �,�,,�,st,in
Taxing District (City, Twm, ZbwrishiP) : ��
Pazcel thanbes � or legal description shown on tax statarent:
.�/,Qers �4�6 ��v �CeTa .S//�t
If buvino on oontract: Owners name (fee simole ownes)
Contract recorded in Re�xder's Office - Record No. Page
Zf any oortion of the residential structure or the land, not e�eedincl one (1) ac-re that
imnediately surro�s that stn�ctise is used to produce incane� describe the use arrl portion of
the oroperty utilized to pxvduce ircotre
Pny other mwzties in which individual aans or is buying real property:
.--�_.
��_rehy certify the above staterent is true, �rrect and cong�lete.
N� . ��P
*Signature Street Address City, State and Zip Code
*Irxlividual either owns or is buying imer a wntract that piovides he is to pay the
oroperty taxes on the residenoe, or has a beneficial interest in the taxp3yer.
. - Ff1R ASSESSOR�S USE ONLY -
True Cash
Val�
Larrl not ex�ing 1 tone) acre inmiediately
sisro�ling residen`�ial i�zvvvetents (1) .SO�O
orher Lana t2�
Total I,and
Pesidential Inprovarp�nts
orher I�mvane�ts
Dwelling
Garaae
�r�
(3)
(4)
(5)
(6� 3S3 yo
c�� —
Tc ' I7romvemnts - Line (6) plus (7) equals (6) (8)
T,heseby certify the above is true, correct, and aarmlete.
�rov�:
- ACTION BY A.UDIT�R -
Date:
Assessed
Valuation
SO o
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