Homestead_Gruszewski - - RATE tORM 535e4 nCI'M, TREASURES RAN 73-1A
.ArrgrwEn PT RATE IXMROOrMRI.ST1.Jm PR1 AJBI9 BY T11E DEPARTY@YT6 LOCAL GOVERNMENT FIANCE IC -t.1`-J.1
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 ester for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
• REA 1344-2009 requires taxpayers who receive 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 infounation will he kept conlidential and can only be accessed by authorized county officials.The Depanntent 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
— s - - - - - - --Gruszewski, Steven/`L'aria"L-` - - - __ _ -
s -OW haxrC.
911 add,Uo
Haubstadt IN 47639
11000 - i
Steven/Lana L Gruszewski 0 1
0-746 E Warrenton Rd \ State Parcel Number Leaal Description
HaubstadtIN 47639-7944/1
26-23-16-100-001.592-024 004-01592-00 PT NE SW 164101.00 A
Ir(rt(Irtr(r(Ittrr(It(t(ttitrt(Ir(tt t(tr(t(t r(r(r r(r I(Ir(rrt(I
D-9
PART 2:TAXPAYER 1NFORMATIOV
Owner I First Middle Last
•
SVC V ern 5oselph 6Y°stewsk t
®
M
al], ol
tg Address(number d street,city,state,and ZIP code) - -- Same ns property address — — — -" - • -- - -
i14to E Warren-ken Rd , Ncuf osFad4 , Sir 471G3cl
Spouse First Middle Last
•Lana Lout se Gr vszewskk
Mailing Address(Number and street.city,state,and ZIP code) Same as property address-
114U g Warre,ntcn
PART 3:CERTIFICATION
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
unla r y, - or she may be liabl- ack taxes and substantial financial penalties.
•
iirncr 1 . nn �� Dale
•
�
d���, CLAIM FOR HOMESTEAD PROPERTY TAX
�� �� ' CREDIT/STANDARD DEDUCTION
d� -�...y : .
� :� State Form 5473 (R2/1-90) � �
.'°° ` INSTRUCTIONS: See reverse side lor /iling instructions.
CERTIFICATION STATEMENT'
FORM
HC10
�
YEAR
�
I(We)�Q/1� �t � certify that on the tst day of March , 19
'(We) occupied as our principal place of residence the foll g described real property for which a Homestead
Property Tax Credit is hereby claimed: I(We) owned ❑ Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract. ��'�T '� �
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where coniract
PROPERTY
n
township) - -•
arcel umbe Legal Descri ti n /
�0�—Q�SS'�-o0 , , ��- �/-/D /Q,c�_
If any portion oE the residential struciure or the land not exceeding one (7 ) acre that immediately surrounds that struo-
ture is used to produce income describe the use and portion of the property utilized to produce income.
-�r.�-ii„-iuii-
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTI
Township
hereby certify the above siatements are true. correct and
(Street. number. city, state and ZIP code) "
;� a.. � a.�,�,b5(Ztr,( �: �+,� � 7 G 39
ASSESSOR USE ONLY , TRUE TA% VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 7(one) acre immediately -
surrounding residential improvements (�)
Oiher land (2)
Total land - line (1) plus line (2) (3)
Residential improvements Dwelling � (4) � - - - - - � -
Garage (5)
Other 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
1989 Pay 1990 1990 Pay 7 991 1997 Pay 1992 7 9_ Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 7/2 Homestead
Valuation or $2,500 Valuation or 52,000 Valuation or �1,500 Valuation or S7,500
Signature of Auditor
�■co�v�