HomeMy WebLinkAboutHomestead_LutzFOflM HC 10 1979
PrescriEeE By S�ate Bwrtl ol Tax Commissioners
To Be FileE in Mpliwte
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOA YEAR 19 �9
SEE BACK FOR FILING INSTRUCTIONS
��Ne) � o ' x''L �-�-���- X• certify that on the 1st day of
March, 19 �9 , I, e) occupied as our principal place of residenc the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned DO� -a�a�3
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in �--<-�r- County O�°-"�''� Township
Taxing District (City Town Township): ��z-�-
Parcel Number or legal description shown on tax statement:
��. /UE '�.t� / 9 - 1- io � �s/� � i N )
If buying Ofl contract: Owners name ��� s�moie ownerl
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income,'describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
h�reby certify the above statement is true, correct and complete.
�,' �
Fh�ral Route
Sveet Aoaress
County Township
anE Zip Coae
Individual either owns or is buying under a contract tha[ provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land � �
Residential Improve�fents � � �
JU�? 1 3 1979
Dwelling
Garage
Total
Other Improvement� �������
r
.T� �provements - L (6) plus (�����5 (8)
�
�•.,,.. �y certify the above is true. correct. and complete.
Signawre oi Assesmr
True Cash
Value
(t) /%So
(2� /io
�3) / SLo
(4) /s�J (o 0
cs) —
c6� ��y�o
(�l `f n
(g) /� o o c�
- ACTION BY AUDITOR -
Assessed
Valuation
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Date
Homestead
Valuation
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Approved: � ^�_�,`'I Date: / �3=%�� � �—
►
•
Gibso� Caunt; Auditor
101 N Main
PRINCETON IN 47670
1950
9niEM0.N!IMIR�/wp
TCfANAfAfU0.V :}I.�
InJn�iJuaL.� anJ nu;riN couplr� are limi�cd to one home�ead �andard AeAu.�ion. As Ue �ttrip� ol'thi> du:r;�bn brconres
murc beneficial, there is morc incenenx ehan r�er for homo�eacl fraud Homs�ead faud ouses higher iai bills (or all: thercfore.
HEA IiA!-?009 «quim inx�urm v:ho rcccive the hwnesteaJ standarJ JNuc�ion in veri(y ihai tAcy am eligiMC m mtci.e �he
benefi� an1 ro pnn�idr a�Wiiiunal iUemii�'in_ informatmn near.a�n� ro allw� rounrv ga'emmrnt ro bever monitur honxs�eaJ
filin�,�. This infnrmalinn w�ill M Aqv ronfiCemial and r,m nnly M� aere.cud by authorizcJ rnunlr n�icialti.'fhr IXpanmrn� n(
I_ocal Govemmem Piwme �vill u.e �his informaeion �u crcam [wls �hai a'ill heln munm off alz dimini�e Ix�mevmad inuA
Bill Lutz
1521 S 50 E
PrincetonlN 47670-9268
�i���������i��n�ni���ui�i������i�����i�n�in�i�ni���u�i�
T•rzpa�•er Name
Lutz, Bill J Trust
S[ate Parcel number
26-12-19-200-001213-027
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Prnoem• Add ress
HGTS Cha�l HD
Princeton I\ 47670
Le�al Description
006-01213-00 PT NE 19 2 10 3.4261 AC
D70
1 1
Owner I First / Middle - _ � , Latl
�t�f!/
g Audrtst (numbei �d svue, cirv. siare, and ZIP <odej ` - -� Same as pmpe�uidrev --� ., -
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2 S' - S O G �
Social Sccurit}' Number (Ust i dieeLS) Driveh Licnix�5tate ID Nmnber Qav 5 digiL) Other (pleuc specify in Part 4 below) (
�
Middle ' Last
/ T �%(%t/ (_ ���
Mailinc .Address (NUmber and sVCet ciry', slate, nnd ZIP cuJe) � Same as pmpMy addres� .,
Social Sccurin� Numbcr (lazc 5 digitt) Drivers Licc2cGStaec ID Numbcr (1az� 5 digils) Oihcr (ple�cc spccify in Pazt ? below�) '
sme
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Each undersiened certifies, undzr penalry of pepury, that the above and foregoing infortnation is true and colrzct and that he or she is elieible to
recei��e the homestead standard deduction on this property. Each undersiened also understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penahies.
Own<r 1 Si�ma�ue Uatc 7'clephmc i,
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spou ��a�urc [Y„c rc�cpnorrc �
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