Homestead_Lutz (3)-°a� �° CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
3 � CREDIT/STANDARD DEDUCTION HCiO
� State Fartn 5a73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side lor liling instructians.
. : . . : , .. ".••.._• -: . .. -• -'��CERTIFlCATION STATEAAENT." ; � F °::,`��, '� ; . .
. . ., , . . . . - . ..
J (We) .. � .. _ . ..... . .. - � i thai on [ 1 ay of rch 9_ . ...
�Ne) occupi d s our principa ce ot residence e ollowing described real property for which a Home r t� b aimed:
Ii—i I(We) owned ❑ Are buying under contract GIBSON U� TY AUDITOR
❑ Have a beneticial interest in the entity ihat is liable tor the property taxes on the property and that owns ihe property or is buying under a contraa.
- . . • - .. . � -. CONTRACTRECORDED�:-. .,�F... - -p:'� - - - :;.,..£.�
II buyirg on contract, Fee Simple owner's name
Recorder's ottice where contract is recorded Record numDer Page
- . ' � , ' � ' PROPERTY DESCRIPTION ' - .: � �� . . - .""�°�.. - .
Counry Township Taxirg disirid (cRy, rowq rownship)
P•c n ber /� Legal descnption � � — ' ^
' /V� l�
If any portion of the residential struclure or the IarM not exceeding one (t) acre that immediatety surrounds that swcNre is usetl m produce income, descnbe the use arW ponian
of Ne property utilized to produce incame.
� � PROPEHTY OWNED BY CLAIMAM IN.OTHER COUMtES �� �
County Township County TownShip
�reby certify the above statements are true, correct and complete. Si namre c i am
res (number arM street. rity. state, ZlP wde) �
� a`i r 7
• ASSESSOR USE ONLY �UE TAX ASSESSED HOMESTEAD � NON-RESIDENTIAL .
� . .. � � - VALUE VAWE VALUE �� VAWE �
Land not exceeding 1 (one) acre immediatety , � � _ , � �
surrounding residential improvements. (�)
Otherland (p) "
Total land (line 1 plus line 2� (3)
Dwelling (4) � � . � ,
Residentialimprovements . , . '�
Gara9e (5) ..
Other improvemeNS (6) �
Total improvements (line 4 [hrough line � (7)
Total value (line 3 p�s line � (g)
I hereby certify ihe above i5 true, Corrett, and Signature oi Assessor Date signed
complete.
�tyirg aaion - Sgnature of Audiror Date synetl
�
�
79_Pay19_ I
Lesser of 1/2 Homestead
Valuation or $2,000 S
of Auditor
�'�__ '
•
Gibson County Auditor
101 N Main
PRINCETON IN 47670
ll>iE f11R]I �� W I� /!'�M1
.1��R(T'Ef1 PY illll. dl1RUOL W���:\l l Y/w
'T1{FA51:[[A Po0.4:SIA
hWiriduals anJ ma:neJ coupks arc limited io rnie homc,tcad xandaN d:Auaioa As the recripi ol �his dcdc�ian bceonrc::
more beneficial. �her< is marc incrnm'r dun <�cr for homnte;rJ GauA. HomatcaJ frawl nuses hi�her tac tills �o• all: the .forr.
HEA I:7-7-]OlW requires taipacen v�ho reaci�e ihc hwnestead sundard �L�luction m cerify tfu� �6ey are digiWe w mcen.:�M1e
brnent anl ro pnn'iJe xlJiiiunal iJentiirirc� In(umiarwn n Y�ssan� �o allw� euunn� gm'rmmrnl tu benz; mmiior Iwmrs:..xl
filin�. ILi. inlormaiion x�ill I+r li7v mnfidervial anA nn nnlc M� arer..cA hy amhnriiN munty n(IiciaL: Thr Ikpanmrni o(
Local Gwcnmmm fivm'c will um �his in:onmtiun [u crea:e ¢vls iha� �rill h:In �+�i�' uf�ciaL.' climimic Irom<stcal fiai .
3186
Bill J Lutz
1521 S 50 E
PrincetonlN 47670-9268
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ddn.v (numhx wn1�>�.zv. i•ify.-sm�c: and�Zl: .�:.:)
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urity Numbrr �latt 5 dieib) Ihivds Littti�e/Sute I
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Address (Number and slree4 cil}', sWle, and ZIP cale)
Number Ilast 5
Taipa��er Name Prnpert�� AJd�ess
Lutz, Bill J Trust . � j
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Si9 li 7'aflonn Rd
i�/i%� Princemn IN 47670
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State Parcel Number Leeal Descrintion
2&12-OS-101-001.770-027 oos-o1770-0o PT N�' 8 210 .58 AC
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�P o. ��� fi
Nwnbcr (I i 5 digiB) Oth<r (pl�se
L �i %7,
� F.���;.��: _ -i
T� v �� ,�
in Pan 4
� $ame as pmpenv addrcs;
l.umbcr (lasi 5 digits) � O�hcr (plcuc spccify in Part 4 bclow�)
undersigned certifies, under penalty of perjury, that the above and foregoing information is we and cormt and that he or she is eliuible to
:e the homestead standard deducl' n on this property. Each undersigned also understands that, by claiming additional homestead deductions
Jfully, he or she may be liabl�t�back taxes and substantial financial penalties. �
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