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Homestead_Lutz .. Sl V E IDRY 99+IICf rwl }Prn4RR 1801 31A A?Mrw En BY snit IXNPD or An-ousts,sow fAESAiBm BY tin DEMMTfE.Yf OF LOCAL COVER.MNrTn FINANCE MH.1-t_4.1 Gibson County Auditor 11 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N PRINCETON IN 47670 Individuals and married couples are limited to one homestead sundani deduction.As the receipt of this deduction becomes more beneficial,there is more incentive than ever for homestead fraud_Homestead fraud causes higher tat bills for all:therefore. • HEA 1344-3004 requires taxpayers who receive the homestead standard deduction to verify that they am elicible to receive the benefit and to provide additional identifying information neerssary to allow county government to better monitor homestead tiling.This information will he kept confidential and can only be accessed by authorized county ollicials.The Depanment of Local Government Finance will use this information to create tools that will help colmty officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Lutz, David A 401 S Race ST Princeton IN 47670 3030 David A Lutz 401 S Race ST State Parcel Number Legal Description Princeton IN 47670-2507 ItIttIIttrItIIttItttII1t rot t1r1t 1t1r11rtt 1tt t••. 11111111 26-12-07-401-002.774-028 019-02774-00 PT SE 7-2-10.16 AC PART 2:TAXPAYER INFORMATION Owner I First ,�l Middle r Last nflufi Ai /eh 1� U-(-2 e Address(m:n:bc cod s city, -,and ZIP ode) - ❑ Same as property oddress _ • r� n Spouse' First Middle Last Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as property address -—Social Security Number bast 5 digits)- -Drivers License/State ID Numb-at-Oast 5 digits)-- -Other(please specify in Part 4 below) Stare 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 unlati Ily,he or she may be liable for h \taxes and substantial financial penalties. Owner PSignaiure Date ��a d�p•4 CLAIM FOR HOMESTEAD PROPERTY TAX xr`` y ' CREDIT/STANDARD DEDUCTION :`+�� State Form 5473 (R2/t-90) '°,• INSTRUCTIONS: See reverse side lor liling inst�uctions. ��/�'� FORM YEAR HC10 CERTIFICATION STATEMENT ��.p_�1,� I(We) _� certify.that on the 1st da�df fdla�rch'9�9�� (We) occupied as our principal place of re dence the foll ing described real pro9�y for w�ch omestead �'roperty Tax Credit is hereby claimed: I(We) owned ❑ Are �$�Ti@f�i�ontract � 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. CONTRACT RECORDED If buying on contract. Fee Simple Owner's Name , Recorder's office where contract is recorded Record Number Page i nty township) rarcei Numoer �e escnpuon , - �� ; s� 7 - � --la , l�� If any portion of_the �esidential structure 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 utiiized to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES ` ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON•RESIDENTIAL . VALUE Land noi exceeding 1(one) acre immediately - surrounding residential improvements (�) Oiherland (2) Total land - line (1) plus line (2) (3) Residential improvements - Dwelling - (4) - - - � Garage (5) Other improvements " (6) Total improvements - line (4) through line (6) (7) 7otal value - line (3) plus �ine (7) (8) I hereby certify ihe above is true, Signature of Assesor Date Signed correct, and complete Verif ing Action - Signature of Audilor Date Signed ^ � STANDARD DEDUCTION ALLOWANCE 1989 Pay 1990 �r of t/2 Homestead duation or $2,500 1990 Pay 1997 Lesser of 1/2 Homestead Valuation or $2,000 1991 Pay 1992 Lesser of 1/2 Homestead Valuation or �1.500 19�� Pay 19� Lesser of 1/2 Homestead Valuation or $1,500 � — of Auditor � Date Signed