Homestead_Lutz (7) a
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Gibson County Auditor IMPORTANT NOTICE-TO HOMESTEAD PROPERTY.OWNERS..' •
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llht�s1111Street Individuals and harried couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
g J ILEA 1341-200 them is more avers who receive ever the homestead tread.d deduction fraud u cavts nigher are bills for to r therefore.ivthe
• 1 IIIi.1 137#-IW9 requires uvparen u�iu rtc:ne;hc homestead..Iandanl deduction 10 lerifi�that they are eligible to receive the
C benefit and to provide additional identifrinu inliumawm necessary to allow county government to baler monitor hotreacad
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Depanmect of
Local Gosemr:xnt Finance will use this information to create tools that will help county officials eliminate homestead fraud.
APR 1 8 2012 • PART 1: PROPERTY INFORMATION • : ' .
C Taxpayer Name Location Address
Lutz, Jeffrey L
GIBSON COUNTY AUDITOR 301 W MAKEMSON AVE
- - PRINCETON IN 47670 --
1231
Jeffrey L Lutz 11 LIii_Liii 01101011101110011101 1111 011 11.1111.101110101]1100101011101111
301 Makemson AVE
Princeton IN 47670-2931 •
11I1Illhll'IIIl11II1III11I"I'I'I1I'I'I1'1II'1111IIIIIIIII"I'I State Parcel Number Legal Description
26-12-18-103-003.310-028 PT NW 18-2-10.52 AC
•
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION ., -
.er� First Middle Last
Mailing Address(number and grim.city,state,and ZIP code) E Same as property address
3oI / �
Spouse First Middle 7 Last
3544:7—
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address .
Social Security Number(last.digits) Driver's License State ID Number (last 5 digits) Other(please specify in Part 4 below)
stile
- 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
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date /
•� •
. -
da �°3 i CLAIM FOR HOMESTEAD PROPERTY TAX ' FoRM YEAR
3��� CREDIT/STANDARD DEDUCTION - HC�O
�.,,'� State Form 5473 (R2 / 5-92)
yu . . � � � ' . . "
INSTRUCTIONS: See �eveise side lor liling instructions.
ni
certify ihai on ihe ist day of March, 19_
described real propeny for which,a Homestead Property Tau Credii is hereby claimed:
j� 1(We) owned ❑ Are buying under coniract .
❑ Have a beneficial inierest in ihe entity ihat is liable for the property taxes on ihe property and that owns the property
' � - .CONTRACTRECORDED � - �
If buying on conVact. Fee Simple owner's name ' � . /�
N .
Recorder's ottice where contract is remrtled Recortl numbg �D��O a9
A
Counry
- � �� ' PROPERTY DESCRIPTION
Township . . Tauing di5tric� (dry, towq township)
. " P`L.,,�
Parcel number Leg escription
oiq-o33�� �r Nw t�s-a-�u- � . Sa�C
If any portion ot the residential strucwre or the lantl not exceetling one (7) acre thai immetlatety surrounds that strucmre is usetl to protluce income. tlescribe ihe use antl portion
of Ne property uUlized to produce income.
s
ASSESSOR USE ONLY TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL
� VALUE VALUE VALUE VAIUE
Land noi exceeding 1 �one) acre immediately
surrounding residential improvements. (�) -
Otherland (p) -
Total land (line 7 plus line Z� (3)
Dwelling (4) �
Residemial impmvements �-
Garage (5) � �
Oiher improvemenis (6)
Total improvemenis (line 4 through line � (7)
7ota1 value (line 3 p�s line � � (g)
I hereby certify the above is true, correci, and Signawre of Assessor oate signea
camplete.
�ng action - Sgnature of Audimr Date signed
L
79 _ Pay 79
Lesser of 7/2 Homesiead
Valuation or 52.000
of Auditor
STANDARD DEDUCTION ALLOWANCE
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