Homestead_Buttrum s
STATE FOiSt 53564 STATE BAR TYEASLESIFO-MT$IA
APPROVED BY STATE BOARD OF ACCOUNTS,aYp PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVUMEYT FO(A'C IC 6-1.1124.1
^ Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
• FILED benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
MAY 16 2011 Taxpayer Name Location Address
C.rJ.n Buttrum, Robert F/ Nanette
1738 S 1200 E
GIBBON COUNTY AUDITOR OAKLAND CITY IN 47660
5728
Robert F/Nanette Buttrum lilt 1011110111010I110i110I110011101-III 01011111111111011111111IM01101[1111 111
1738 S 1200 E
Oakland City IN 47660-8112
ll'lil"'I'll'1111"'1lirrr'llllllrll'll"illl'lll'll'llirllltlll State Parcel Number Legal Description
26-14-19-201-000.646-006 PT NE 19-2-8 1.31 AC C-1
!11
5
This forr.l MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
-r �_--__--- —.xAI3T.2.'_TA\PAl'ER.iNFORMATION _
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-
— First Middle Last
P aerA F�uhl� v JUfe 1 Va
Mailing Address(number and meet,city,state,and ZIP code) Q Same as property address
1739 S, Iaoo e oo,KIGvId CI1,{ -Iii, (I)&(,o
Spouse F-ust 0. \ Middle u �� • Last•
ti4 he +4 42.. Yv
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
S A hlfs A- 5
. -
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
,
t [t;
i
s
�1 LL )2./ /7'7 certify that on d of arch, 19
) occupied as our principal place of residence the following 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 under a contract.
CONTRACT RECORDED
If burying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
CLAIM FOR HOMESTEAD PROPERTY TAX
County
CREDIT /STANDARD DEDUCTION
..y'
State Form 5473 (R2/5-92)
1—
INSTRUCTIONS: See reverse side for filing instructions.
t [t;
i
s
�1 LL )2./ /7'7 certify that on d of arch, 19
) occupied as our principal place of residence the following 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 under a contract.
CONTRACT RECORDED
If burying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
Township
T g district (city, town, township)
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
1—
,
6
Parcel number
Legal description
Other land
0_2
II any portion of the residential structure or the land not exceeding one (I) acre that immediately surrounds that structure is used to produce income, descdbe the use and portion
of the property utilized to produce income.
Total land (line I plus line 2)
(3)
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township
County Township
_*aby certify the above statements are true, correct and complete.
Sign a[u o dai ant
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
1—
(number and street, dty state, ZIP
e) 1
vAddress
Other land
M
ASSESSOR USE ONLY -
-
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pUs line 7)
(6)
I hereby certify the above is Irue. correct, and
complete.
Signature of Assessor
Date signed
ing action - Signature of Auditor
Date signed
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
DEDUCTION ALLOWANCE
S