HomeMy WebLinkAboutHomestead_Lentz MIL FORM!'vn nl/,-0 TREASURER FORM sIA
.APPRIWED BY clATE MkRO(W ACCOLNrx._'(IN PR/SCRIM)BY nn DFPARTtEMTOF LOCAL GOVERNMENT FIANCE lc i.t-r.a.i
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to nnc homestead standanl deeduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes hider tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying informatmn recesstry to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only be accessed by authorized county officials.The Ilepanment of
Local Government Finance will use this information Co create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name • Property Address
Lentz, Robert J Jr/Jennie L
RI Box 221 A
Oakland City IN 47660
4754
Robert J Lentz Jr.
10447E 250 S State Parcel Number Legal Description
OAKLAND CITY IN 47660-8431
III I I I I I-I-I I II III I I o III nI 26-13-26-200-001.337-006 003-01337-00 PT NE NE 26 2 9 4.85 AC
n
t o nt t nt n tar u u u u n t o tr C-1
• PART 2: TAXPAYER INFORMATION
Owner 1/.,1 First Middle Last
/rfOS Fe( Vf /±M/5-S rENl
SwgAddress(number and street,city,state,and ZlP code) ----.U.Snmens property oaarev— ----- ----" —
/OYCI7FA-sr ri ,OLc7-2/ o. ,��ft-4143 c/7 /N V7560
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as property address
/OY4. 7Fits,- so sauz-( o4tcR-A-14 CITY /,c/ y76)
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 Sign ere Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX FORM �� YEAR
CREDIT /STANDARD DEDUCTION Hc�o
State Form 5473 (De / Department Prescribed by the Department of Loral Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
-i =_ 4, =r -_ �Tl, - _. �.�,„,�:E. ; t.- �•"'k�.'"y 7 °kCERT1FICATION STATEMENT -- .q..:•<:= AP
I (We) r ceni(v�,�yh /apt on th�1 day of March, 20
(We) occupied as our principal place of reside a following described real property hick a Homestead%Prb ey Tax( it is hereby claimed:
(VJa) owned ❑ Are buying under ,tract GIBSON COUNTY AUDITOR
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.
CONTRACTRECORDED�'
a:sc
If buying on con"ct. Fee Simple owners name
Recorders office where contract is recorded Record number Page
�:�. ^ dam" -�•� �: f�- ... 5± i� h "Y"�jry�E` '"' ,•sfF i.1.• a..
. �i�"`•" C?,..• r :�°r��,'�.'�'�+a:!:.�.��`.'_��. PROP .ERT,Y:DESCRIPTION'•.;4,`vryr.V
County
Tmvnship
)
Taxing distn city, z= ;L4
Parcel number
3"
Legal description l�/J�1 Is the pm in question:
• t�
�� / / £ p? }•%- eat property ❑ Mobile Homo ( /.C. 61.1 -7)
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. i� 5 a
Other land
- R' -
��sfxtsY��'�""d "' #e��'�1= X�P,ROP.ERTY.OWNEO''BY CL' AIMANT� .IN.OTHE000NTIES�������ti��`r
County
nship
County Township
1 hereby certify the above statements are true, correct and complete.
S%rfitdre of claimant
res- n ber and s et. city, state, ZIP code) yv �.C.
- 'l'tASSESSOR�l1SE ONLY'`a '"
:�u+TRUE TAXI'
ASSESSED VALUE
!Igo. TfV
,HOMESTEAD
c VALUEE -:j
�NON�RESIDENTIAL
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
`
.>
V?
^ o i'1
V r y
Ja46), CAu • UU '1 7 02Q
Tdal land (line I plus line 2)
(3)
IResidentiel improvements or Annually
Assessed Mobile I Manufactured Home
Dwelling
Garage
(4)
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(T)
Trial value (line 3 plus line 7)
(6)
1 hereby certify the above is We, coned, and
complete.
Signature of assessor
Date signed
VedWg action - Signature of Auditor
Date signed
, STANOARgOEDUCTIONALCOWAMCE ;r �`'
�'�' - •`''`
20 _ Pay 20
low Lesser of 112 Homestead
Valuation or 535.000 S
Signature of Auditor - Date signed