HomeMy WebLinkAboutHomestead_LundeenIN
0 CLAIM FOR HOMESTEAD PROPERTY. TAX —'. FORM YEAR
CREDIT/STANDARD DEDUCTION' HC10
0 State Fort, 5473 (R614-03)
Prescribed by the Department of Local Govemmenl Finance'
INSTRUCTIONS: See reverse side for fifing insiniction,s' 1".
I (we) A KX "e"' 1 " 'j j y tierlTy that on the 1 st Fay of march. 20_
as our principal place owing described real property for which a Homestead Propftiax UnWitMeby claimed:
-.6
1 (We) occupied place Jresidet�h�fll
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 propeFPyphis buyiyApndler a contract.
If buying on contract. Fee Simple owners name
Recorders office where contmet is recorded Record number iPage
RO.ERT.y.'1jESCkI0,Ti0
County
Township
Taxing distri ty w i
9
, La�
rs the property in question:
prop K ❑ Mobile Home (I.C. 61.1 -7)
It 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.
k(50TkTY,6WNE6BY CCAIMANT 19 OTHER-COUNT[ks�f
County Township -
Township
hereby certify the above statements are true, correct and complete.
natur ant
mber and street, city, state, ZIP.code) V
17
q
S
VTRUE TAX r-!,,-V:-.
ASSESSEDNALUE
2"�iVALIJIEVO-�
Z-!C- —
Signature of A"dhor
�Ajjqqc/VOFWW
,NOWRESIDENTIAL
'Eft
Land not exceeding 1 (one) acre immediately
-41.
surrounding residential improvements.
Otherland
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
-A;
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
-5
Total improvements (fine 4 through fine 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
I
z:STANDARD.DEDUCTION ALLOWANCE --`%
20 Pay 20
Lesser of 112 Homestead
S
vaivatton or 535.000
Signature of A"dhor
Da
t Hilt r0RM'!!M IP: •NI 11U-iSI1liRFORM 15-IA
.AFFRWEn BYsisal BONED 0FMfkitS.]mI PRraW6may 111E DEPARfl '4TOF LOAL C0V20.NMFAi m eANeE ICtrI,I-_J.I
Gibson 1 N Main IMPORTANT Auditor
10 IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than aser for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to remise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings-This information will be Lept confidential and can only be accessed by authorized county officials.The I)epanntent of
Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Lundeen, Phillip W/Bonnie G
It 3
Oakland City IN 47660
8648
Phillip W Lundeen
7314 S Division State Parcel Number Legal Description
OAKLAND CITY IN 47660-7746
26-20-14-303-000.078-002 015-00078-00 PT SW 14-3-91 AC
• PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
it(t Lut� tk �)
-'Ong Address(number and street,city,state,and ZIP code) _ — —- — -- —❑ Same as property address
`t3t� 1) �S(O 1'2 44 2 F F-- c)itOC ‘> &n—c S ) c-i (° o
Spouse First Middle Last
-22e t--s F-5 k b
Mailing Address(Number and street,city,state.and ZIP code) n Same as property address
� t`A• `? `� ✓\ Sto Sd2ca-C r"A t' tr°*, r(J '11
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.
Os 1 Si at c Date
PART 4:ADDITIONAL INFORMATION •