Homestead_Lutz prescribed-By State Board of Tax Ltmnussioners
CLAIM FOR HCi tSTEAD PROPERTY TM CREDIT FOR YEAR 19 g�
• SEE tic/. FOR FILING INSTRUCTIONS
I ••• we) X ( a „ K. i{ ----`7r) • . certify that on the 1st day of
illibh, 19 N'!, I, 4We)Loccupi.od as our principal Place of residence the following described real
perty for which a Homestead Property Tax Credit is hereby being claimed: •
1, (We) E awned
Dare buying under contract
have a beneficial interest in the taxpayer -
Property Description in c.1--n--) County Township
Taxing District (City, &Toom. Township) : •
Parcel Number - or legal description shown on tax statement:
. . ji_daze.-., - 74-t-s- .-._. l_'1-J._ LQY z
v
If buying on contract: Owners name (fee simple owner)
Contract recorded in Recorder's Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (1) acre that
immediately surrounds'that structure is used to produce inane, describe the use and portion of
the property utilized to produce income
Any other counties in which individual awns or is .buying real property: County Township
'•h=ereby certify the above statement is true, correct and complete.
�`*Signature Street Address City, State and Zip Code
*Individual either owns or is buying caner a contract that provides he is to pay the
property taxes on the residence, or has a beneficial interest in the .taxpayer.
. - FOR ASSESSOR'S USE ONLY - •
True Cash Assessed Homestead
Value Valuation . Valuation
Land not exceeding 1 (one) acre immediately
surrounding residential improvements (1) / / '{o 3 So 3 3:0
Otimer Land (2) // /
Total Land (3) // 767 38o /�����A
Residential Improvements Dwelling (4) $it i 9O %
Garage (5) - . — /
Total (6) 3,F'f-9 0 /A5--o o // Soo//
Other Improvements (7) — /
Tc Improvements - Line (6) plus (7) equals (8) (8) 3 'f x-90 //Soo A
I hereby certify the above is true, correct, and complete.
cnature of Assessor Date
- ACTION BY AUDITOR -
Approved: Date:
• ' STATE FORM'3N1 R_/tall ltIASt,tfA FORM TS-IA
APPRO..ED BY MATE RMRO IM'∎CrrltNTS._u.v Plr3TIDm BY TUT OFPMMLYTOr LOCAL r LYMrh7 FINANCE M IAA-2:4.1
Gibson County Auditor
101'N Main 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 eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
fill HEA 1344-7009 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to receise the
benefit and to pmside additional identifying. information necessary to allow county government to better monitor homestead
filing+.This infomation will he Lefty mntidenlial and can only be Arcc set by authorized roomy officials.The Ik7annteni of
Local Goverruaem Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Lutz, Joseph K/ Kristine M
105 N 3rd AVE
Haubstadt IN 47639
8125
Joseph K/Kristine M Lutz
105 N 3rd Ave State Parcel Number Legal Description
Haubstadt IN 47639-8217
Illlliltllllllllllllrlllllllllrlllllllllllllllllllllllllllllll _ 26-19-31-101-000.239-009 013-00239-00 ELPERS NEUMAN 2
PART 2: TAXPAYER INFORMATION
Owns I First Middle Last
Sos e e Li I zAa- LLd-
1 ng Address(n 1 and sweet,city,state,and ZIP code) Same as property address
I05 /U , net& kie , Iace,L i1
c—• # 72 / [ 7 3?
Spouse First ,,n Middle Last
IS r��4-\ re IY 04-i € 1-(4--E 2_
Mailing.Address(Number and street,city,state,and ZIP code) Same as property address
-
MS N. T1, f b� Pje. -w..L.ks tSA , Z n.). 47 63ct —
-
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is Due 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 / Dale
•
PART 4:ADDITIONAL INFORMATION
•
Di3- oo�39- 00
Form HC 10 Supplement '
Wort-sheet for March 1, 1989 Assessed Valuation
®_ HOMESTEAD CREDIT CALCULATION FOR 1989
County Township Taxing District
Name of Ta::payer
U U� ` %� 2�ur rx .L.ti �.L.i • f
Parcel No. or Legal Description
ASSESSORS CALCULATION
True Tax Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre maximum) (1) XXXXXXXX
Other Land- (2)
Total Land (3)
Residence (Dwelling)'- (4)
_ Garage
(5)
. . -. .
Other Improvements .-
(6)
Total Improvements
(7)
Total Land and .
Improvements:
(�)
I he*ytify the above, true, correct, and complete.
SignAs sor
"STANDARD DEDUCTION CALCULATION "' = "•' == -;=�' - --
IC 6- 1.1 -12 -37 provides that a person who is entitled to a Home-
stead Credit is entitled a Standard Deduction. . .
1989 pay 1990
lesser of 1/2
"R" A/V or
$2,500
Amount of Deduction Allowed
1990 pay 1991 1991 pay 1992 Years after
lesser of 1/2 lesser of 1/2 1991 (same
"R" A/V or "R" A/V or as 1991)
$2,000 $1,500
Signature f t�o)DROR