HomeMy WebLinkAboutHomestead_LuttrellCLAIM FOR HOMESTEAD PROPERTY TAX 'f FORM YEJ�R
CREDIT /STANDARD DEDUCTION 10
Slate form 5473 (R7 / 5 W
Prescribed by the Depertrrem of Locel Goramad Fnanee
INSTRUCTIONS: See reverse side for filti7g i nstaschons.
CATION
r'i—(% we) � (JAL' Certify the a ch. 2Ge) ocapied as our principal place of residence the following described real property for which a Hrxnester l� t rued:
I (We) owned ❑ Are buying under Contract -
,J
Have a beneficial interest in the entity dial is liable for the property taxes on the property and that owns One properly or is buying under a contract.
,"W ;}:es : : CONTRACT. RECORDm.r,':
It buyeg on contract, free simple owners name
Recorder's office where cordrad is recorded Record number Page
.. . -, : • . ` -. _.; L&, ; PROPERTY DESCRIPTION •°...
, . , ,' ; ,�. -. "`-'.;
-.: • �. ! . n
County
Tam7dp
Taong
trnm, / )
(nurrber and street city: sate. ZIP Dods)
417
Parcel
L a a
u question:
3
0l / ��
I
Real property
❑ r4obtb H. (I.C. 6.1.1 -7)
N arry portion of the resdenUal struW+e or the land not e,cceeding one 1) adre Mat vro edrately wmxnvds Mal sb cWm is used to Mod" Ytcone, describe the use and portion
of Mepnapa�-# rtim,(ne.
surrounding residential improvements.
.-
. ,.:. .PROPERTY OWNED'BY.CLADIANT Oi:07HER COl17fQ:S - -.. ` ...,
County
Tmnship
County
Township
I hereby certify the above statements are true, correct and complete.
m of claimant
Gt�t4 —
(nurrber and street city: sate. ZIP Dods)
417
l l0 E. Ur n e- 5t PA- 7- oK ?9 A/ Lc
;.ASSESSOR
TAX,
,
WVALU19%
F sTEADt -.
�' 'NONatES(DENTtAL'" --
IIr
ONLY
VALUE .
AT t00X OF LN
3
.1. :xVALIIE
Land not exceeding 1 (one) acre Inwediatety
surrounding residential improvements.
r
Other lend
Total land (lee 1 plus fine 2)
(3)
i � ul'%t�x'rt e I Yt r r(t
Dwelling
(4)
Residential'vrprovements or Anrwalty
Assessed AlObae / MerMlarAred Horne
AW
Garage
(6)
S ,(+
Other improvements
(6)
.•;/ t=
Trial improvements (147e 4 through fine b)
(T)
Total value (lime 3 pis fine 7)
(s)
1 hereby certify the above is true, correct. and
Sgnshna dAssessor
Date signed
canplete.
Verifying action - Sigehse of Auditor
Dam signed
.,I N,a'�",�, STANDARD DEDUCTION'ALLOWANCE r ` ' ;'i'' -.i:. j y: , s' e1' F r5 '•` [ =''.'f [:-±c5
20 _ Pay 20 _
Lesser of 12 Homestead
Valuation or SM.000 Ts
Si iat re of Auditor Date signed
STATE FORM 53569(R313-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,1009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.1-1_2-5.1
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 ever for homestead fraud. Homestead fraud
skauses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
a. -.tdard deduction to verify that they are eligible to receive the 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.
PARTI: ?ROPE_ ••TY :'FO•NIA ION
-resumer Name Proverb'Address State Parcel Number Leeal Descrinfion: ,
Albert F Luttrell 110 Vine ST 26-04-24-304-000.144-020 COL DIV 78PT 1
PATOKA IN 47666
•
Complete and return to: I®IIDD9 ft Mil Ffl®mmmmfOmmohmuun
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
•Owner/\\///°°'' ., f�/ f�. . . PART?i.T1�P(A�l�'ER INFORMATION - -
`-' 1\1l"-{� First I `• Middle LU T T R L Last
Mailing Address(number and street,city,state and ZIP code) L Sane as property address
f \ v
Middle Last
AL—BERT IZR\ 1K—t_ I I; Lu 'rite E
_ LL
Mailing Address(number and street.city,state and ZIP code) 1 Same as property address
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 1 Signature Date
PART 4: LYNORMA'f1ON -
•
FILED
DEC 28 • 1117.
GIBSON COUNTY.AUDITOR