Homestead_Luttrell (2)E
CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD / SUPPLEMENTAL DEDUCTION
State Form 5473 (R13112-09)
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Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
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I (We) certify that I e)�opNaw� ied. yA f6opai
place of residence or (are) buying property for which a Homestead Property Tax Stan�aN Oeducoon is hereby claimed
10 at contract on the date this application is filed, (date of filing). I (We):
Own ❑ Am (are) buying under recorded contract
❑ Am (are) entitled to occupy as a tenant - stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
❑ Am (are) the shareholder, partner or member of the entity that owns the property.
Name of mmant (legal name)
Social Seamty
Nerve
If buying on contract. Fee Simple awners name
Recorders office where contract is recorded
Record number
Page
County, Township Tarim (city; town, township)
d
Parcel number Legal desuipbGon
Is the property in question:
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❑ Reai property ❑ Annually assessed mobs a tome (IC 6-1. 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.
Wov- ay- S00- 00D,D '20-0 a.o
.• .:
County
Township
County
Township
I hereby certify the above statements are We, correct and complete.
Address (numberand street, city, state, and ZIP code)
Land not exceeding 1 (one) acre immedlately
•rte.. ., '.�� " ' =,� ` `=
surrounding residential ire rovements.
(1)
*=`-: r ^. °-•v .=- '� °-- ..?-i'-' -s'�.
Other land
(2)
ma ;
Total land (line f plus line 2)
(3)
Dwelling
(4)
m^ -V
Residential Improvements or Ann ually
Assessed Mobile I Manufactured Home
'"""' `+•"�. s
Garage
(5)
Other improvements
(6)
'!BIN
Total improvements (line 4 through line 6)
(7)
Total value (Hne 3 plus line 7)
(8)
hereby certify the above Is true, correct,
Signature of Assessor
Date signed (month, day, year)
and complete.
Verifying action - Signature of Auditor Date signed (month, day, year)
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20 pay 20 lesser of 60% of the assessed value of the homestead or $45,000
Notwithstanding any otherprovision, the sum of the deductions provided in IC 67.1 -12 to a nx)bge hone that is $
not assessed as real property or to a manufactured home that is not assessed as real property may not exceed
one -hall (12) of the assessed value of the mobile home ormanufactured home.
Sgnsture of Auditor
Date signed (month; day, year)
FA
• • STAF RAM 5394.RJf-UI 1RSASCRLA!ORALS-IA
APP ,$ )p\T vrEM\RO Or Yf'p95.bm rRESCRa1tn 111 TIM 111J'ARi4 •1 Of LOLL CllvtAM/Si RgKI:IC 6-1.1-12-11
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 homtst ad fraud.Homestead fraud causes higher lax bills for all:therefore.
HEA l344-2019 requires taspaycn who receive the homestead standard deduction to serify that they are eligible to Recite the
�j benefit and to preside additional identifying ir.tiunution mewsury to allow county government to better monitor homestead
filings.This information will be Leg confidential and can only be accessed by authorized county officials.The Depanmert of
Local Government Finance will use this information to ercate tools:hat wiil help counts'officials eliminate homestead fraud.
PART l: PROPERTY INFORMATION
Taxpayer Name Location Address
Luttrell, Robert Sr 0
303 E VINE ST
PATOKA IN 47666
. ----452
LARRY LUTTRELL C/O HOMEOWNERS FUNDING 111111111111111= 111111111111111 11111111111_II:11111=1111111111111J11=11111111
1401 W MULBERRY ST
SALEM IN 47167-9452
�I"' 'IIII�I��III�I'II"�II�IIIIIrIIIIfHllllllrlltlllll�l"II"I State Parcel Number Legal Description
26-04-24-300-000.020-020 WOODS ENLG 18
JUN 11 2012
This for9MsfrAti§fliemegieFned to County Auditor's office.
Please do NOT send this form with your tax payment to the county treasurer.
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A, 'A ' .f
r First s M ldlc sLast
/ a Let I^ A 41,cf/re/f
!Hailing Address(number ands es,city,sta:c.and ZIP code) -‘12 Same as property address
^ JJJJJJ x o6 Easi- slt, Paic, - / N 47666
- - - —
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.
Own I Signature Date