HomeMy WebLinkAboutHomestead_LutzCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
` State Form 5073 (RS t 7 -07)
Prescribed
by the Department of Local Government Finance
INSTRUCTIONS. See reverse side for filing instructions.
FORM YEAR
Ha10
DEC 3 0 2008
I (We) - v t _'I st day of
certify that on the,}st day dt'March, 20
1 (We) ocwpied as our principal place of residence a following described real property for which a HomesleadlP7opnWaP&W t fs•g�gWdaimed:
❑ I (We) owned ❑ Are buying under contract
®nave 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.
CONTRACT ••. .
It prying on contract, Fee Simple owners name
Recorder's office where contract is recorded Record number Page
County
Toomship
(city, to•.vn,
Parcel number L WI description
11 10 properly in q.T r:
F Iv G I ❑ Real property ❑ Mobile Home (1C 67.1 -7)
If of portion of the residential structure or the land nor exceeding one (1) acie that immediately surrounds that structure is used to produce income, describe the use and portion
of iha property uSfized to produce income.
- OY' A5-lo I - Coo. .3D /- O 1 CD
PROPERTY OWNED BY
TRUETAXVALUE
County Township
County Township
hereby certify the above statements are true, correct and complete.
Signature of claimant
stress (number and streeL city.
te, end LP e) IT
'i
0
ASSESSOR USE ONLY
TRUETAXVALUE
ASSE�SE6 VALUE
HOMESTEAD.]
NON-RESIDENTIAL
AT,100%OFTTV
VALUE
VALUE
Land not exceeding 1 (one) awe immediately
surrounding residential improvements.
(1)
a<r -
Other land
(2)
Trial land (line 1 plus late 2)
(3)
Dwelling
(4)
_
Residential improvements or Annually
Assessed Mobile I Manufactured Hone
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby Certify the above is true, correct, and
Signature of Assessor
Date signed (month. day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day. year)
IW- pay 20_
Lesser of 112
Homestead Valuation
w
Synaoae of Auditor
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 1 $
43,000 for 2009 pay 2010 40,000 payable after 2012
day. year)
STAR FORM r3N•qtr;eo • TlFASVIFJIPotMII-IA
APPROVED
IMPORTANT NOTICE TO HOMESTEAD tPROPERTY OWNERS za
Gibson County Auditor
101 N Main
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 lax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying infor nafon nececsary to allow county government to better monitor homestead
filing.This information will be kept confidential and can only he accessed by authorized county officials.The l)epanncnt of
Local Government Finance will use this information to create toils that dill help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Lutz, Michael J Jr
407 W Third
Patoka IN 47666
127
Michael J Lutz Jr.
407 W Third St State Parcel Number Lezal Description
PATOKA IN 47666-9016
ItItrIIttt ItIItttIItt lllltl tltJll Iltllttllttt'ttt'IIJIJI 26-04-25-101-000.301-020 018-00301-OO COLEMAN ENLG 11
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2: TAXPAYER INFORMATION
Owner I(� nfa First f� /Middle \ Last
`I i I Il'hl.l\ . b�-1; • . 1111�s �� 2. 3(
fag Address(number and street,city,state,and ZIP code) )74 Same as property address
40- LO 5*-
Spouse First Middle Last
'M1Y\it CY'�t6ns-e Odidm X72
Mailing Address(t tat ber and street,city,state,and ZIP code) I2:1 Sang as property address
PART 3I CERTIFI ATION
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:ADDITIONAL INFORMATION
r v -