Homestead_Luebbehusen •
I
MAR FORM!!'MIR_!s•+1 IAFASULTA FORAM IIA
nr,RrnEO HY SIUMH(IIXIMF ArrMNTS.:a. PRFZnIBas BY nn OEPARTENTOF LOCAL GOVaNMrfT FINANCE MHYr-r.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
PRINCETON O IndividuaLs and there k couples are incentive than c one homestead fraud.ld estea fraud ud the receipt higher r'x this bills for aon becomes
-Ileglr----('�� IL I q 11gre beneficiah thrrc k more mcrntire thin glee for homestead fraud IlonxsxaLl fraud causes higher tax bills for all;therefore.
r 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 information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials The Ikpannenl of
APR 2 3 ZU10 Loral Government Finance will use this information to create tools that will help count'officials eliminate homestead fraud.
PART 1:PROPERTY INFORMATION
°yy� Taxpayer Name Property ess
�,( Luebbehusen,Allen F/Carla S ��3 tr E �(�
— GIBSON COUNTY AUDITOR az Box
10934 —� Haubstadt IN;7639
G,
Allen F/Carla S Luebbehusen
R2 Box 71 State Parcel Number Leal Description
Haubstadt IN 47639-7903
II II III IIII I III II II II I II I 26-23-11-400-001.061-024 004-01061-00 PT W SE 1141046.50 AC
to sett mi ttnnt 1n m uutt D-9
/.1 9 E woos .
PART 2: TAXPAYER INFORMATION
Owner I First Middle l Last
A Ievl IveAbeAose✓1
xg Address(number and street,city,state,and ZIP code) — - A Same as property oddie:s —--— -- — -- --
q� 39 F 41005 Flo„bs-Lid# •V/ ti7637
Spouse First Middle f I Last
CAC LA- S / ebbehl2.5 9 .
Mailing Address(Number and street,city,state,and ZIP code) Same as pmpeny address
'-I 2 3 9 E 12005 HAv(sLioI* N ii163°I
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 I Signature Date
•
� 3 CLAIM FOR HOMESTEAD PROPERTY iAX
CREDIT/STANDARD DEDUCTION
/ Sute Form 5473 (R6 / L-03)
Prescribetl by the Department of Local Govemment Finance
INSTRUCTIONS: See revcrse side lor Iiling inslruc(ions.
��e) ���x � �� l) � ��.L C1L U� o� �7 `'`�� v�� �'w`—cer4f�that on the 1sl day of March, 20
I(W�j'occupied as our principal place of residence Ihe following descnbed real property for which a Homestead ProperryTai,Credit is hereby daimed:
I(We) ovmed ❑ fve buying under contracl �� l� �•, �.'� '
. GI3S�y CC� '
Have a benefidal interesl in the enfiry that is liable far ihe property taxes on the property and �hat owns ihe property or is buying under a contraU.
FORM YEAR
HC10
�� � • ' �
, .._ �.�
� y� �._, _�_�,
If buying on conVaa, Fee Simde ownefs name
where mntraU is recorded
County
Twmship
Tatin9 0�s�� (u6: iVwn. fownshiP)
Rewrd number � Pa9e
Parcel number L al descriptlon (�IS the properry in eslion:
Do 4- o ia �/- cu � t s P_s w "; Real pmparty ❑ Mobile Momo (I.C. 6/.1-7)
H any portion of the resiAential sW qure ar Na land not excxCin one (1 ave that immeEiatety wrtounds Ihat sWCture is used b produce incane, describe Na use and portbn
ot the proparry utiized b produce i�ome. //— �—I U �/ S�
. �'✓;; �
�i�
Counly
County
I hereby certify the above statements are We, coned and complele.
(number arM sVeet, city, stafe, ZIP rode)
- ';�'"�r'�'-r';��a`?UZl°m.'��"�nuw�� -•� ��,a`�.�%STANDARD:DEDUCTION'ALLOWANCEk, �,"���GU";�,�xy`?�,.�:�wa+`-�<.�.'�-„"T"�"yi?^-�s;r�.F�':i�.�`�;?�%<
20_Pay20_
Lesser of 1Y2 Homestead
S
vauanon w E35.000 -.
Si9naNre af Auditw " Date signeC