HomeMy WebLinkAboutHomestead_Luttrell "
Slit£FOAM r3 W IR-I W I TREAStI[Q PoRM ti-IA
ArFRnvED BY STATE B) DOF MY.TU:TS.ruM PIRYFIBED BY Tn.DEPARttOMTOFU3tAl C.(nER`1MEAT FBrn.\CE IC♦1.._4.I
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomea
more beneficial.there is more incentive dun eler for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires taxpa.ers who receive the homestead standard deduction to verify that they arc eligible to receite the
benefit and to provide additional identifying information necessary to allow count'government to better monitor homestead
filing.This information will be kepi confidential and can only he accessed by authorized county odfcials_The Lkpanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Martin, Kelly A
- - -- _ 117005 ISOW
v IIAUBSTADT IN 47639
2074
Kelly A Martin
11700 S 150 W State Parcel Number Legal Description
HAUBSTADT IN 47639-8752
�t�n��n t�t��nn��F�r�u�n�r�nt�t�t�nt�t���tn��In�t�trl 26-22-12-300-002.049-024 004-02049-00 PT W SW 124112.00 AC
x
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
f a l lmy A4/Ne.#e ►n& 27-,/ ti
•3g Address(number street.city.state,and ZiP code]-- --- ---- _- _ _ — �-Samc as property nddr¢s _ _ _ .. - _ - _-___
Pt of lox yay
Spouse First Middle Last
Mailing Address m city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
��
sox
PART 3:CERTIFICATION
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 Sign'„ Date
•
�CLAIM FOR HOMESTEAD PROPERTY iAX
CREDITISTANDARD DEDUCTION
`\ ✓ S�atc Fann 5.173 (R6 / 6-03) �. .� . r .
Prescnbed by the Departmen� ol Local Govemm�m Finario: ° `
INSTRUCTIONS: See revcnn, side lor liliny ir,sLur.liune: �' '
,
� _ ��:i �.
I' FORM YEAR
HC10
�� ����
o� ^'^ ��NU�
�(We) _ / / �� Q��/�) certify that on the tst day of March, 20_
I(VJe) occupied as our principal place ot residenc e following described real property (or which a Homestead Property Fay.„redit iskejQby Gaimed:
O'(6�.,y .<S/fi.g
❑ I(We) owned ❑ Are buying under contract [/ (�
GIBSON COUNTY ��nrr
Have a benefiaal interesl in the en6ty that is liable for the pmperty taxes on Ihe property and ihat owns lhe property or is buNng und�2'Ca�ct.
�.-:'i,.=,33k.�`.8::''.t °� � "`'"•.���: `si�,-; -•3;'z-,,...'<' �t t�;;CONTRACT'RECORDED"<. -', .
If buying on contraa. Fee Simpio ownets name
Recordefs oificewhere cont2G is remrded Record num0er Page
County
Parcel number
Tavnship
Lqgal description
the
vU �L-QoS_U_y_7-�e1 I y�- CrJ � oc - 5`- /� � I
I; any portion eHhe resitlenGal sWUUre or 1he land not exceeding ma (1) aae Na� immetlia�ty surtounds ihat
at ihe property utilized to produce income.
� Q—C�
��.roi-ecurin
, ��. -��� � - . . �
, township) '
Q.�
��in/n�°� stion:
�7icai Dmperry ❑ Mobilo Hwno (I.Q 67J-7)
Uure is used W produce income, tlescribe tha use antl portbn
����`,�t��ASSESSOR�USE ON Y t��. xS��F��? ��aTRUE TAX'' '� ASSESSED VALUE � HOMESTEAD„ i�� C�' NON-RESIDENTIAL'`
_ �:�ia,�.�.. :t:�x.-�.L` -£ aY.� i-_'u��. �.._�.+5'..�v. ,.- � ,�,a r VAL:l1E -;AT 100YepF TTVC � VALUESx.�.«' S�.wL. .:� � 0 VALUE � � �-'�'
.a
Land not exceeding 1(one) aae immedialety ~� a,.,:;� `-:� ?'�; ,r '� `�'`'
� . �
surrounding residenGal improvemenis. ��� �.`-� �- ;,•_�. �;'y�,--. :`,: �
Otherland (p) ,� ��'� „�,�'�
_: ': r..:�.. �
Tdal land (line 7 plus line 2) (g)
. _ :-:C`r..,•trY•.._.�- •.�
Dwellin9 (4) 4 'ti �� j ° �� ' �-::.
4 .. �] �rt�+.J1.+ti��
Residendal improvements or Annually - . .�
Pssessed Mobile ! Manufadured Home . � : � � ,r„ e �` �.�-: �= .
Garage (5) c � e. � '�' r �'i _�_
. . z. >.._. _ ..."l.t:. ,1� :.
.-:°',:"�:j�. ��'`.:
Otherimprovements (6) "� �"=,a-tia-,:4'
'-.', ; .:: �.. �,:^: . - �.
-: <:..a;-�?., y..
TUaI improvemenfs (line 4 fhrough line 6) (�)
TUaI value (line 3 phs line n (g�
I he�eby ceAify Ihe above is We, coveG, and Sgnature ol Assessor Date sgned
camplele. �
Veiifying aclion - Signature oflwditor Date sgned
�:`-F- .Cm.'#4`�'`�.-..,i..':�«:_rts �; i�:'ikY.': :3:_:.. -: ST{WDARD:DEDUCTION�'ALLOWANCEt' �..r._i��>.�t.:.`�s,r..:s�t-s,. . ..L � i.�-��'7:3%--:� « '
20 _ Pay 20 _
Le;ser of 1!2 Homestead
S
vamauon or 535.000
SignaWroofAUditw � es ed