Homestead_MillerFOFM HC 10 1979
PreSUiheE By S�ate Bwrd ol Ta� Cammissioners
CLAIM FOH HOMESTEAD PHOPEHTY TAX CREDIT FOR YEAR 19 �g
To & FileG in Duv���ate
SEE BACK FOR FILING INSTRUCTIONS '
�(We) ����--�^- ,���-"-- °� °�/�`"`'��-' certify that on the 1st day of
arch, 19-2`L, I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credif is hereby being claimed:
I, (We) �owned
• ❑ are buying under contract
❑ have a beneficial interest in the taxpayer
n� . .
Property Description
�0� 'o j3� I
�"""°-''�- Township
Taxing District (CiiK,�ewa�ownship): �"7'a-�"F"-
Parcel Number ' or legal description shown on tax statement:
�,F, a/ /�z � c;u % 9-�. - i i
If buying on contract: Owners name ��� simple �,�e�� �.SL $3
Contract recorded in Recorders Office - Record No
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
Any other counties in which individual owns or is buyin9 real property:
' hereby certify the above statement is true, correct and complete.
� . _
'SignaWre
AQOr¢55
County Township
.,� _ �f 7G 70
' Individual either owns or is buying under a contract that provides he is to pay the property.taxes
on the residence, or has a beneficial interest in the taxpayer.
FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surroundin9 residential improvements
T�otal Land � � � � �
Residential Improvements „
JUN 4 � 1979
True Cash
Value
(�) � o 0
(p� 3 '-f '7 0
(3) 3 9 7 0
Dwelling �4) � O 5�0 0
Garage
�I �/L��i`� Total
Other Improvements //'' ~1
T '-',�mprovements - L�ne (6) plus AUDIqORs (g)
I
I�by certify the above is true. correct. and complete.
$iglld:ulP O1 ASSPSSOr
Approved
cs) G o
(6) /o��o
(�) y � °
�8� /0 930
Assessed Homestead
Valuation Valuation
�70
/S% �
/�o
� - jj��j���
-- � ���jj����j�
,�
�- �-79
Da:e
Date:
U
•
11
Gibson County Auditor
101 N Main
PRINCETON IN 47670
1403
I
SIiTElaR1•!H�II'/4n� � TRFANAUfy0.4:3-1A
n��R[w'EDBY[��IEIXMPOWN«���TS.`nv PII(YAfBmBYT�[DF�MINEYIf�FLf+ALCAI'eL`LtC.'i�O:nK�.L i.i-zs�
InJiciJuals anJ marrieJ cauple are IimiteJ to nne homeaeaJ uandaN JcAuction. As �he rttrip� of ihis deductinn becomee
murc beneficial, thrrc is morc incentnc than e�nr For homesteacl fr�ud. IlonmteaJ frnuJ causes hi�her tac bills fur all: thrrefwe.
HEA Gii-?IXi9 rcquvn uxpa�en who reccrve the he�nesteaJ sundarJ JNuctian iu v.ri(y rfui �hcy are cli�iNe Io rtcci�e �hc
ben<fit aN ro pnn�idr aJdi�ional idrntiiyinc intorm�uan Mtt.-vrv to allw� vounrc grnrmment �o Mteei mmimr honxsttad
rr�. rn�� ��ia��u� �;n n� G� �ti,r:�i��„i anA r.m only h acmcnl hy amha�izeA rounq olTrtiaL: The Ikpanmmi nf
I_ucai Gmemmem Fiiunce wiil u.e this intormation m eream twls tMt a'ill hcln camrv ulTiciaL. dimirSm homenead tiaud_
Charfes H/ Judith A Miller
75 S Old State Road 6
PrincetonlN 47670-8587
I�I��II���I�II��I���III���I��I��I�I�I��I�I���II���I�I�I��II��I
Taxpaver Neme
Miller, Charles H/ Judith A
� R 3 13ox
I'rinreton I�
State Parcel Number Leeal Descrii
26-11-09-300-001.321-027 oos-o1321-0o PT N :
D-17
�
� I First Middle
1Q!'�PS �� �% ��P�
c Addrw' (number m�dirtcet, city, state, arid'LIN ctide) -- "— —� "-' "-" C.wroc m prop:ry wdr�' --
S. O/d Sr`a.fP 2d G� /�,;�Ce�yi, 1�/ 5�7G 7 a
Security Number (las� 5 digits) Driver's LittncdSutt IU Nmnber (la.� 5 digils) Uher (plcue specify in Part 4 below)
,�-
�
I.�i, //P�
1-1�pmperty addres.
CI
OcM1cr (plcasc spcciF in Pan 4 bclow)
9 2 71 15.683 AC
undersigned certifies, under penalry of perjury, that the above and foregoing infortnation is we and correct and that he or slie is eli�ible to
;e the homesiead siandard deduction on ihis property. Each undersigned al;o undentands �hat, by claiming additional homeitead deductions
.�fully, he or she may be liable for back taxes and substantial financial penalties.
�
Si�aNrc
�io-/o � �