Homestead_Miller (3)Gibson County Auditor
101 N. Main Street
Princeton, IN 47670
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— MAY 9 Z��Z
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�GIgSON COUNTY AUDITOR
James A / Gloria Miller
1629 E SR 64
PRINCETON IN 47670
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lOAYILIA
IndiviJuab anJ mv'rieJ cwplc� are Iimi�N to ont hnnR�:ead sls`W�rd Jcduaion.:1� the mci{u o(:hi>�JNuctiun htomc�
morc bcncficiaL �hi�. is morc ir.crmi.c ihan orr lor hoim:x�nd Gaud. 4.mmcvcad (mud cmo?s Sichcr ci� bi Ic lor cll: th rcfure,
❑FA 13a3-I(N19 requires uzpa�en wlw rzricr the homr�ttad xanJanl deduction to �eriir J;ai Itrc9 arc el _jMr ro rccei�c �hc
b.rocfii anJ m prrnidc aJdi�ional idrmifyin,� iNlxm�iion Mcc.san� io aik�w nmmy em'cmrtkm to ttt¢T�m.nitm hort:cvcad
filinu. �(hi. inf'orma�im will be {.ip tonfid �ilial �nd can onh bc aar..rJ by amhorieeJ countr o(licial�. fThc Depanomr.i o(
Lixal Gn.crrr.km Financc �.ill mc ihi: infumutinn tu auhir ��mlc ;ha� will hcln counn� olTicuL, climirufc homc>�cad liaud
TaxaaverName LocationA�
Miller, James A/Gloria Jean
� 1629 E :
PRINCETON
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State Parcel Number Leqal De
26-12-09-300-002.108-027 PTSW 9210 1.78A
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county
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Addms (munbe+ and sveet, city, sta:4 and "LIP
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Dnvers License/Sm[c ID Nmnber Ilas:
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undersigned certifies. under penalry oCperjury, that the above and foreeoing inCormation is tme and correct and that he or
; c the homestcad standarzl dcduction on this property. Each undersigned also underslands that, by claimine additional hon
; fully, he or she may be liable for back tases and substantial financial penatties.
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