Homestead_Miller (4)' TRFASI'RECi00.Nl$1/.
Gibson Caunty Auditor � � � � � � � � � �
. 701 N. Main SVeet �ndividuals and married muples are limited m one homes[eed standard deduc[ion. As ;he receipt u( this deduction becomes
- Princeton, IN 47670 �
more beneficiai, thcre is morc incrnlivc Ihan n�et for homcstcad (aud Homestrad Gaud ca�sses highey ux bills for all; therefore,
` HFA i344-?009 Icquires tazpa}rrs atro rcccn< thc Iamestcad standard deductian to �xrify chac c6c��:ur cligible m reccnx tlu
� F I L E D �efi1 end ro praide additional idrntifiing information ncccuary to ellow county gacmmrot to'bcttcr moni:m Fwmatcad
filings. This information will bc kept confidrn�ial and can only bc acccsud W authoriud county o;Hcials. Thc Dcparvnrnt of
l.ocal Gmemmrn: Fi�nce will �se this infortnation m create mols chat will Aelp counry offitialt rliminate homesiead fraud.
_ APR 19 ZO�I . �� TaxpayerName � LocationAdFjress
— C � rc� �— "� � Miller, Jason
_��� y
V c-� 2734 E 2� S
GIBSON COUNTY AU TOR � � PRWCETON N a7670
4079 � '
=---=* :-.--.—_— _ _ _ —
JasonMiller . — III��uIiil��IflViii�l Ill�ii f�Iltiil�li�ii0�ii�ii�lill�il�iiil�ii��'il���i
2134 E 250 S
Princeton IN 47670-8726 "
II1�1"�'ll"I�I'I'lllll���ll'��IIIII'�'I�IIII'll�'I"���'I"I�I'
State Parcel Number Le�
26-12-21-400-001.336-027✓7 SE 2� 2 70
This form MUST be returned to County Auditor's o�ce.
Please do NOT send tfiis form back with your tax payment to the cou
; �5on I � �
uling Ad&css (numba mid svu6 city, stau, and ZIP cade)
ai3y �a�o s °
:ial secwiry h,mmxr (las� s digit�� �,;��rs �;ccnselsmu tD n�vR (las� s a;gis�
Address (\umber a� strce4 riry, statc; and 7IP crode) `
�'�% /� 1� /'
Same as property addms
❑ �= � P�P�� 8�I�5
specify in PM
undersigned certifies, under penalty of perjury, that the above and foregoing infortnation is we and correct and that t
:e the homestead standard deduction on this property. Each undersigned also understands that, by claiming additional
�fully, he or she may be liable for back tazes and substanual financial penalties.
1 Signanue 6�� � . . Date . Telephone �. �!!
�- ��Ib••I(
1' �-�. . .. - n.,.e . . Telenhone
� �
AC
ii�-
treasurer.
or she is eligible to
>mestead deductions
e%"'�'°4 CLAIM FOR HOMESTEAD PROPERTYTAX ,
i' E CREDIT/STANDARD DEDUCTION
'
�,.,�,, �� S�ate Form Sa73 (R2 / 5-92) �
iais - .
INSTRUCTIONS: See reverse side loi /iling instructions.
. ' � . " CERTIFICATION
FORM - �YEAR
HC10 l�1"�
- .. .�� � �.�� �� (/
I �We) _ �/yy_� S�( !�'L. D_01y� . certity i at on ihe 7 st day of March. 79 /U
,
I IWe) occupie:� �s our principerplace of residence the following described real property�for whicha Homestead ' i" y eietiy claimed:
'I (We) owned .❑ Are buying under coniract
AU ���"
Have a beneficiai interest in ihe entiry thai is liable for the property taxes on ihe propeny and thai owns ihe property or is buying under a contrect.
. . CONTRACTRECORDED
It buying on wnVac6 Fee Simple owner's name _ .
Rewrder's oHice where contraa is recorded Fecord number Page
Coun,ry
Parcel number
60�
If any portion o
of Ne property
` PROPERTY DESCRIPTION � �
Township � Taxing di5triti (Gry. town, township) �
Legal tlescription
' � — I D
�.itlential simcWre or the land not exceeding one (7 � acre that immediatety surmuntls that structure is used ro produce income, describe Ne use antl portion
to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES �
Caunry Township Counry Township
I hereby certify ihe above statements are true, wrrect and complete. Signamre ot daimam
ess (numberand streef, ciry, siate, ZlPwde)
ASSESSOR USE ONLY
Land not exceeding 1(one) acre immediately
surrounding resideniial improvements.
Other land
Total land (line 1 plus line �
Dwelling
Residential improvements
Garage
Other improvements
Total improvemenis (line 4 th�ough lina �
Total value (line 3 p�s line �
I hereby certify ihe above i5 true, correct, and
complete.
Veritying action - Synature of Auditor
79_Pay19_
Lesser of 1/2 Homestead
Valuation or S2.000
Signature of Autlitor
TRUETAX ASSESSED HOMESTEAD
VALUE VALUE VALUE
��)
(2)
(3)
(4)
(5)
(6)
(�)
(8)
Signature of Assessor
STANDARD
E
NON•RESIDENTIAL
VALUE
Date signed
Dare signetl