Homestead_Miller (6)J
PoflM HC 10 19i9
PreuriOea By Slare Baa�O ol ia. Commissfoners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 $�
SEE BACK FOR FILING INSTRUCTIONS
To Be FileG in �uplica�e
�(We) `/ 1"l�x.lN ,��-�.1�-�a- � �" �ch`^-%t�-�,�, - certify that on the tst day of
March, 19 o I, (We) occupied as o principal place of residence t following described real property for
which a Homestead Property Tax Credit is hereby being claimed: �
I, (We) ❑ owned bO� ' 0�3�y
❑ are buying under contract
❑ have a beneficial inter s in the taxpayer (�
Property Description in �'�"Q-��"' County v'�-�'-"'-""'-' Township
Taxing District (City, Town, Township): �a�J--�'-t��
Parcel Number or legal description shown on tax statement:
Q� �w'��- NE'i� 3- a-i o��3
If bUyi�l9 O!1 contract: Owners name ��ee simo�e owneq
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 buying real property:
�hereby certify the above statement is true, correct and complete.
� � � „ —�.
/ 7 1 �w`
County Township
a�a z�o �oae
IndividilaYeither 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 �.� +++���
surrounding residentia�p�o�jme��
Other Land ��
Total Land
r�AY 7 1980
Residential Improvement � _
� � AUD�
Other Improvements
True Cash
Value
(1) �90
(�)
��3) �%D
Dwelling �4� � � o
Garage
Total
T� Improvements - Line (6) plus (7) equals (8)
I,.�,eby certiTy th�, above is true. correct. and complete.
Si9�mre ol Assesw�
(5) —
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(�) —
(g) j G o
- ACTION BY AUDITOR -
Assessed
Valuation
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Da:e
Approved: Date:
y�67v
Homestead
Valuation
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— /o— 80
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
�l.iiE inRN `1!M12'/ auel
W0.NZ�A
IndiviJuaL+ and ma:�ieJ aouplo are Ifmiud �o one home.ueaJ .randiN J:dunion. As Ne recrip� ol'this dnluction hconree
morc bencficial. thrrc u morc incentire Oun ner (or honxsread GauJ. Ilumc�'�eael fauJ causes hi�her Iai bi`Is (or all; �herefae.
HEA li4-i-'_OQ9 reqvim ta�pa.m vho receire ihe haneseeaJ siandard �kKluction w.cri(r dut �ey art elfeiWe �o recei.e ihc
benefit anl to pnn�idr mkfitional idemiiyin_ infurm�nun m�cr.'vn� iu allw' counn� gmrmment �o bencr�muniror humesrcal
lilin��. This inlmma�inn will 6e Aryv mnfidemi�l and nn nnly M. arcr: seJ 6y aWMrired cnunlr nlTicials. TM1e Ikpanmcnl nl
Lucai Gm'crmnrn� PifuMC �� ill u.e thn iniomwtion w cr<atc tivls that �rill h;lp eqmn� officiat+ dimi�u� homestead iraud.
2156 - - -- - - - .-
Larty E/ Kimberly J Miller
2808 E 100 N
PrincetonlN 47670-8923
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:..�, a.�d ZIP:oC:)— -
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T�zpa�•er Name Prnnertc Ad
Miller, Larry E/ Kimberly J a80$ C
ezlw�
1'rinccton I�
Stare Parcel Number Leeal Descri[
2fr12-03-200-001.324-027 oocr01324-0o PT SW
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.4ddress (Number and svee4 cit}', sWle, and'LIP cu�k)
— 1 oZ, 1�
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camr ac nmpcm- odd�: _ _
Other (pletu sp¢ify in Pan 4 6elaw')
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$ame ati pmprny add�.
O�hcr (plcuc spccify in Part 4 bclow)
/0 0 l�
3 2 10 .93 AC
� '_ certifies, under penalty of perjury�, tha[ the abo��e and foregoin� infurmation is we and corrzct and that he or s�e is elieible to
e the homestead slandard deduction on this property. Each undersigned also undersmnds that, by claiming additional homei tead deductions
fully, he or she may be liable (or back taxes and substantial financial penalties.
I SiEmaUUC - 1}_�te 1'dephonc
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