Homestead_Miley 51VE FORM!I!MIR_I!-rB TREASIIEFA FORM ig.lA
' - • APPROVED BY 571IG BOSRDOP AMOUNTS.yaw PRFYRIBWD BY 111E BFPART6:YT CIF L(A'AI rX)tEnonnT FINANCE IC LI.,-ua.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead Aandanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than net for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires taxpasers who remise the homestead standard deduction to verify that they are eligible to receive the
benefit and Co provide additional identifying infonnabon necessary to allow county government to better monitor homestead
filings.This inlnrmatinn will he kept conlidemial and can only he accessed by authorized county officials.The Depannlent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Miley, Brenda
711 S Seminary
Princeton IN 47670
3113
Brenda Miley
711 S Seminary State Parcel Number Legal Description
PRINCETON IN 47670-2631
26-12-07-403-001.775-028 019-01775-00 CLARKSVILLE 17/18 PT
V I I I I I I I I I I I I I I I i t I I I I III ii
N
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
3reucic s oye e__. /4 /ey
:g Addnv(umbra unsi smxr.city:state,and ZIP code) - - _— —f.Some es property address-
// s, Se I414/4 ?ri vl c eldq Zi �Zb 7d
Spouse First Middle Last
Mailing Address(Number and street.city,stale,and ZIP code) Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Slate
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 1 S. •alum Date
FOflM MC 10 1979
Pieuribe0 By $ta�e BoarO al la. Commissioners
io Be Filed In Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19�� r�
SEE BACK FOR FILING INSTRUCTIONS O/�_ �/n�s_ OO
1
�(We) � certify that on the 1st day of
farch, 19_ �, as our principal plac of esidence the lowing described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) Q'owned
O are-buying under contract
❑ have a beneficial interest_in the taxpayer
Property Description in ,S1G�0?^�
Taxing District (City, Town, Township):
Parcel Number
If buying Ofl contract: Owners name ��� s�moie owneq
���-.(L Township
or legal description shown on tax statement:
P��.,� i `z�
Contract recorded in Recorders Office - Record No. Page
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, describJhe 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.
�-��� � � �� ��� 5. �
Svret Aaaress
County
�_
Township
Ciry. Siaie am Zip Coae
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. -
0
Land not exceeding 1(one) ac
surrounding residential improve
Other Land
Total Land
Residential Improvements
FOR ASSESSOR'S USE ONLY -
me�me�at�y � �
_iUi. � 1979
i
/ � � �
. ... :�
.� �.
�.
Other Improvements
Tr'� Improvements - Line (6) plus (7) equals (8)
I�..iy certify the above is true. correct. and complete.
/155f550r
True Cash
Value
(�) �3/0
(2� —
�s� e?,3/a
(4)
(5)
(6)
(�)
(81
Assessed
Valuation
�r�
,,,,,,,,,,,,,�,;,�
Homestead
Valuation
�y1� �.�.�E1'
C�1C��l�il�l I�l��
(�'�/" %/c
Da�e
Date: /�L%